Author:
Maconochie Ian K.,Aickin Richard,Hazinski Mary Fran,Atkins Dianne L.,Bingham Robert,Couto Thomaz Bittencourt,Guerguerian Anne-Marie,Nadkarni Vinay M.,Ng Kee-Chong,Nuthall Gabrielle A.,Ong Gene Y.K.,Reis Amelia G.,Schexnayder Stephen M.,Scholefield Barnaby R.,Tijssen Janice A.,Nolan Jerry P.,Morley Peter T.,Van de Voorde Patrick,Zaritsky Arno L.,de Caen Allan R.,Moylan Alex,Topjian Alexis,Nation Kevin,Ohshimo Shinchiro,Bronicki Ronald A.,Kadlec Kelly D.,Knight Lynda J.,McCormick Taylor N.,Morgan Ryan W.,Roberts Joan S.,Tabbutt Sarah,Thiagarajan Ravi,Walsh Brian,Raymond Tia,Chan Melissa,Duff Jonathan P.,Joyner Benny L.,Lasa Javier J.,Levy Arielle,Roberts Kathryn E.,Sutton Robert M.,de Lucas Nieves,Hoffmann Florian,Turner Nigel,Biarent Dominique,Lauritsen Torsten,Brissaud Olivier,Johannesdottir Groa,Djakow Jana,Mejias Abel Martinez,Meckler Garth,Buchanan Matt,Morrison Laurie J.
Abstract
This2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations(CoSTR) for pediatric life support is based on the most extensive evidence evaluation ever performed by the Pediatric Life Support Task Force. Three types of evidence evaluation were used in this review: systematic reviews, scoping reviews, and evidence updates. Per agreement with the evidence evaluation recommendations of the International Liaison Committee on Resuscitation, only systematic reviews could result in a new or revised treatment recommendation.Systematic reviews performed for this 2020 CoSTR for pediatric life support included the topics of sequencing of airway-breaths-compressions versus compressions-airway-breaths in the delivery of pediatric basic life support, the initial timing and dose intervals for epinephrine administration during resuscitation, and the targets for oxygen and carbon dioxide levels in pediatric patients after return of spontaneous circulation. The most controversial topics included the initial timing and dose intervals of epinephrine administration (new treatment recommendations were made) and the administration of fluid for infants and children with septic shock (this latter topic was evaluated by evidence update). All evidence reviews identified the paucity of pediatric data and the need for more research involving resuscitation of infants and children.
Publisher
Ovid Technologies (Wolters Kluwer Health)
Subject
Physiology (medical),Cardiology and Cardiovascular Medicine
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