Document Detail


ERC 2010 guidelines for adult and pediatric resuscitation: summary of major changes.
MedLine Citation:
PMID:  21368728     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The new European Resuscitation Council (ERC) guidelines for cardiopulmonary resuscitation (CPR) published on October 18th, 2010, replace those published in 2005 and are based on the latest International Consensus on CPR Science with Treatment Recommendations (CoSTR). For both adult and pediatric resuscitation, the most important general changes include: the introduction of chest compression-only CPR in primary cardiac arrest as an option for rescuers who are unable or unwilling to perform expired-air ventilation; increased emphasis on uninterrupted, good-quality CPR and minimisation of both pre- and post-shock pauses during defibrillation. For adult resuscitation, the recommended chest compression depth and rate are 5-6 cm and 100-120 compressions per minute, respectively. Both a specific period of CPR before defibrillation during out-of-hospital resuscitation and use of endotracheal route for drug delivery during advanced life support are no longer recommended. During postresuscitation care, inspired oxygen should be titrated to obtain an arterial oxygen saturation of 94-98%, to avoid possible damage from hyperoxemia. In pediatric resuscitation, the role of pulse palpation for the diagnosis of cardiac arrest has been de-emphasised. The compression-to-ventilation ratio depends on the number of rescuers available, and a 30:2 ratio is acceptable even for rescuers with a duty to respond if they are alone. Chest compression depth should be at least 1/3 of the anterior-posterior chest diameter. The use of automated external defibrillators for children under one year of age should be considered.
Authors:
C Sandroni; J Nolan;
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Publication Detail:
Type:  Guideline; Journal Article; Review    
Journal Detail:
Title:  Minerva anestesiologica     Volume:  77     ISSN:  1827-1596     ISO Abbreviation:  Minerva Anestesiol     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-03-03     Completed Date:  2011-06-28     Revised Date:  2011-11-22    
Medline Journal Info:
Nlm Unique ID:  0375272     Medline TA:  Minerva Anestesiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  220-6     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology and Intensive Care, Catholic University School of Medicine, Policlinico Universitario "Agostino Gemelli", Rome, Italy. sandroni@rm.unicatt.it
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MeSH Terms
Descriptor/Qualifier:
Adult
Advanced Cardiac Life Support / standards
Cardiopulmonary Resuscitation / standards
Child
Electric Countershock / standards
Heart Arrest / diagnosis,  therapy
Humans
Resuscitation / standards*
Comments/Corrections
Comment In:
Resuscitation. 2011 Nov;82(11):1466; author reply 1466-7   [PMID:  21798225 ]
Minerva Anestesiol. 2011 Feb;77(2):129-31   [PMID:  21368726 ]

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