TY - CHAP M1 - Book, Section TI - Cardiopulmonary Resuscitation A1 - Narayan, Shilpa A1 - Willie, Chelsea A2 - Ellinas, Herodotos A2 - Matthes, Kai A2 - Alrayashi, Walid A2 - Bilge, Aykut Y1 - 2021 N1 - T2 - Clinical Pediatric Anesthesiology AB - FOCUS POINTSHighest risk patients for cardiopulmonary resuscitation (CPR) include infants under one year of age, ASA Physical Status Classification ≥3, and children having cardiac surgery.The American Heart Association (AHA) adopted a major change to the sequence of chest compressions and ventilation from Airway-Breathing-Circulation (ABC) to Circulation-Airway-Breathing (CAB).Medication-related intraoperative cardiac arrest is commonly associated with local anesthetic toxicity and anaphylaxis secondary to antibiotic or muscle relaxant administration.The alpha agonist action of epinephrine is probably the most important in increasing coronary blood flow to maintain myocardial blood flow and in providing cerebral blood flow with peripheral vasoconstriction.If available, capnography should be used during CPR with target end-tidal CO2 (ETCO2) of ≥15 mm Hg.During the postresuscitative phase the patient is at the highest risk for brain injury, ventricular arrhythmias, and reperfusion injury.Avoidance of hyperthermia should be a periresuscitation goal.Extracorporeal Life Support (ECLS) should be considered in reversible causes that include hyperkalemia, local anesthetic toxicity, general anesthetic overdose, and airway emergency. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/03/28 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1176460128 ER -