Pediatric resuscitation:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
2008
|
| Schriftenreihe: | Pediatric clinics of North America
55,4 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XVI S., S. 847 - 1070 Ill., graph. Darst. |
| ISBN: | 1416057935 9781416057932 |
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| 490 | 1 | |a Pediatric clinics of North America |v 55,4 | |
| 650 | 4 | |a Airway Obstruction | |
| 650 | 4 | |a Cardiopulmonary Resuscitation | |
| 650 | 4 | |a Child | |
| 650 | 4 | |a Electric Countershock | |
| 650 | 4 | |a Emergencies | |
| 650 | 4 | |a Heart Arrest | |
| 650 | 4 | |a Infant | |
| 650 | 4 | |a Pediatric emergencies | |
| 650 | 4 | |a Resuscitation | |
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Datensatz im Suchindex
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| adam_text | PEDIATRIC RKUSCITATION
CONTENTS
Preface xv
Stephen M. Schexnayder and Arno L. Zaritsky
Background and Epidemiology of Pediatric Cardiac Arrest 847
David A. Zideman and Mary Fran Hazinski
Pediatric cardiac arrest is not a single problem. Although most
episodes of pediatric cardiac arrest occur as complications and
progressions of respiratory failure and shock, sudden cardiac arrest
may result from sudden arrhythmias. With better understanding of
the epidemiology of pediatric cardiac arrest, clinicians can better
tailor therapy to optimize outcome.
CPR—Why the New Emphasis? 861
Marc D. Berg, Vinay M. Nadkarni, and Robert A. Berg
The importance of high quality, prompt cardiopulmonary resusci¬
tation (CPR) for patients in cardiac arrest is receiving new attention
and emphasis. This extends to CPR for children. In this article, the
authors examine the differences in pediatric anatomy and the
mechanisms of blood flow during CPR. Additionally, new evidence
on the frequent poor performance of CPR and mechanisms to
improve it are presented.
Airway Management 873
Robert M. Bingham and Lester T. Proctor
The pediatric airway and respiratory function differ from those in
adults. Optimum management requires consideration of these
differences, but the application of adult principles is usually
sufficient to buy time in an emergency until specialist pediatric
help is available. Simple airway opening techniques such as head
tilt and jaw thrust are usually sufficient to open the child s airway,
but there is now a range of equipment available to bypass
supraglottic airway obstruction—the strengths and weaknesses of
VOLUME 55 • NUMBER 4 • AUGUST 2008 ix
such devices are explored in this article. The role of endotracheal
intubation is also discussed, along with the pros and cons of the
use of cuffed endotracheal tubes in children, and methods of
confirming tracheal placement of the tube.
Tachyarrhythmias and Defibrillation 887
Ricardo A. Samson and Dianne L. Atkins
Although cardiac arrhythmias less commonly cause hemodynamic
compromise in children than in adults, prompt recognition and
treatment of arrhythmias remain an important part of pediatric
resuscitation because of the availability of specific, effective
therapies. This article summarizes the 2005 American Heart
Association Guidelines for Pediatric Advanced Life Support
regarding tachyarrhythmias, including treatment with antiarrhyth-
mics and direct current countershock therapy, and provides an
update of recent literature since the guidelines were published.
Vascular Access and Drug Therapy in Pediatric Resuscitation 909
Allan R. de Caen, Amelia Reis, and Adnan T. Bhutta
Using the evidence brought together through the 2005 Interna¬
tional Liaison Committee on Resuscitation evidence evaluation
process and the subsequent 2005 American Heart Association
Guidelines for Cardiopulmonary Resuscitation and Emergency
Cardiovascular Care, the role for specific drug therapy in pediatric
cardiac arrest is outlined. The drugs discussed include epinephrine,
vasopressin, calcium, sodium bicarbonate, atropine, magnesium,
and glucose. The literature addressing how best to deliver these
drugs to the critically ill child is also presented, specifically looking
at the use of intraosseous and endotracheal drug therapy.
Extracorporeal Cardiopulmonary Resuscitation in Refractory
Pediatric Cardiac Arrest 929
Richard T. Fiser and Marilyn C. Morris
The purpose of this article is to discuss the indications for
extracorporeal cardiopulmonary resuscitation (ECPR), physiologic
and mechanical issues that arise in patients managed with ECPR,
and optimal patient selection for ECPR. ECPR can provide very
good outcomes for some children who, in all likelihood, would
otherwise have died. Having the capability to routinely offer ECPR
represents an enormous institutional commitment of people and
resources. For ECPR to be successful, it must be rapidly deployed,
patients must be selected with care, and consistently excellent
conventional CPR must take place while awaiting ECPR.
x CONTENTS
Postresuscitation Care 943
Monica E. Kleinman and Vijay Srinivasan
Cardiac arrest in infants and children is a rare but critical event that
typically follows a period of respiratory or circulatory compromise
and has a low survival rate. The only intervention demonstrated to
increase survival rate is the provision of bystander CPR. This
article examines the pathophysiology of the postarrest reperfusion
state; postresuscitation care of the respiratory and cardiovascular
systems; postresuscitation neurologic management; therapeutic
hypothermia; blood glucose control; immunologic disturbances
and infections; coagulation abnormalities; and gastrointestinal and
hepatic dysfunction, among other topics.
Outcome Following Cardiopulmonary Arrest 969
Ikram UL Haque, Jai P. Udassi, and Arno L. Zaritsky
This article summarizes the current state of outcomes and outcome
predictors following pediatric cardiopulmonary arrest with special
emphasis on neurologic outcome. The authors briefly describe the
factors associated with outcome and review clinical signs, electro-
physiology, neuroimaging, and biomarkers used to predict out¬
come after cardiopulmonary arrest. Although clinical signs,
imaging, and somatosensory evoked potentials are best associated
with outcome, there are limited data to guide clinicians. Combi¬
nations of these predictors will most likely improve outcome
prediction, but large-scale outcome studies are needed to better
define these predictors.
Medical Emergency and Rapid Response Teams 989
James Tibballs and Elise W. van der Jagt
Hospitals that care for children are establishing medical emergency
or rapid response teams as system solutions for preventing
unexpected but foreseeable respiratory and cardiac arrest on
inpatient units. Typically, an experienced team of doctors and
nurses responds quickly to a direct request by any level of staff or
even a parent for assistance with a child whose physiologic
parameters meet predetermined criteria or whose condition causes
concern to them. Several pediatric studies comparing outcomes
before and after introduction of these rapid response systems
reported reductions in rates of respiratory or cardiac arrest and
death but no prospective study has compared pediatric hospitals
that have implemented rapid response teams to hospitals that have
not.
Teamwork During Resuscitation 1011
Peter Weinstock and Louis P. Halamek
Effective resuscitation requires the integration of several cognitive,
technical, and behavioral skills. Because resuscitation is performed
CONTENTS xi
by teams of health care professionals, these individuals must be
able to work together in a coordinated and efficient manner,
making teamwork a critical skill for care of patients in distress.
Despite the importance of teamwork in health care, little consensus
exists as to what it is, how it can most effectively be learned, and
how it should be assessed. This article reviews current knowledge
on the measurement, training, and importance of teamwork in
pediatric resuscitation.
Resuscitation Education: Narrowing the Gap Between
Evidence-Based Resuscitation Guidelines and Performance
Using Best Educational Practices 1025
Elizabeth A. Hunt, Melinda Fiedor-Hamilton,
and Walter J. Eppich
Recent data from in- and out-of-hospital cardiopulmonary arrests
reveal that health care teams frequently deviate from American
Heart Association guidelines during resuscitation efforts. These
discrepancies between the current state of evidence-based resusci¬
tation guidelines and the quality of basic and advanced life support
actually delivered represent a missed opportunity and provide a
significant target for optimizing patient outcomes through im¬
proved educational effectiveness. This article presents discussion of
the quality of resuscitation delivered to patients, a brief history of
the development of cardiopulmonary resuscitation and attempts to
translate the science of resuscitation to the bedside through
effective educational strategies, a review of educational best
practices that relate to resuscitation education, and discussion of
the role of medical simulation in resuscitation training.
Future Directions in Cardiocerebral Resuscitation 1051
Robert W. Hickey and Vinay M. Nadkarni
Outcomes from pediatric cardiac arrest and cardiopulmonary
resuscitation (CPR) seem to be incrementally improving. The past 2
decades have brought advances in the understanding of the
pathophysiology of cardiac arrest and ventricular fibrillation,
better treatment strategies, and a more robust standard for CPR
epidemiology and research reporting. The evolution of practice
based on an improved understanding of the pathophysiology and
timing, intensity, duration, and variability of the hypoxic-ischemic
insult should lead to goal-directed therapy gated to the phase of
cardiac arrest and the postarrest period encountered. By strategi¬
cally focusing therapies to specific phases of cardiac arrest and
resuscitation and to the evolving pathophysiology and by
implementing evidence-based practice, there is great promise that
critical care interventions can lead the way to more successful
cardiopulmonary and cerebral resuscitation in children.
Index 1065
xji CONTENTS
|
| adam_txt |
PEDIATRIC RKUSCITATION
CONTENTS
Preface xv
Stephen M. Schexnayder and Arno L. Zaritsky
Background and Epidemiology of Pediatric Cardiac Arrest 847
David A. Zideman and Mary Fran Hazinski
Pediatric cardiac arrest is not a single problem. Although most
episodes of pediatric cardiac arrest occur as complications and
progressions of respiratory failure and shock, sudden cardiac arrest
may result from sudden arrhythmias. With better understanding of
the epidemiology of pediatric cardiac arrest, clinicians can better
tailor therapy to optimize outcome.
CPR—Why the New Emphasis? 861
Marc D. Berg, Vinay M. Nadkarni, and Robert A. Berg
The importance of high quality, prompt cardiopulmonary resusci¬
tation (CPR) for patients in cardiac arrest is receiving new attention
and emphasis. This extends to CPR for children. In this article, the
authors examine the differences in pediatric anatomy and the
mechanisms of blood flow during CPR. Additionally, new evidence
on the frequent poor performance of CPR and mechanisms to
improve it are presented.
Airway Management 873
Robert M. Bingham and Lester T. Proctor
The pediatric airway and respiratory function differ from those in
adults. Optimum management requires consideration of these
differences, but the application of adult principles is usually
sufficient to buy time in an emergency until specialist pediatric
help is available. Simple airway opening techniques such as head
tilt and jaw thrust are usually sufficient to open the child's airway,
but there is now a range of equipment available to bypass
supraglottic airway obstruction—the strengths and weaknesses of
VOLUME 55 • NUMBER 4 • AUGUST 2008 ix
such devices are explored in this article. The role of endotracheal
intubation is also discussed, along with the pros and cons of the
use of cuffed endotracheal tubes in children, and methods of
confirming tracheal placement of the tube.
Tachyarrhythmias and Defibrillation 887
Ricardo A. Samson and Dianne L. Atkins
Although cardiac arrhythmias less commonly cause hemodynamic
compromise in children than in adults, prompt recognition and
treatment of arrhythmias remain an important part of pediatric
resuscitation because of the availability of specific, effective
therapies. This article summarizes the 2005 American Heart
Association Guidelines for Pediatric Advanced Life Support
regarding tachyarrhythmias, including treatment with antiarrhyth-
mics and direct current countershock therapy, and provides an
update of recent literature since the guidelines were published.
Vascular Access and Drug Therapy in Pediatric Resuscitation 909
Allan R. de Caen, Amelia Reis, and Adnan T. Bhutta
Using the evidence brought together through the 2005 Interna¬
tional Liaison Committee on Resuscitation evidence evaluation
process and the subsequent 2005 American Heart Association
Guidelines for Cardiopulmonary Resuscitation and Emergency
Cardiovascular Care, the role for specific drug therapy in pediatric
cardiac arrest is outlined. The drugs discussed include epinephrine,
vasopressin, calcium, sodium bicarbonate, atropine, magnesium,
and glucose. The literature addressing how best to deliver these
drugs to the critically ill child is also presented, specifically looking
at the use of intraosseous and endotracheal drug therapy.
Extracorporeal Cardiopulmonary Resuscitation in Refractory
Pediatric Cardiac Arrest 929
Richard T. Fiser and Marilyn C. Morris
The purpose of this article is to discuss the indications for
extracorporeal cardiopulmonary resuscitation (ECPR), physiologic
and mechanical issues that arise in patients managed with ECPR,
and optimal patient selection for ECPR. ECPR can provide very
good outcomes for some children who, in all likelihood, would
otherwise have died. Having the capability to routinely offer ECPR
represents an enormous institutional commitment of people and
resources. For ECPR to be successful, it must be rapidly deployed,
patients must be selected with care, and consistently excellent
conventional CPR must take place while awaiting ECPR.
x CONTENTS
Postresuscitation Care 943
Monica E. Kleinman and Vijay Srinivasan
Cardiac arrest in infants and children is a rare but critical event that
typically follows a period of respiratory or circulatory compromise
and has a low survival rate. The only intervention demonstrated to
increase survival rate is the provision of bystander CPR. This
article examines the pathophysiology of the postarrest reperfusion
state; postresuscitation care of the respiratory and cardiovascular
systems; postresuscitation neurologic management; therapeutic
hypothermia; blood glucose control; immunologic disturbances
and infections; coagulation abnormalities; and gastrointestinal and
hepatic dysfunction, among other topics.
Outcome Following Cardiopulmonary Arrest 969
Ikram UL Haque, Jai P. Udassi, and Arno L. Zaritsky
This article summarizes the current state of outcomes and outcome
predictors following pediatric cardiopulmonary arrest with special
emphasis on neurologic outcome. The authors briefly describe the
factors associated with outcome and review clinical signs, electro-
physiology, neuroimaging, and biomarkers used to predict out¬
come after cardiopulmonary arrest. Although clinical signs,
imaging, and somatosensory evoked potentials are best associated
with outcome, there are limited data to guide clinicians. Combi¬
nations of these predictors will most likely improve outcome
prediction, but large-scale outcome studies are needed to better
define these predictors.
Medical Emergency and Rapid Response Teams 989
James Tibballs and Elise W. van der Jagt
Hospitals that care for children are establishing medical emergency
or rapid response teams as system solutions for preventing
unexpected but foreseeable respiratory and cardiac arrest on
inpatient units. Typically, an experienced team of doctors and
nurses responds quickly to a direct request by any level of staff or
even a parent for assistance with a child whose physiologic
parameters meet predetermined criteria or whose condition causes
concern to them. Several pediatric studies comparing outcomes
before and after introduction of these rapid response systems
reported reductions in rates of respiratory or cardiac arrest and
death but no prospective study has compared pediatric hospitals
that have implemented rapid response teams to hospitals that have
not.
Teamwork During Resuscitation 1011
Peter Weinstock and Louis P. Halamek
Effective resuscitation requires the integration of several cognitive,
technical, and behavioral skills. Because resuscitation is performed
CONTENTS xi
by teams of health care professionals, these individuals must be
able to work together in a coordinated and efficient manner,
making teamwork a critical skill for care of patients in distress.
Despite the importance of teamwork in health care, little consensus
exists as to what it is, how it can most effectively be learned, and
how it should be assessed. This article reviews current knowledge
on the measurement, training, and importance of teamwork in
pediatric resuscitation.
Resuscitation Education: Narrowing the Gap Between
Evidence-Based Resuscitation Guidelines and Performance
Using Best Educational Practices 1025
Elizabeth A. Hunt, Melinda Fiedor-Hamilton,
and Walter J. Eppich
Recent data from in- and out-of-hospital cardiopulmonary arrests
reveal that health care teams frequently deviate from American
Heart Association guidelines during resuscitation efforts. These
discrepancies between the current state of evidence-based resusci¬
tation guidelines and the quality of basic and advanced life support
actually delivered represent a missed opportunity and provide a
significant target for optimizing patient outcomes through im¬
proved educational effectiveness. This article presents discussion of
the quality of resuscitation delivered to patients, a brief history of
the development of cardiopulmonary resuscitation and attempts to
translate the science of resuscitation to the bedside through
effective educational strategies, a review of educational best
practices that relate to resuscitation education, and discussion of
the role of medical simulation in resuscitation training.
Future Directions in Cardiocerebral Resuscitation 1051
Robert W. Hickey and Vinay M. Nadkarni
Outcomes from pediatric cardiac arrest and cardiopulmonary
resuscitation (CPR) seem to be incrementally improving. The past 2
decades have brought advances in the understanding of the
pathophysiology of cardiac arrest and ventricular fibrillation,
better treatment strategies, and a more robust standard for CPR
epidemiology and research reporting. The evolution of practice
based on an improved understanding of the pathophysiology and
timing, intensity, duration, and variability of the hypoxic-ischemic
insult should lead to goal-directed therapy gated to the phase of
cardiac arrest and the postarrest period encountered. By strategi¬
cally focusing therapies to specific phases of cardiac arrest and
resuscitation and to the evolving pathophysiology and by
implementing evidence-based practice, there is great promise that
critical care interventions can lead the way to more successful
cardiopulmonary and cerebral resuscitation in children.
Index 1065
xji CONTENTS |
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| publishDateSearch | 2008 |
| publishDateSort | 2008 |
| publisher | Saunders |
| record_format | marc |
| series | Pediatric clinics of North America |
| series2 | Pediatric clinics of North America |
| spelling | Pediatric resuscitation guest ed. Stephen M. Schexnayder ... Philadelphia [u.a.] Saunders 2008 XVI S., S. 847 - 1070 Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Pediatric clinics of North America 55,4 Airway Obstruction Cardiopulmonary Resuscitation Child Electric Countershock Emergencies Heart Arrest Infant Pediatric emergencies Resuscitation Tachycardia Wiederbelebung (DE-588)4065960-4 gnd rswk-swf Kind (DE-588)4030550-8 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Kind (DE-588)4030550-8 s Wiederbelebung (DE-588)4065960-4 s b DE-604 Schexnayder, Stephen M. Sonstige oth Pediatric clinics of North America 55,4 (DE-604)BV000001093 55,4 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016735062&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Pediatric resuscitation Pediatric clinics of North America Airway Obstruction Cardiopulmonary Resuscitation Child Electric Countershock Emergencies Heart Arrest Infant Pediatric emergencies Resuscitation Tachycardia Wiederbelebung (DE-588)4065960-4 gnd Kind (DE-588)4030550-8 gnd |
| subject_GND | (DE-588)4065960-4 (DE-588)4030550-8 (DE-588)4143413-4 |
| title | Pediatric resuscitation |
| title_auth | Pediatric resuscitation |
| title_exact_search | Pediatric resuscitation |
| title_exact_search_txtP | Pediatric resuscitation |
| title_full | Pediatric resuscitation guest ed. Stephen M. Schexnayder ... |
| title_fullStr | Pediatric resuscitation guest ed. Stephen M. Schexnayder ... |
| title_full_unstemmed | Pediatric resuscitation guest ed. Stephen M. Schexnayder ... |
| title_short | Pediatric resuscitation |
| title_sort | pediatric resuscitation |
| topic | Airway Obstruction Cardiopulmonary Resuscitation Child Electric Countershock Emergencies Heart Arrest Infant Pediatric emergencies Resuscitation Tachycardia Wiederbelebung (DE-588)4065960-4 gnd Kind (DE-588)4030550-8 gnd |
| topic_facet | Airway Obstruction Cardiopulmonary Resuscitation Child Electric Countershock Emergencies Heart Arrest Infant Pediatric emergencies Resuscitation Tachycardia Wiederbelebung Kind Aufsatzsammlung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016735062&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| volume_link | (DE-604)BV000001093 |
| work_keys_str_mv | AT schexnayderstephenm pediatricresuscitation |