Postresuscitation care.
Cardiac arrest in infants and children is a rare but critical event that typically follows a period of respiratory or circulatory compromise and has a low survival rate. The only intervention demonstrated to increase survival rate is the provision of bystander CPR. This article examines the pathophysiology of the postarrest reperfusion state; postresuscitation care of the respiratory and cardiovascular systems; postresuscitation neurologic management; therapeutic hypothermia; blood glucose control; immunologic disturbances and infections; coagulation abnormalities; and gastrointestinal and hepatic dysfunction, among other topics.
Kleinman
Monica E
ME
Department of Anesthesia, Children's Hospital Boston, Boston, MA 02115, USA. monica.kleinman@childrens.harvard.edu
Srinivasan
Vijay
V
D016887:Cardiopulmonary Resuscitation; D002648:Child; D006323:Heart Arrest / Q000150:complications / Q000628:therapy*; D006801:Humans; D015428:Myocardial Reperfusion Injury / Q000209:etiology / Q000628:therapy*; D011379:Prognosis; D012140:Respiratory Tract Diseases / Q000209:etiology / Q000628:therapy*