Pediatric Life Support Update

Gill, Carson; Kissoon, Niranjan

doi:10.1097/pec.0000000000001219

Cited by 4 publications

(2 citation statements)

References 79 publications

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“…It is important to manage ventilation as both hypercarbia and hypocarbia have deleterious effects on cerebral perfusion. Current data suggest that it is appropriate to target normocapnia or a PaCO2 specific for the patient's condition while minimizing hypercapnia and hypocapnia [24,105]. While providing strategies to optimize oxygenation and ventilation, we must be mindful that therapeutic hypothermia can alter the arterial oxygen saturation and affect carbon dioxide production which will be reflected in the minute ventilation [106].…”

Section: Oxygenation and Ventilationmentioning

confidence: 99%

Pediatric Cardiac Arrest

Yu¹,

Esangbedo²,

Raman³

et al. 2020

Sudden Cardiac Death

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This chapter will focus on four important topics in pediatric cardiac arrest. We will highlight recent developments in pediatric CPR quality, medications used in cardiac arrest, ECPR, and post-cardiac arrest care (PCAC) and discuss the existing literature behind AHA guidelines and gaps in knowledge. Optimization of CPR quality is critical during cardiac arrest. We will summarize literature regarding current guidelines which target provider-centered goals and discuss evidence behind patient-centered goals. We will also discuss the evidence behind drugs used in the PALS guidelines. In cases of refractory cardiac arrest, ECMO can be lifesaving; however, there are still many gaps in our knowledge of this field. We will summarize the literature regarding determination of candidacy, cannulation strategies, resuscitation practices during ECPR, and outcomes. After a cardiac arrest, PCAC is crucial to minimize further injury from post-cardiac arrest syndrome (PCAS). The main goals of PCAC are to prevent further brain injury, treat myocardial dysfunction, and systemic ischemia/reperfusion injury. We will discuss AHA guidelines on oxygenation and ventilation goals, targeted temperature management, hemodynamic monitoring, and neuromonitoring.

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Section: Oxygenation and Ventilationmentioning

confidence: 99%

Pediatric Cardiac Arrest

Yu¹,

Esangbedo²,

Raman³

et al. 2020

Sudden Cardiac Death

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“…The International Liaison Committee on Resuscitation (ILCOR) recommends the use of AED for cardiopulmonary arrest in children aged one year or older. All health care employees are required to perform all standard resuscitation steps including the use of AED in resuscitation treatment algorithms (2,3). Childhood cardiac arrest usually presents with asystole due to respiratory failure.…”

Section: Introductionmentioning

confidence: 99%

The level of knowledge of pediatricians on defibrillation

Akça¹,

Tuygun²,

Karacan³

2020

Turkish Journal of Pediatric Disease

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Objective: Defibrillation is part of the life-saving chain. Our aim in this study was to evaluate the level of knowledge of pediatricians on defibrillation procedures. Material and Methods: The questionnaire was administered to 308 pediatricians. The specialists were grouped according to their experience as under 5 years, 5-10 years and over 10 years while the research assistants were classified as 1st year, 2nd year, 3rd year and 4th year. Subjects with 0-2 correct answers were classified as less knowledgeable, 3-5 as moderately knowledgeable and 6-8 as knowledgeable. Results: A small percentage of the physicians had received training on the defibrillation procedure. The self-sufficiency rate for the use of the defibrillator device was around 50% in those who received training and around 20% among all physicians. The mean number of correct answers given to the 8 questions used to evaluate the level of knowledge was 4.36±1.77. Approximately half of the subjects (51%) had a moderate level of knowledge. The level of knowledge of the pediatricians who examined patients, had been trained on defibrillator use and used one themselves was significantly higher. The number of correct answers increased as the subject's self-assessment of his/her adequacy increased. There was a significant difference between the level of knowledge of specialists with less than and over 10 years of experience. Conclusion: We found that pediatricians participating in our study did not have adequate defibrillation knowledge. We believe that updating defibrillator device training and increasing the relevant self-confidence before the level of knowledge decreases is very important.

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Infant mask ventilation quality evaluation from various viewpoints by medical students

Hirosuna

Komasawa

Nakamura

et al. 2020

Acute Medicine & Surgery

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Infant mask ventilation quality evaluation from various viewpoints by medical students Dear Editor, Airway management is considered an essential element of both in-hospital and pre-hospital cardiopulmonary resuscitation for infants, with manual mask ventilation being a primary and essential component of infant rescue airway management for medical professionals. 1 An essential consideration for infant mask ventilation safety is whether sufficient ventilation has been achieved or not. 1 Here, we conducted a survey on the subjective difficulty of evaluating the quality of mask ventilation by medical students, from various viewpoints. Ethical approval was deemed unnecessary by the Research Ethics Committee of Osaka Medical College. On November 2019, we conducted a simulation-based cross-Lateral-upward Lateral-horizontal Headside-horizontal Headside-upward (A)

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Pediatric Life Support Update

Cited by 4 publications

References 79 publications

Pediatric Cardiac Arrest

Pediatric Cardiac Arrest

The level of knowledge of pediatricians on defibrillation

Infant mask ventilation quality evaluation from various viewpoints by medical students

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