Singapore Paediatric Resuscitation Guidelines 2021

Abstract

We present the 2021 Singapore Paediatric Resuscitation Guidelines. The International Liaison Committee on Resuscitation’s Pediatric Taskforce Consensus Statements on Science and Treatment Recommendations, which was published in October 2020, and the updated resuscitation guidelines from the American Heart Association and European Resuscitation Council, were reviewed and discussed by the committee. These recommendations were derived after deliberation of peer-reviewed evidence updates on paediatric resuscitation and took into consideration the local setting and clinical practice.

Comparison of paediatric basic life support guidelines endorsed by member councils of Resuscitation Council of Asia

“…A summary review of the latest selected basic and advanced paediatric life support guidelines of these resuscitation councils were reported in Table 2 , Table 3 , respectively. 3 , 5 , 6 , 7 , 8 The previous guidelines for basic and advanced paediatric life support guidelines were reported in Supplementary Tables S1 and S2 , respectively. 12 , 13 , 14 , 15 , 16 , 17 …”

“…Examples of which would include paediatric chest compression depth targets, ventilation rates post advanced airway placement intra-arrest and initial defibrillation dose for paediatric cardiac arrest with shockable rhythms. 2 , 3 , 4 , 5 , 6 , 7 , 8 …”

“…There are important differences in the infant, child, adolescent and adult anatomy and physiology that would influence the management of cardiopulmonary arrest. 1 , 2 , 3 , 4 , 5 , 6 , 7 Paediatric cardiac arrest outcomes, especially for infants, remain generally poor. 1 , 2 , 3 The paediatric life support taskforce of the International Liaison Committee on Resuscitation (ILCOR) regularly reviews and updates available scientific evidence to make treatment recommendations on paediatric life support.…”

“… 1 These treatment recommendations based on expert consensus and scientific literature are reviewed by resuscitation councils worldwide for their resuscitation guidelines. 2 , 3 , 4 , 5 , 6 , 7 , 8 …”

SRFAC: resuscitation and saving lives in the COVID-19 era and beyond

“…Age-appropriate ventilation rates are suggested after advanced airway placement in paediatric cardiac arrest (instead of 10-12 ventilations per minute for all ages previously). (13)…”