TY - JOUR
T1 - Cardiopulmonary Resuscitation in Infants and Children With Cardiac Disease
T2 - A Scientific Statement From the American Heart Association
AU - American Heart Association Congenital Cardiac Defects Committee of the Council on Cardiovascular Disease in the Young; Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; Council on Cardiovascular Surgery and Anesthesia; and Emer
AU - Marino, Bradley S.
AU - Tabbutt, Sarah
AU - MacLaren, Graeme
AU - Hazinski, Mary Fran
AU - Adatia, Ian
AU - Atkins, Dianne L.
AU - Checchia, Paul A.
AU - DeCaen, Allan
AU - Fink, Ericka L.
AU - Hoffman, George M.
AU - Jefferies, John L.
AU - Kleinman, Monica
AU - Krawczeski, Catherine D.
AU - Licht, Daniel J.
AU - Macrae, Duncan
AU - Ravishankar, Chitra
AU - Samson, Ricardo A.
AU - Thiagarajan, Ravi R.
AU - Toms, Rune
AU - Tweddell, James
AU - Laussen, Peter C.
N1 - Publisher Copyright:
© 2018 American Heart Association, Inc.
PY - 2018/5/29
Y1 - 2018/5/29
N2 - Cardiac arrest occurs at a higher rate in children with heart disease than in healthy children. Pediatric basic life support and advanced life support guidelines focus on delivering high-quality resuscitation in children with normal hearts. The complexity and variability in pediatric heart disease pose unique challenges during resuscitation. A writing group appointed by the American Heart Association reviewed the literature addressing resuscitation in children with heart disease. MEDLINE and Google Scholar databases were searched from 1966 to 2015, cross-referencing pediatric heart disease with pertinent resuscitation search terms. The American College of Cardiology/American Heart Association classification of recommendations and levels of evidence for practice guidelines were used. The recommendations in this statement concur with the critical components of the 2015 American Heart Association pediatric basic life support and pediatric advanced life support guidelines and are meant to serve as a resuscitation supplement. This statement is meant for caregivers of children with heart disease in the prehospital and in-hospital settings. Understanding the anatomy and physiology of the high-risk pediatric cardiac population will promote early recognition and treatment of decompensation to prevent cardiac arrest, increase survival from cardiac arrest by providing high-quality resuscitations, and improve outcomes with postresuscitation care.
AB - Cardiac arrest occurs at a higher rate in children with heart disease than in healthy children. Pediatric basic life support and advanced life support guidelines focus on delivering high-quality resuscitation in children with normal hearts. The complexity and variability in pediatric heart disease pose unique challenges during resuscitation. A writing group appointed by the American Heart Association reviewed the literature addressing resuscitation in children with heart disease. MEDLINE and Google Scholar databases were searched from 1966 to 2015, cross-referencing pediatric heart disease with pertinent resuscitation search terms. The American College of Cardiology/American Heart Association classification of recommendations and levels of evidence for practice guidelines were used. The recommendations in this statement concur with the critical components of the 2015 American Heart Association pediatric basic life support and pediatric advanced life support guidelines and are meant to serve as a resuscitation supplement. This statement is meant for caregivers of children with heart disease in the prehospital and in-hospital settings. Understanding the anatomy and physiology of the high-risk pediatric cardiac population will promote early recognition and treatment of decompensation to prevent cardiac arrest, increase survival from cardiac arrest by providing high-quality resuscitations, and improve outcomes with postresuscitation care.
KW - AHA Scientific Statements
KW - arrhythmias
KW - cardiopulmonary arrest
KW - cardiopulmonary resuscitation
KW - cardiopulmonary resuscitation/methods
KW - extracorporeal membrane oxygenation
KW - heart defects, congenital
KW - heart defects, congenital/surgery
UR - http://www.scopus.com/inward/record.url?scp=85048758877&partnerID=8YFLogxK
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U2 - 10.1161/CIR.0000000000000524
DO - 10.1161/CIR.0000000000000524
M3 - Review article
C2 - 29685887
AN - SCOPUS:85048758877
SN - 0009-7322
VL - 137
SP - e691-e782
JO - Circulation
JF - Circulation
IS - 22
ER -