Pediatric Post-Cardiac Arrest Care

A Scientific Statement From the American Heart Association

Alexis A. Topjian, Allan de Caen, Mark S. Wainwright, Benjamin S. Abella, Nicholas S. Abend, Dianne L. Atkins, Melania Bembea, Ericka L. Fink, Anne Marie Guerguerian, Sarah E. Haskell, J. Hope Kilgannon, Javier J. Lasa, Mary Fran Hazinski

Research output: Contribution to journalArticle

Abstract

Successful resuscitation from cardiac arrest results in a post-cardiac arrest syndrome, which can evolve in the days to weeks after return of sustained circulation. The components of post-cardiac arrest syndrome are brain injury, myocardial dysfunction, systemic ischemia/reperfusion response, and persistent precipitating pathophysiology. Pediatric post-cardiac arrest care focuses on anticipating, identifying, and treating this complex physiology to improve survival and neurological outcomes. This scientific statement on post-cardiac arrest care is the result of a consensus process that included pediatric and adult emergency medicine, critical care, cardiac critical care, cardiology, neurology, and nursing specialists who analyzed the past 20 years of pediatric cardiac arrest, adult cardiac arrest, and pediatric critical illness peer-reviewed published literature. The statement summarizes the epidemiology, pathophysiology, management, and prognostication after return of sustained circulation after cardiac arrest, and it provides consensus on the current evidence supporting elements of pediatric post-cardiac arrest care.

Original languageEnglish (US)
Pages (from-to)e194-e233
JournalCirculation
Volume140
Issue number6
DOIs
StatePublished - Aug 6 2019

Fingerprint

Heart Arrest
Pediatrics
Critical Care
Neurology
Cardiology
Critical Illness
Resuscitation
Brain Injuries
Reperfusion
Epidemiology
Nursing
Ischemia

Keywords

  • AHA Scientific Statements
  • cardiopulmonary arrest
  • cardiopulmonary resuscitation
  • child
  • outcomes
  • post-cardiac arrest care
  • targeted temperature management

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

Cite this

Topjian, A. A., de Caen, A., Wainwright, M. S., Abella, B. S., Abend, N. S., Atkins, D. L., ... Hazinski, M. F. (2019). Pediatric Post-Cardiac Arrest Care: A Scientific Statement From the American Heart Association. Circulation, 140(6), e194-e233. https://doi.org/10.1161/CIR.0000000000000697

Pediatric Post-Cardiac Arrest Care : A Scientific Statement From the American Heart Association. / Topjian, Alexis A.; de Caen, Allan; Wainwright, Mark S.; Abella, Benjamin S.; Abend, Nicholas S.; Atkins, Dianne L.; Bembea, Melania; Fink, Ericka L.; Guerguerian, Anne Marie; Haskell, Sarah E.; Kilgannon, J. Hope; Lasa, Javier J.; Hazinski, Mary Fran.

In: Circulation, Vol. 140, No. 6, 06.08.2019, p. e194-e233.

Research output: Contribution to journalArticle

Topjian, AA, de Caen, A, Wainwright, MS, Abella, BS, Abend, NS, Atkins, DL, Bembea, M, Fink, EL, Guerguerian, AM, Haskell, SE, Kilgannon, JH, Lasa, JJ & Hazinski, MF 2019, 'Pediatric Post-Cardiac Arrest Care: A Scientific Statement From the American Heart Association', Circulation, vol. 140, no. 6, pp. e194-e233. https://doi.org/10.1161/CIR.0000000000000697
Topjian AA, de Caen A, Wainwright MS, Abella BS, Abend NS, Atkins DL et al. Pediatric Post-Cardiac Arrest Care: A Scientific Statement From the American Heart Association. Circulation. 2019 Aug 6;140(6):e194-e233. https://doi.org/10.1161/CIR.0000000000000697
Topjian, Alexis A. ; de Caen, Allan ; Wainwright, Mark S. ; Abella, Benjamin S. ; Abend, Nicholas S. ; Atkins, Dianne L. ; Bembea, Melania ; Fink, Ericka L. ; Guerguerian, Anne Marie ; Haskell, Sarah E. ; Kilgannon, J. Hope ; Lasa, Javier J. ; Hazinski, Mary Fran. / Pediatric Post-Cardiac Arrest Care : A Scientific Statement From the American Heart Association. In: Circulation. 2019 ; Vol. 140, No. 6. pp. e194-e233.
@article{5c4ffa5084b44537a166ddce089f9880,
title = "Pediatric Post-Cardiac Arrest Care: A Scientific Statement From the American Heart Association",
abstract = "Successful resuscitation from cardiac arrest results in a post-cardiac arrest syndrome, which can evolve in the days to weeks after return of sustained circulation. The components of post-cardiac arrest syndrome are brain injury, myocardial dysfunction, systemic ischemia/reperfusion response, and persistent precipitating pathophysiology. Pediatric post-cardiac arrest care focuses on anticipating, identifying, and treating this complex physiology to improve survival and neurological outcomes. This scientific statement on post-cardiac arrest care is the result of a consensus process that included pediatric and adult emergency medicine, critical care, cardiac critical care, cardiology, neurology, and nursing specialists who analyzed the past 20 years of pediatric cardiac arrest, adult cardiac arrest, and pediatric critical illness peer-reviewed published literature. The statement summarizes the epidemiology, pathophysiology, management, and prognostication after return of sustained circulation after cardiac arrest, and it provides consensus on the current evidence supporting elements of pediatric post-cardiac arrest care.",
keywords = "AHA Scientific Statements, cardiopulmonary arrest, cardiopulmonary resuscitation, child, outcomes, post-cardiac arrest care, targeted temperature management",
author = "Topjian, {Alexis A.} and {de Caen}, Allan and Wainwright, {Mark S.} and Abella, {Benjamin S.} and Abend, {Nicholas S.} and Atkins, {Dianne L.} and Melania Bembea and Fink, {Ericka L.} and Guerguerian, {Anne Marie} and Haskell, {Sarah E.} and Kilgannon, {J. Hope} and Lasa, {Javier J.} and Hazinski, {Mary Fran}",
year = "2019",
month = "8",
day = "6",
doi = "10.1161/CIR.0000000000000697",
language = "English (US)",
volume = "140",
pages = "e194--e233",
journal = "Circulation",
issn = "0009-7322",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - Pediatric Post-Cardiac Arrest Care

T2 - A Scientific Statement From the American Heart Association

AU - Topjian, Alexis A.

AU - de Caen, Allan

AU - Wainwright, Mark S.

AU - Abella, Benjamin S.

AU - Abend, Nicholas S.

AU - Atkins, Dianne L.

AU - Bembea, Melania

AU - Fink, Ericka L.

AU - Guerguerian, Anne Marie

AU - Haskell, Sarah E.

AU - Kilgannon, J. Hope

AU - Lasa, Javier J.

AU - Hazinski, Mary Fran

PY - 2019/8/6

Y1 - 2019/8/6

N2 - Successful resuscitation from cardiac arrest results in a post-cardiac arrest syndrome, which can evolve in the days to weeks after return of sustained circulation. The components of post-cardiac arrest syndrome are brain injury, myocardial dysfunction, systemic ischemia/reperfusion response, and persistent precipitating pathophysiology. Pediatric post-cardiac arrest care focuses on anticipating, identifying, and treating this complex physiology to improve survival and neurological outcomes. This scientific statement on post-cardiac arrest care is the result of a consensus process that included pediatric and adult emergency medicine, critical care, cardiac critical care, cardiology, neurology, and nursing specialists who analyzed the past 20 years of pediatric cardiac arrest, adult cardiac arrest, and pediatric critical illness peer-reviewed published literature. The statement summarizes the epidemiology, pathophysiology, management, and prognostication after return of sustained circulation after cardiac arrest, and it provides consensus on the current evidence supporting elements of pediatric post-cardiac arrest care.

AB - Successful resuscitation from cardiac arrest results in a post-cardiac arrest syndrome, which can evolve in the days to weeks after return of sustained circulation. The components of post-cardiac arrest syndrome are brain injury, myocardial dysfunction, systemic ischemia/reperfusion response, and persistent precipitating pathophysiology. Pediatric post-cardiac arrest care focuses on anticipating, identifying, and treating this complex physiology to improve survival and neurological outcomes. This scientific statement on post-cardiac arrest care is the result of a consensus process that included pediatric and adult emergency medicine, critical care, cardiac critical care, cardiology, neurology, and nursing specialists who analyzed the past 20 years of pediatric cardiac arrest, adult cardiac arrest, and pediatric critical illness peer-reviewed published literature. The statement summarizes the epidemiology, pathophysiology, management, and prognostication after return of sustained circulation after cardiac arrest, and it provides consensus on the current evidence supporting elements of pediatric post-cardiac arrest care.

KW - AHA Scientific Statements

KW - cardiopulmonary arrest

KW - cardiopulmonary resuscitation

KW - child

KW - outcomes

KW - post-cardiac arrest care

KW - targeted temperature management

UR - http://www.scopus.com/inward/record.url?scp=85071065377&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85071065377&partnerID=8YFLogxK

U2 - 10.1161/CIR.0000000000000697

DO - 10.1161/CIR.0000000000000697

M3 - Article

VL - 140

SP - e194-e233

JO - Circulation

JF - Circulation

SN - 0009-7322

IS - 6

ER -