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Chapter 38 - Principles of Paediatric Resuscitation

Published online by Cambridge University Press:  06 February 2025

By
Sophie Skellet
Edited by
James Ip ,
Grant Stuart ,
Isabeau Walker  and
Ian James
James Ip
Affiliation:
Great Ormond Street Hospital for Children, London
Grant Stuart
Affiliation:
Great Ormond Street Hospital for Children, London
Isabeau Walker
Affiliation:
Great Ormond Street Hospital for Children, London
Ian James
Affiliation:
Great Ormond Street Hospital for Children, London
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Summary

Centralisation of specialist services, such as paediatric critical care, major trauma, cardiac surgery or neurosurgery, improves outcomes. For the critically ill child, accessing specialist critical care services may require transfer, either primarily by a ‘front line’ ambulance (bypassing non-specialist centres) or secondarily by hospital teams after initial resuscitation and stabilisation in a non-specialist centre.

This chapter describes the principles and practice of stabilisation and transport of the critically ill child between centres.

Keywords

Paediatric resuscitationbasic life supportadvanced life supportpostresuscitation careforeign body airway obstructionchokingcardiac arrestrespiratory arrest
Type
Chapter
Information
Core Topics in Paediatric Anaesthesia , pp. 420 - 439
Publisher: Cambridge University Press
Print publication year: 2025

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References

Further Reading

Berg, RA, Sutton, RM, Reeder, RW et al. Association between diastolic blood pressure during pediatric in-hospital cardiopulmonary resuscitation and survival. Circulation 2018;137(17):1784–95.CrossRefGoogle ScholarPubMed
Couper, K, Hassan, A, Ohri, V, Patterson, E, Tang, H, Bingham, R, Olasveengen, T, Perkins, G. Removal of foreign body airway obstruction: a systematic review of interventions. On behalf of the International Liaison Committee on Resuscitation Basic and Paediatric Life Support Task Force Collaborators. Resuscitation 2020; 156:174–81.CrossRefGoogle Scholar
Lavonas, EJ, Ohshimo, S, Nation, K et al. International Liaison Committee on Resuscitation (ILCOR) Pediatric Life Support Task Force. Advanced airway interventions for paediatric cardiac arrest: a systematic review and meta-analysis. Resuscitation 2019; 138:114–28.CrossRefGoogle ScholarPubMed
Maconochie, IK, Aickin, R, Hazinski, MF et al. Pediatric life support: 2020 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Resuscitation 2020; 156:A120–A155.CrossRefGoogle ScholarPubMed
Moler, FW, Silverstein, FS, Holubkov, R et al. Therapeutic hypothermia after in-hospital cardiac arrest in children. New England Journal of Medicine 2017; 376(4):318–29.CrossRefGoogle ScholarPubMed
Moler, FW, Silverstein, FS, Holubkov, R et al. Therapeutic hypothermia after out-of-hospital cardiac arrest in children. New England Journal of Medicine 2015; 372(20):1898–908.CrossRefGoogle ScholarPubMed
Naim, MY, Burke, RV et al. Association of bystander cardiopulmonary resuscitation with overall and neurologically favorable survival after pediatric out-of-hospital cardiac arrest in the united states: a report from the CARES surveillance registry. JAMA Pediatrics 2017; 171(2):133–41.CrossRefGoogle Scholar
National Cardiac Arrest Audit, UK. Available at: https://ncaa.icnarc.org/Home. Accessed 24 April 2024.Google Scholar
Resuscitation Council UK. 2021 Guidelines. 2021. Available online: www.resus.org.uk/library/2021-resuscitation-guidelines. Accessed 10 April 2024.Google Scholar
Skellett, S, Orzechowska, I, Thomas, K, Fortune, PM. The landscape of paediatric in-hospital cardiac arrest in the United Kingdom National Cardiac Arrest Audit. Resuscitation 2020; 155:165–71.CrossRefGoogle ScholarPubMed
Sutton, R, Reeder, RW, Landis, WP et al. Ventilation rates and pediatric in-hospital cardiac arrest survival outcomes. Critical Care Medicine 2019; 47:1627–36.CrossRefGoogle ScholarPubMed
Tibballs, J, Weeranatna, C. The influence of time on the accuracy of healthcare personnel to diagnose paediatric cardiac arrest by pulse palpation. Resuscitation 2010; 81:671–5.CrossRefGoogle ScholarPubMed
University of Warwick, UK. Out of Hospital Cardiac Arrest Outcomes Audit. Available online: https://warwick.ac.uk/fac/sci/med/research/ctu/trials/ohcao. Accessed 10 April 2024.Google Scholar
Van de Voorde, P et al. European Resuscitation Council Guidelines 2021: Paediatric Life Support. Resuscitation 2021; 161:327–87.CrossRefGoogle ScholarPubMed

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