ABSTRACT
En diciembre 2005 se actualizaron las Guías de Reanimación Cardiopulmonar (RCP) y Atención Cardiovascular de Emergencia del Comité Internacional de Enlace en Guías de Resucitación (ILCOR) en colaboración con la Asociación Americana del Corazón (AHA). El propósito de esta revisión es señalar los cambios en Soporte Vital Básico y Avanzado Pediátrico con respecto a las recomendaciones anteriores.
Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiac Care of the American Heart Association (AHA) where updated in collaboration with the International Liaison Committee on Resuscitation: (ILCOR) on December 2005. The purpose of this review is to highlight changes in Pediatric Basic Life Support (BLS) and Advanced Life Support (ALS).
Subject(s)
Advanced Cardiac Life Support/methods , Emergency Medical Services , Cardiopulmonary Resuscitation/education , Cardiopulmonary Resuscitation/instrumentation , Cardiopulmonary Resuscitation/standards , Ambulatory Care , Pediatrics , Practice Guidelines as TopicABSTRACT
BACKGROUND: The characteristic of pediatric cardiopulmonary resuscitation (CPR) is different from that of adult CPR. It is known that respiratory arrest is more common in pediatric CPR compared to adults. The objective of this study was to report the characteristics of in-hospital CPR according to four pediatric Utstein groups. METHODS: We reviewed all medical records that were coded as CPR, care for arrest, defibrillation/ cardioversion, and ambu in our children's hospital. We classified the patients in 4 groups, isolated respiratory compromise, pure respiratory arrest, respiratory arrest leading to cardiac arrest and cardiac arrest. The data were summarized and analyzed in pediatric Utstein style. RESULTS: In 2001, 138 patients aged less than 15 years were resuscitated in our children's hospital. The success rate after resuscitation was 100% in the isolated respiratory compromise group, and 100% in the pure respiratory arrest, 54% in the respiratory arrest leading to the cardiac arrest group, and 24.8% in the cardiac arrest group. CONCLUSIONS: We conclude that the isolated respiratory compromise group and the pure respiratory arrest have better results than the respiratory arrest leading to the cardiac arrest group and the cardiac arrest group, considering all characteristics.