Focused echocardiography, end-tidal carbon dioxide, arterial blood pressure or near-infrared spectroscopy monitoring during paediatric cardiopulmonary resuscitation: A scoping review

Kool, Mirjam; Atkins, Dianne L.; Voorde, Patrick Van de; Maconochie, Ian; Scholefield, Barnaby R.; Aickin, Richard; Hazinski, Mary Fran; Bingham, Robert; Couto, Thomaz Bittencourt; Guerguerian, Anne‐Marie; Ng, Kee-Chong; Nuthall, Gabrielle; Ong, Gene Yong-Kwang; Reis, Amélia G.; Schexnayder, Stephen M.; Tijssen, Janice A.; Caen, Allan R. de

doi:10.1016/j.resplu.2021.100109

Cited by 10 publications

(10 citation statements)

References 61 publications

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“…The cohort study of 10 pediatric OHCA patients, suggested minimum cerebral crS o 2 values during CPR were significantly higher in the ROSC group (mean % ± sd : 30.0 ± 1.0 in ROSC vs. 20.7 ± 5.7 in non-ROSC population; p = 0.02) (16). Since the ILCOR scoping review, one additional prospective single-center study of 21 children described the use of cerebral oximetry during pediatric cardiac arrest (17). Similar to our results, they noted that patients who achieved ROSC had higher median intra-arrest crS o 2 for the overall CPR event (62% [56–70%] vs. 45% [35–51%]; p = 0.025) and during the final 5 minutes of the event (66% [55–72%] vs. 43% [35–44%]; p = 0.01) than those who did not achieve ROSC (17).…”

Section: Discussionmentioning

confidence: 99%

“…There are limited data on whether cerebral oximetry can serve as a useful predictor of ROSC and SHD in pediatric cardiac arrest (13–16). The International Liaison Committee on Resuscitation (ILCOR) and the American Heart Association have identified the need for pediatric-specific data regarding whether NIRS-guided CPR improves outcomes (17). Thus, we aimed to investigate cerebral oximetry during pediatric IHCA and whether higher crS o 2 during CPR is associated with ROSC, SHD, and FNO.…”

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confidence: 99%

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Cerebral Oximetry During Pediatric In-Hospital Cardiac Arrest: A Multicenter Study of Survival and Neurologic Outcome

Raymond,

Esangbedo,

Rajapreyar

et al. 2024

Critical Care Medicine

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Objectives: To determine if near-infrared spectroscopy measuring cerebral regional oxygen saturation (crSo 2) during cardiopulmonary resuscitation is associated with return of spontaneous circulation (ROSC) and survival to hospital discharge (SHD) in children. Design: Multicenter, observational study. Setting: Three hospitals in the pediatric Resuscitation Quality (pediRES-Q) collaborative from 2015 to 2022. Patients: Children younger than 18 years, gestational age 37 weeks old or older with in-hospital cardiac arrest (IHCA) receiving cardiopulmonary resuscitation greater than or equal to 1 minute and intra-arrest crSo 2 monitoring. Interventions: None. Measurements and Main Results: Primary outcome was ROSC greater than or equal to 20 minutes without extracorporeal membrane oxygenation. Secondary outcomes included SHD and favorable neurologic outcome (FNO) (Pediatric Cerebral Performance Category 1–2 or no change from prearrest). Among 3212 IHCA events (index and nonindex), 123 met inclusion criteria in 93 patients. Median age was 0.3 years (0.1–1.4 yr) and 31% (38/123) of the cardiopulmonary resuscitation events occurred in patients with cyanotic heart disease. Median cardiopulmonary resuscitation duration was 8 minutes (3–28 min) and ROSC was achieved in 65% (80/123). For index events, SHD was achieved in 59% (54/91) and FNO in 41% (37/91). We determined the association of median intra-arrest crSo 2 and percent of crSo 2 values above a priori thresholds during the: 1) entire cardiopulmonary resuscitation event, 2) first 5 minutes, and 3) last 5 minutes with ROSC, SHD, and FNO. Higher crSo 2 for the entire cardiopulmonary resuscitation event, first 5 minutes, and last 5 minutes were associated with higher likelihood of ROSC, SHD, and FNO. In multivariable analysis of the infant group (age < 1 yr), higher crSo 2 was associated with ROSC (odds ratio [OR], 1.06; 95% CI, 1.03–1.10), SHD (OR, 1.04; 95% CI, 1.01–1.07), and FNO (OR, 1.05; 95% CI, 1.02–1.08) after adjusting for presence of cyanotic heart disease. Conclusions: Higher crSo 2 during pediatric IHCA was associated with increased rate of ROSC, SHD, and FNO. Intra-arrest crSo 2 may have a role as a real-time, noninvasive predictor of ROSC.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Cerebral Oximetry During Pediatric In-Hospital Cardiac Arrest: A Multicenter Study of Survival and Neurologic Outcome

Raymond,

Esangbedo,

Rajapreyar

et al. 2024

Critical Care Medicine

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“… 12 Resuscitation Plus looks to support the evidence evaluation process by providing a repository to publish ILCOR systematic and scoping reviews. High quality reviews published to date have covered topics of willingness to perform bystander CPR, 13 non-invasive monitoring during paediatric cardiopulmonary resuscitation, 14 anticipatory manual defibrillator charging, 15 CPR and defibrillation in the prone position, 16 and briefing and debriefing in neonatal resuscitation. 17 …”

Section: International Liaison Committee On Resuscitationmentioning

confidence: 99%

Resuscitation plus – Initial successes and future direction

Perkins¹,

Bray²,

Couper³

et al. 2022

Resuscitation Plus

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“…(24)(25)(26) Use of bedside ultrasonography to evaluate for cardiac standstill can be considered by trained healthcare providers, but evidence for its use in paediatric patients is extremely limited and remains investigational. (27)…”

Section: Accuracy Of Pulse Check By Healthcare Workersmentioning

confidence: 99%

“…There is limited and conflicting scientific evidence regarding the use of bedside ultrasonography to prognosticate outcomes in paediatric cardiac arrest. (27) Similarly, the evidence for the use of end-tidal carbon dioxide (ETCO 2 ) to prognosticate outcomes is extremely limited. Thus, the use of ETCO 2 or bedside ultrasonography as prognostic tools during a paediatric cardiac arrest is considered largely investigational.…”

Section: Intra-arrest Prognostic Factors: Focused Echocardiography Etco 2 and Invasive Blood Pressure Monitoringmentioning

confidence: 99%

Singapore Paediatric Resuscitation Guidelines 2021

Ong¹,

Subcommittee²,

Ngiam³

et al. 2021

smedj

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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.

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Focused echocardiography, end-tidal carbon dioxide, arterial blood pressure or near-infrared spectroscopy monitoring during paediatric cardiopulmonary resuscitation: A scoping review

Cited by 10 publications

References 61 publications

Cerebral Oximetry During Pediatric In-Hospital Cardiac Arrest: A Multicenter Study of Survival and Neurologic Outcome

Cerebral Oximetry During Pediatric In-Hospital Cardiac Arrest: A Multicenter Study of Survival and Neurologic Outcome

Resuscitation plus – Initial successes and future direction

Singapore Paediatric Resuscitation Guidelines 2021

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