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Audit of paediatric cardiopulmonary resuscitation
P A Innes1, C A Summers, I M Boyd
1Department of Anaesthesia, Royal Liverpool Children's Hospital.
Insights
This study analyzed cardiopulmonary arrests in a pediatric hospital, finding that most arrests were respiratory and initially successful. Long-term survival was 37%, with no neurological damage in pre-arrest normal children.
Area of Science:
- Pediatric Critical Care Medicine
- Resuscitation Science
Background:
- Cardiopulmonary arrest (CPA) is a critical event in pediatric care.
- Understanding the causes and outcomes of CPA is vital for improving survival rates.
Purpose of the Study:
- To investigate the causes and outcomes of cardiopulmonary arrests in a pediatric hospital.
- To evaluate the effectiveness of cardiopulmonary resuscitation (CPR) in children.
Main Methods:
- A retrospective analysis of 45 resuscitation attempts over 12 months.
- Data collected included patient demographics, arrest etiology, and resuscitation outcomes.
Main Results:
- 41 children and one adult experienced CPA; 68% of children were under one year old.
- Respiratory arrests (47%) had higher initial success rates (82%) than cardiac arrests (36%).
- Overall initial CPR success was 70%; 37% survived at 12 months. No survivors from >30 min resuscitation. No neurological damage in pre-arrest normal children.
Conclusions:
- Respiratory causes are more common in pediatric CPA with better initial outcomes.
- Long-term survival and neurological outcomes are significant considerations post-CPR.
- Resuscitation duration impacts survival, emphasizing the need for timely and effective interventions.
Abstract:
The causes and outcome of cardiopulmonary arrests were studied in a paediatric hospital over a 12 month period. Forty five resuscitation attempts were made involving 41 children and one adult. Twenty eight (68%) of the children were under 1 year of age and 10 (24%) were neonates. Twenty one (47%) arrests were primarily respiratory and 11 (24%) primarily cardiac in origin. Eighty two per cent of the respiratory arrests had an initially successful outcome, compared with 36% of the cardiac arrests. Overall 70% of cardiopulmonary resuscitation attempts were initially successful. There were no survivors from resuscitation attempts longer than 30 minutes. At 12 months after cardiopulmonary resuscitation 15 (37%) of the children were still alive. The 11 children who had been neurologically normal before the arrest showed no evidence of neurological damage after successful cardiopulmonary resuscitation.