Cardiopulmonary resuscitation in pediatric intensive care units

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Abstract

Objective

To determine the effectiveness of cardiopulmonary rescucitation (CPR) in the pediatric intensive care unit (ICU).

Design

A nonconcurrent cohort study of consecutive admissions.

Setting

Thirty-two pediatric ICUs.

Patients

Consecutive admissions to 32 pediatric ICUs.

Interventions

None.

Measurements and Main Results

Pediatric ICU patients were followed for the occurrence of a cardiopulmonary arrest (external cardiac massage for at least 2 mins). Patients who were in a state of continuous cardiopulmonary arrest on admission, or who never achieved stable vital signs, were excluded from the study.

Conclusions

Pediatric ICU cardiac arrest is an uncommon event. When it does occur, prehospital CPR, duration of resuscitation, traumatic etiology, and severity of illness are important factors associated with survival. (Crit Care Med 1997; 25:1951-1955)

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