Document Detail


Future directions in cardiocerebral resuscitation.
MedLine Citation:
PMID:  18675033     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Outcomes from pediatric cardiac arrest and cardiopulmonary resuscitation (CPR) seem to be incrementally improving. The past 2 decades have brought advances in the understanding of the pathophysiology of cardiac arrest and ventricular fibrillation, better treatment strategies, and a more robust standard for CPR epidemiology and research reporting. The evolution of practice based on an improved understanding of the pathophysiology and timing, intensity, duration, and variability of the hypoxic-ischemic insult should lead to goal-directed therapy gated to the phase of cardiac arrest and the postarrest period encountered. By strategically focusing therapies to specific phases of cardiac arrest and resuscitation and to the evolving pathophysiology and by implementing evidence-based practice, there is great promise that critical care interventions can lead the way to more successful cardiopulmonary and cerebral resuscitation in children.
Authors:
Robert W Hickey; Vinay Nadkarni
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Pediatric clinics of North America     Volume:  55     ISSN:  0031-3955     ISO Abbreviation:  Pediatr. Clin. North Am.     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-08-04     Completed Date:  2008-09-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401126     Medline TA:  Pediatr Clin North Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1051-64, xii     Citation Subset:  AIM; IM    
Affiliation:
Division of Pediatric Emergency Medicine, The Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA. robert.hockey@chp.edu
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MeSH Terms
Descriptor/Qualifier:
Cardiopulmonary Resuscitation / methods*,  standards*
Central Nervous System Diseases / etiology,  prevention & control*
Heart Arrest / complications,  therapy*
Humans
Practice Guidelines as Topic*

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