RT Book, Section
A1 Narayan, Shilpa
A1 Willie, Chelsea
A2 Ellinas, Herodotos
A2 Matthes, Kai
A2 Alrayashi, Walid
A2 Bilge, Aykut
SR Print(0)
ID 1176460128
T1 Cardiopulmonary Resuscitation
T2 Clinical Pediatric Anesthesiology
YR 2021
FD 2021
PB McGraw Hill
PP New York, NY
SN 9781259585746
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1176460128
RD 2024/04/20
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.