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2019 American Heart Association Focused Update on Pediatric Advanced Life Support: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
- Source :
- Pediatrics. 145(1)
- Publication Year :
- 2019
-
Abstract
- This 2019 focused update to the American Heart Association pediatric advanced life support guidelines follows the 2018 and 2019 systematic reviews performed by the Pediatric Life Support Task Force of the International Liaison Committee on Resuscitation. It aligns with the continuous evidence review process of the International Liaison Committee on Resuscitation, with updates published when the International Liaison Committee on Resuscitation completes a literature review based on new published evidence. This update provides the evidence review and treatment recommendations for advanced airway management in pediatric cardiac arrest, extracorporeal cardiopulmonary resuscitation in pediatric cardiac arrest, and pediatric targeted temperature management during post–cardiac arrest care. The writing group analyzed the systematic reviews and the original research published for each of these topics. For airway management, the writing group concluded that it is reasonable to continue bag-mask ventilation (versus attempting an advanced airway such as endotracheal intubation) in patients with out-of-hospital cardiac arrest. When extracorporeal membrane oxygenation protocols and teams are readily available, extracorporeal cardiopulmonary resuscitation should be considered for patients with cardiac diagnoses and in-hospital cardiac arrest. Finally, it is reasonable to use targeted temperature management of 32°C to 34°C followed by 36°C to 37.5°C, or to use targeted temperature management of 36°C to 37.5°C, for pediatric patients who remain comatose after resuscitation from out-of-hospital cardiac arrest or in-hospital cardiac arrest.
- Subjects :
- Emergency Medical Services
medicine.medical_specialty
Resuscitation
medicine.medical_treatment
Pediatric advanced life support
education
030204 cardiovascular system & hematology
Advanced Cardiac Life Support
03 medical and health sciences
0302 clinical medicine
Extracorporeal Membrane Oxygenation
Hypothermia, Induced
030225 pediatrics
Physiology (medical)
Extracorporeal membrane oxygenation
Medicine
Humans
Extracorporeal cardiopulmonary resuscitation
Cardiopulmonary resuscitation
Airway Management
Intensive care medicine
Child
business.industry
Advanced cardiac life support
Basic life support
030208 emergency & critical care medicine
American Heart Association
Cardiopulmonary Resuscitation
United States
Heart Arrest
Life support
Pediatrics, Perinatology and Child Health
Emergency Service, Hospital
business
Cardiology and Cardiovascular Medicine
Out-of-Hospital Cardiac Arrest
Subjects
Details
- ISSN :
- 10984275
- Volume :
- 145
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Pediatrics
- Accession number :
- edsair.doi.dedup.....f4dc148c188d26c651ab33a635f9df91