Pediatric Life Support 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

RESUSCITATION

卷:156

Article

Maconochie, Ian K.¹  Aickin, Richard²  Hazinski, Mary Fran⁸  Atkins, Dianne L.³  Bingham, Robert⁴  Couto, Thomaz Bittencourt⁵  Guerguerian, Anne-Marie⁷  Nadkarni, Vinay M.¹⁰  Ng, Kee-Chong¹¹  Nuthall, Gabrielle A.²  Ong, Gene Y. K.¹³  Reis, Amelia G.¹⁴  Schexnayder, Stephen M.^15,16  Scholefield, Barnaby R.¹⁷  Tijssen, Janice A.¹⁸  Nolan, Jerry P.¹²  Morley, Peter T.⁹  Van de Voorde, Patrick¹⁹  Zaritsky, Arno L.²⁰  de Caen, Allan R.⁶ 

[1] Imperial Coll Healthcare Trust, London, England

[2] Starship Childrens Hosp, Auckland, New Zealand

[3] Univ Iowa, Iowa City, IA 52242 USA

[4] Great Ormond St Hosp NHS Fdn Trust, London, England

[5] Univ Sao Paulo, Hosp Israelita Albert Einstein, Sao Paulo, Brazil

[6] Univ Alberta, Edmonton, AB, Canada

[7] Hosp Sick Children, London, England

[8] Vanderbilt Univ, 221 Kirkland Hall, Nashville, TN 37235 USA

[9] Univ Melbourne, Melbourne, Vic, Australia

[10] Childrens Hosp Philadelphia, Philadelphia, PA 19104 USA

[11] KK Hosp, Singapore, Singapore

[12] Univ Warwick, Warwick Med Sch, Warwick, England

[13] KK Womens & Childrens Hosp, Singapore, Singapore

[14] Interamer Heart Fdn, Sao Paulo, Brazil

[15] Univ Arkansas, Fayetteville, AR 72701 USA

[16] Arkansas Childrens Hosp, Little Rock, AR 72202 USA

[17] Univ Birmingham, Birmingham, W Midlands, England

[18] London Hlth Sci Ctr, London, ON, Canada

[19] TBD, Ghent, Belgium

[20] Childrens Hosp Kings Daughters, Norfolk, VA USA

关键词: AHA Scientific Statements;    arrhythmia;    cardiopulmonary resuscitation;    child;    congenital heart disease;    ECMO;    pediatrics;   

DOI  :  10.1016/j.resuscitation.2020.09.013

来源: Elsevier

【 摘 要 】

This 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations (CoSTR) for pediatric life support is based on the most extensive evidence evaluation ever performed by the Pediatric Life Support Task Force. Three types of evidence evaluation were used in this review: systematic reviews, scoping reviews, and evidence updates. Per agreement with the evidence evaluation recommendations of the International Liaison Committee on Resuscitation, only systematic reviews could result in a new or revised treatment recommendation. Systematic reviews performed for this 2020 CoSTR for pediatric life support included the topics of sequencing of airway-breaths-compressions versus compressions-airway-breaths in the delivery of pediatric basic life support, the initial timing and dose intervals for epinephrine administration during resuscitation, and the targets for oxygen and carbon dioxide levels in pediatric patients after return of spontaneous circulation. The most controversial topics included the initial timing and dose intervals of epinephrine administration (new treatment recommendations were made) and the administration of fluid for infants and children with septic shock (this latter topic was evaluated by evidence update). All evidence reviews identified the paucity of pediatric data and the need for more research involving resuscitation of infants and children.

【 授权许可】

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