This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Ludwig, S. Articles by Parker, M. Search for Related Content PubMed PubMed Citation Articles by Ludwig, S. Articles by Parker, M. Social Bookmarking                         What's this?

Pediatric Cardiopulmonary Resuscitation

A Review of 130 Cases

Children's Hospital of Philadelphia and University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania

Robert G. Kettrick

Children's Hospital of Philadelphia and University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania

Margot Parker

Children's Hospital of Philadelphia and University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania

Cardiopulmonary resuscitation (CPR) records of 130 pediatric patients with cardiac arrest were reviewed. Ninety-six resuscitations were performed on patients hospitalized on the Medical and Surgical units of the Children's Hospital of Philadelphia (HP) and 34 on Emergency Department patients (EDPs).

In HP, initial survival was 90%. In 27% of HPs, airway and breathing techniques alone were life saving. A mean of 2.45 drugs per patient were used for HP. In EDP, initial survival was 56%. There had been advanced CPR during the prehospital transport phase for the EDPs. All but two EDPs required drug management. The mean was 4.25 drugs per patient.

Lidocaine and direct current defibrillation were used only rarely. Glucose was used frequently (33%) and should be considered in the list of essential resuscitation drugs. The necessity for resuscitation was most commonly associated with pulmonary diseases.

These findings reflect differences between pediatric CPR and adult CPR, and suggest limitations in applying adult standards to infants and children. It is suggested that the medical community develop separate pediatric CPR courses as independent modules for those who assume responsibility for resuscitating children.

Clinical Pediatrics, Vol. 23, No. 2, 71-75 (1984)
DOI: 10.1177/000992288402300201


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				G. Flores and D. J. Weinstock The Preparedness of Pediatricians for Emergencies in the Office: What Is Broken, Should We Care, and How Can We Fix It? Arch Pediatr Adolesc Med, March 1, 1996; 150(3): 249 - 256. [Abstract] [PDF]

				P. C. Blahunka Pediatric Advanced Life Support (PALS): The Pharmacist's Role Journal of Pharmacy Practice, February 1, 1996; 9(1): 42 - 56. [Abstract] [PDF]

				R. Ronco, W. King, D. K. Donley, and S. J. Tilden Outcome and Cost at a Children's Hospital Following Resuscitation for Out-of-Hospital Cardiopulmonary Arrest Arch Pediatr Adolesc Med, February 1, 1995; 149(2): 210 - 214. [Abstract] [PDF]

				R. D. Morris, N. S. Krawiecki, J. A. Wright, and L. W. Walter Neuropsychological, Academic, and Adaptive Functioning in Children Who Survive in-Hospital Cardiac Arrest and Resuscitation J Learn Disabil, January 1, 1993; 26(1): 46 - 51. [Abstract] [PDF]

				R. M. Rockney Pediatric Code Cards Arch Pediatr Adolesc Med, January 1, 1988; 142(1): 73 - 75. [Abstract] [PDF]

				Standards and Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiac Care (ECC) JAMA, June 6, 1986; 255(21): 2905 - 2984. [Abstract] [PDF]