Pediatric Post–Cardiac Arrest Care: A Scientific Statement From the American Heart Association. Issue 6 (6th August 2019)

• Record Type: Journal Article
• Authors: Topjian, Alexis A.; de Caen, Allan; Wainwright, Mark S.; Abella, Benjamin S.; Abend, Nicholas S.; Atkins, Dianne L.; Bembea, Melania M.; Fink, Ericka L.; Guerguerian, Anne-Marie; Haskell, Sarah E.; Kilgannon, J. Hope; Lasa, Javier J.; Hazinski, Mary Fran
• Is Part Of: Circulation. Volume 140:Issue 6(2019)
• Publication Date: 2019-08-06
• Subjects: AHA Scientific Statements -- cardiopulmonary arrest -- cardiopulmonary resuscitation -- child -- outcomes -- post-cardiac arrest care -- targeted temperature management; Blood -- Circulation -- Periodicals; Cardiovascular system -- Periodicals; Cardiology -- Periodicals; Heart -- Diseases -- Periodicals; Blood Circulation; Cardiovascular System; Vascular Diseases; 616.1
• DOI: 10.1161/CIR.0000000000000697
• Languages: English
• ISSNs: 0009-7322

Abstract

Abstract : Successful resuscitation from cardiac arrest results in a post–cardiac arrest syndrome, which can evolve in the days to weeks after return of sustained circulation. The components of post–cardiac arrest syndrome are brain injury, myocardial dysfunction, systemic ischemia/reperfusion response, and persistent precipitating pathophysiology. Pediatric post–cardiac arrest care focuses on anticipating, identifying, and treating this complex physiology to improve survival and neurological outcomes. This scientific statement on post–cardiac arrest care is the result of a consensus process that included pediatric and adult emergency medicine, critical care, cardiac critical care, cardiology, neurology, and nursing specialists who analyzed the past 20 years of pediatric cardiac arrest, adult cardiac arrest, and pediatric critical illness peer-reviewed published literature. The statement summarizes the epidemiology, pathophysiology, management, and prognostication after return of sustained circulation after cardiac arrest, and it provides consensus on the current evidence supporting elements of pediatric post–cardiac arrest care.