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 M. 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
Publication statusPublished - Aug 6 2019

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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