Pediatric perioperative life support

Donald Harry Shaffner, Eugenie S. Heitmiller, Jayant K. Deshpande

Research output: Contribution to journalArticle

Abstract

Pediatric advanced life support training and guidelines are typically designed for first-responders and out-of-hospital resuscitation. Guidelines and scenarios that are more applicable to the perioperative environment would be beneficial for anesthesiologists. The goal of this article is to review resuscitation of pediatric patients during the perioperative period. We use a format that focuses on preresuscitation preparation, resuscitation techniques, and postresuscitation management in the perioperative period. In an effort to provide information of maximum benefit to anesthesiologists, we include common pediatric perioperative arrest scenarios with detailed description of their management. We also provide a section on postresuscitation management and review the techniques for maintaining the child's hemodynamic and metabolic stability. Finally, 3 appendices are included: an example of an intraoperative arrest record that provides feedback for interventions; a table of key medications for pediatric perioperative resuscitation; and a review of defibrillator use and simulation exercises to promote effective defibrillation.

Original languageEnglish (US)
Pages (from-to)960-979
Number of pages20
JournalAnesthesia and Analgesia
Volume117
Issue number4
DOIs
StatePublished - Oct 2013

Fingerprint

Resuscitation
Pediatrics
Perioperative Period
Guidelines
Training Support
Defibrillators
Hemodynamics
Exercise
Anesthesiologists

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Pediatric perioperative life support. / Shaffner, Donald Harry; Heitmiller, Eugenie S.; Deshpande, Jayant K.

In: Anesthesia and Analgesia, Vol. 117, No. 4, 10.2013, p. 960-979.

Research output: Contribution to journalArticle

Shaffner, Donald Harry ; Heitmiller, Eugenie S. ; Deshpande, Jayant K. / Pediatric perioperative life support. In: Anesthesia and Analgesia. 2013 ; Vol. 117, No. 4. pp. 960-979.
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