Fifteen-minute consultation: A guide to paediatric post-resuscitation care following return of spontaneous circulation.
Constantinos KanarisPublished in: Archives of disease in childhood. Education and practice edition (2024)
Paediatric resuscitation is a key skill for anyone in medicine who is involved in the care of children. Basic and advance paediatric life support courses are crucial in teaching those skills nationwide in a way that is memorable, protocolised and standardised. These courses are vital in the dissemination and upkeep of both theoretical and practical knowledge of paediatric resuscitation, with their primary aim being the return of spontaneous circulation. While sustaining life is important, preserving a life with quality, one with good functional and neurological outcomes should be the gold standard of any resuscitative attempt. Good neurological outcomes are dependent, in large part, on how well the postresuscitation stage is managed. This stage does not start in the intensive care unit, it starts at the point at which spontaneous circulation has been reinstated. The aim of this paper is to provide a basic overview of the main strategies that should be followed in order to minimise secondary brain injury after successful resuscitation attempts.
Keyphrases
- cardiac arrest
- brain injury
- intensive care unit
- cardiopulmonary resuscitation
- healthcare
- palliative care
- emergency department
- septic shock
- subarachnoid hemorrhage
- quality improvement
- cerebral ischemia
- pain management
- type diabetes
- metabolic syndrome
- affordable care act
- adipose tissue
- insulin resistance
- weight loss
- glycemic control
- silver nanoparticles