TY - JOUR
T1 - Pediatric Post-Cardiac Arrest Care
T2 - A Scientific Statement from the American Heart Association
AU - Topjian, Alexis A.
AU - De Caen, Allan
AU - Wainwright, Mark S.
AU - Abella, Benjamin S.
AU - Abend, Nicholas S.
AU - Atkins, Dianne L.
AU - Bembea, Melania M.
AU - Fink, Ericka L.
AU - Guerguerian, Anne Marie
AU - Haskell, Sarah E.
AU - Kilgannon, J. Hope
AU - Lasa, Javier J.
AU - Hazinski, Mary Fran
N1 - Publisher Copyright:
© 2019 American Heart Association, Inc.
Copyright:
Copyright 2019 Elsevier B.V., All rights reserved.
PY - 2019/8/6
Y1 - 2019/8/6
N2 - 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.
AB - 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.
KW - AHA Scientific Statements
KW - cardiopulmonary arrest
KW - cardiopulmonary resuscitation
KW - child
KW - outcomes
KW - post-cardiac arrest care
KW - targeted temperature management
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U2 - 10.1161/CIR.0000000000000697
DO - 10.1161/CIR.0000000000000697
M3 - Review article
C2 - 31242751
AN - SCOPUS:85071065377
SN - 0009-7322
VL - 140
SP - E194-E233
JO - Circulation
JF - Circulation
IS - 6
ER -