Intraoperative Cardiac Arrest: Difference between revisions

no edit summary
No edit summary
No edit summary
Line 8: Line 8:


Children (<12 year old): 2x more likely to experience CA, infants (<1 year old): 10x, neonates (<1month old): 50x
Children (<12 year old): 2x more likely to experience CA, infants (<1 year old): 10x, neonates (<1month old): 50x
'''<u>Causes for Pediatric Perioperative Arrest:</u>'''


<ref>Shaffner DH, Heitmiller ES, Deshpande JK. Pediatric perioperative life support. Anesth Analg. 2013 Oct;117(4):960-979. doi: 10.1213/ANE.0b013e3182a1f3eb. Epub 2013 Sep 10. PMID: 24023023.</ref>'''<u>Causes for Pediatric Perioperative Arrest:</u>'''
<ref>Shaffner DH, Heitmiller ES, Deshpande JK. Pediatric perioperative life support. Anesth Analg. 2013 Oct;117(4):960-979. doi: 10.1213/ANE.0b013e3182a1f3eb. Epub 2013 Sep 10. PMID: 24023023.</ref>'''<u>Causes for Pediatric Perioperative Arrest:</u>'''
Line 27: Line 26:
** Bradycardia or cardiovascular collapse:  - Traction, pressure, or insufflation involving the abdomen, eye, neck, or heart  - Undiagnosed cardiomyopathy
** Bradycardia or cardiovascular collapse:  - Traction, pressure, or insufflation involving the abdomen, eye, neck, or heart  - Undiagnosed cardiomyopathy
** Overdose  - Weight-based dosing of IV anesthetic on induction in a child with hypovolemia or compensated shock may lead to collapse
** Overdose  - Weight-based dosing of IV anesthetic on induction in a child with hypovolemia or compensated shock may lead to collapse


<ref>Source: Shaffner DH, Heitmiller ES, Deshpande JK. Pediatric perioperative life support. Anesth Analg. 2013 Oct;117(4):960-979. doi: 10.1213/ANE.0b013e3182a1f3eb. Epub 2013 Sep 10. PMID: 24023023.</ref>'''<u>Important Resuscitation Steps:</u>'''
<ref>Source: Shaffner DH, Heitmiller ES, Deshpande JK. Pediatric perioperative life support. Anesth Analg. 2013 Oct;117(4):960-979. doi: 10.1213/ANE.0b013e3182a1f3eb. Epub 2013 Sep 10. PMID: 24023023.</ref>'''<u>Important Resuscitation Steps:</u>'''
Line 65: Line 63:


[[File:Prone Chest Compression.jpg|thumb|Prone Chest Compression (Shaffner et al. 2013)]]
[[File:Prone Chest Compression.jpg|thumb|Prone Chest Compression (Shaffner et al. 2013)]]
'''<u>Methods of Measuring Effectiveness of CPR</u>'''
 


'''<u>Methods of Measuring Effectiveness of CPR</u>'''
'''<u>Methods of Measuring Effectiveness of CPR</u>'''
Line 78: Line 76:
* MVO2
* MVO2
** <30% was associated with no ROSC
** <30% was associated with no ROSC


'''<u>Post Resuscitation:</u>'''  
'''<u>Post Resuscitation:</u>'''  
10

edits