Cardiopulmonary Resuscitation in Children With In-Hospital and Out-of-Hospital Cardiopulmonary Arrest

Kendirli, Tanıl; Erkek, Nilgün; Köroğlu, Tolga; Yldzdaş, Dinçer; Bayrakç, Benan; Güzel, Ahmet; Çtak, Agop; Demirkol, Demet; Ağn, Hasan; Arslanköylü, Ali Ertuğ; Kutlu, Nurettin Onur; Tuygun, Nilden; Paksu, Muhammet Şükrü; Anl, Ayşe Berna; Kalkan, Gökhan; Duman, Murat; Dündaröz, Ruşen; Aşloğlu, Nazik; Yaman, Ayhan; Ödek, Çağlar; Tekin, Deniz; Dursun, Oğuz; Şevketoğlu, Esra; Kesici, Selman; Ateş, Can; Gördü, Zülfikar; Ylmaz, Hayri Levent; İnce, Erdal; Karaböcüoğlu, Meti̇n

doi:10.1097/pec.0000000000000337

Cited by 12 publications

(10 citation statements)

References 34 publications

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“…Several studies report the prevalence and outcome from paediatric intensive care units (PICU). In a 6-month period in 18 centres in Turkey-15 PICUs and three emergency departments-24 (8%) children arrested prior to admission, 70% of CPR attempts were in PICUs and 17% in general medical wards [8].…”

Section: Epidemiologymentioning

confidence: 99%

Cardiopulmonary resuscitation in poorly resourced settings: better to pre-empt than to wait until it is too late

Molyneux

2019

Paediatrics and International Child Health

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Section: Epidemiologymentioning

confidence: 99%

Cardiopulmonary resuscitation in poorly resourced settings: better to pre-empt than to wait until it is too late

Molyneux

2019

Paediatrics and International Child Health

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“…Several studies have reported survival rates of between 2 and 24%. 6,8,[24][25][26][27] In the study of Kendirli et al 28 , ROSC was found in 10 (41.7%) of 24 out-of-hospital CPA cases and only two (8%) were discharged from hospital. In South Korea, the outcomes of pediatric out-of-hospital CPA cases have improved in the past five years; the ROSC rate following CPR was reported to increase from 17.6% to 35.2% and the discharge rate from 4.4% to 12.8%.…”

Section: Discussionmentioning

confidence: 94%

Outcome of out-of-hospital cardiopulmonary arrest in children: A multicenter cohort study

Kurt¹,

Kendirli²,

Gündüz³

et al. 2018

Turk J Pediatr

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The aim of this study was to evaluate the demographic characteristics of children who experienced out-of-hospital cardiopulmonary arrest (CPA), and to assess the impact of the bystander cardiopulmonary resuscitation (CPR) on the survival rate of witnessed arrests and the effects of the arrest and CPR durations on the neurological outcomes. This multicenter, retrospective study included a total of 182 patients who underwent CPR for out-of-hospital CPA between January 2008 and December 2012 at six centers in Ankara, Turkey. The median [interquartile range (IQR)] age was 22 (5-54) months; 60.4% of the patients were males, and 44% were younger than one year of age. The witnessed arrest rate was 75.8% (138/182) and the rate of bystander CPR was 13.9% (13/93). In these patients the rate of the return of spontaneous circulation (ROSC) was higher (76.9%). Following resuscitation in the patients for whom the spontaneous circulation was able to be returned, the median (IQR) duration of arrest was 5 (1-15) min, while it was 15 (5-40) min for the remaining patients (p<0.001). The ROSC rate was 94.9% in patients who underwent CPR for less than 20 min and 22% in patients requiring CPR longer than 20 min (p<0.001). Survival to hospital discharge was 14.3%. Of these patients, 57.7% experienced neurological disability. The short duration of an arrest and the presence of CPR are both critical for survival. We suggest that a witness to the CPA, performing early and efficient CPR, yields better results.

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“…Cardiopulmonary arrest (CPA) in childhood is a tragic event, often resulting in death or poor neurologic outcome 16 . Clinical factors that influence survival include the environment in which the arrest occurs, the comorbidities of the child, the duration of "no flow"(period of time when there is no pulsatile flow, and the patient is not undergoing cardiopulmonary resuscitation) before resuscitation,the initial rhythm detected, and the quality of the basic and advanced life support interventions provided [17][18][19][20] .…”

Section: Discussionmentioning

confidence: 99%

“…Neuroprotective treatments are very important after both in-hospital and out-of-hospital CPA. Accepted brain protective treatments include optimizing circulation, hypothermia, sedation,and avoiding hyperventilation/hyperglycemia/ hyperthermia 16 . Cardiac arrest occurred in our patient in the hospital.…”

Section: Discussionmentioning

confidence: 99%

Paracetamol infusion-related severe hypotension and cardiac arrest in a child

et al. 2016

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Paracetamol (also known as Acetaminophen) is an antipyretic, non-opioid analgesic, and non-steroidal anti-inflammatory drug (NSAID), and is one of the most commonly used medications worldwide. In recent years, IV paracetamol has been frequently used in hospitalized patients to reduce fever and pain. Significant adverse reactions associated with intravenous paracetamol are extremely rare. Typically reported adverse events include hypotension, malaise, hypersensitivity reaction, liver enzyme elevation, and thrombocytopenia. We present herein a case of IV paracetamol infusion-related severe hypotension and cardiac arrest.

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Cardiopulmonary Resuscitation in Children With In-Hospital and Out-of-Hospital Cardiopulmonary Arrest

Abstract: Pediatric CPA in both the in-hospital and out-of-hospital setting has a poor outcome.

Cited by 12 publications

References 34 publications

Cardiopulmonary resuscitation in poorly resourced settings: better to pre-empt than to wait until it is too late

Cardiopulmonary resuscitation in poorly resourced settings: better to pre-empt than to wait until it is too late

Outcome of out-of-hospital cardiopulmonary arrest in children: A multicenter cohort study

Paracetamol infusion-related severe hypotension and cardiac arrest in a child

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