Basic airway equipments in pediatric cardiac arrest management. (June 2016) - Saracoglu, Kemal Tolga
Abstract: In both in-hospital and out-of-hospital settings, pediatric cardiac arrest cases are common. Performing rescue breathing within a shorter time and achieving safe airway as early as possible during resuscitation is important for reducing interruptions. After a thorough review of the literature we concluded that the number of available randomized clinical studies is not enough to prove the superiority of different airway equipments in pediatric cardiac arrests. It is clear that the steps to be taken in this field will help determine the superior methods and create a tremendous impression. There is no data supporting the routine use of any of these airway equipments. The most appropriate technique depends on the conditions of cardiac arrest and experience of the practitioner. Supraglottic airway equipments, which have been developed for pediatric airway management, seems to be convenient in airway management. However pediatric tracheal intubation requires training and experience, thus presents a high incidence of complications. Highlights: Interruption of chest compressions during cardiopulmonary resuscitation decreases the survival chance. Pediatric tracheal intubation requires training and experience, thus presents a high incidence of complications. Excessive ventilation during cardiac arrest reduces the cardiac output and cerebral and coronary blood flow. Newborn Life Support, European Pediatric Immediate and Advanced Life Support courses are recommended.