Summary
Current international recommendations for pediatric cardiopulmonary resuscitation: the European guidelines
López-Herce J, Rodríguez Núñez A, Maconochie I, Van de Voorde P, Biarent D, Eich C, Bingham R, Rajka T, Zideman D, Carrillo A, De Lucas N, Calvo C, Manrique I, Grupo Pediátrico del Consjeo ERC , Grupo Español de RCP Pediátrica y Neonatal
Affiliation of the authors
Servicio de Cuidados Intensivos Pediátricos, Hospital Gregorio Marañón de Madrid. Facultad de Medicina. Universidad Complutense, Madrid, Spain. Servicio Urgencias Pediátricas, Hospital Clínico Universitario de Santiago de Compostela, Spain. Paediatric Emergency Medicine Department, Imperial College Healthcare NHS Trust and BRC Imperial NIHR, Londres, United kingdom. Paediatric Intensive Care and Emergency Medicine Departments, University Hospital Ghent and Ghent University, Gante, Belgium. Paediatric Intensive Care and Emergency Medicine Departments, Université Libre de Bruxelles, Hôpital Universitaire des Enfants, Bruselas, Belgium. Department of Anaesthesia, Paediatric Intensive Care and Emergency Medicine, Auf der Bult Children’s Hospital, Hanover, Germany. Department of Paediatric Anaesthesia, Great Ormond Street Hospital for Children, Londres, united Kingdon. Paediatric Intensive Care Department, Womens and Childrens Division, Oslo University Hospital, Oslo, Norwey. Anaesthesia Department, Imperial College Healthcare NHS Trust, Londres, United Kindgdon. SAMUR-Protección Civil, Madrid, Spain. Servicio de Urgencias Pediátricas, Hospital Regional U. de Málaga, Spain. Instituto Valenciano de Pediatría, Valencia, Spain.
DOI
Quote
López-Herce J, Rodríguez Núñez A, Maconochie I, Van de Voorde P, Biarent D, Eich C, et al. Current international recommendations for pediatric cardiopulmonary resuscitation: the European guidelines. Emergencias. 2017;29:266-81
Summary
This summary of the European guidelines for pediatric cardiopulmonary resuscitation (CPR) emphasizes the main changes and encourages health care professionals to keep their pediatric CPR knowledge and skills up to date. Basic and advanced pediatric CPR follow the same algorithm in the 2015 guidelines. The main changes affect the prevention
of cardiac arrest and the use of fluids. Fluid expansion should not be used routinely in children with fever in the abuse of signs of shock because too high a volume can worsen prognosis. Rescue breaths should last around 1 second in basic CPR, making pediatric recommendations consistent with those for adults. Chest compressions should be
at least as deep as one-third the anteroposterior diameter of the thorax. Most children in cardiac arrest lack a shockable rhythm, and in such cases a coordinated sequence of breaths, chest compressions, and administration of adrenalin is essential. An intraosseous canula may be the first choice for introducing fluids and medications, especially in
young infants. In treating supraventricular tachycardia with cardioversion, an initial dose of 1 J/kg is currently recommended (vs the dose of 0.5 J/kg previously recommended). After spontaneous circulation is recovered, measures to control fever should be taken. The goal is to reach a normal temperature even before arrival to the hospital.