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Pediatric Life Support: 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular

Ian K Maconochie, Richard Aickin, Mary Fran Hazinski

    Circulation
    |October 21, 2020
    PubMed

    Insights

    The 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations (CoSTR) updated pediatric life support guidelines. New recommendations address epinephrine timing and dosage, highlighting the need for more pediatric resuscitation research.

    Area of Science:

    • Pediatric Emergency Medicine
    • Cardiopulmonary Resuscitation
    • Pediatric Critical Care

    Background:

    • The 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations (CoSTR) focused on pediatric life support.
    • This effort involved the most extensive evidence evaluation by the Pediatric Life Support Task Force to date.

    Purpose of the Study:

    • To update treatment recommendations for pediatric basic life support and resuscitation based on rigorous evidence evaluation.
    • To address key areas including airway-breaths-compressions sequencing, epinephrine administration, and post-resuscitation oxygen/carbon dioxide targets.

    Main Methods:

    • Employed systematic reviews, scoping reviews, and evidence updates for comprehensive evidence evaluation.
    • Only systematic reviews could lead to new or revised treatment recommendations, adhering to International Liaison Committee on Resuscitation guidelines.

    Main Results:

    • New treatment recommendations were established for the initial timing and dose intervals of epinephrine administration.
    • Evaluated fluid administration for pediatric septic shock and determined targets for oxygen and carbon dioxide levels post-resuscitation.

    Conclusions:

    • Significant gaps in pediatric resuscitation data were identified, underscoring the urgent need for more research.
    • The consensus highlights critical areas for improving outcomes in infants and children requiring life support.

    Keywords:
    AHA Scientific StatementsECMOarrhythmiacardiopulmonary resuscitationchildcongenital heart diseasepediatrics

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