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- Title
Pediatric cardiopulmonary arrest in the postanesthesia care unit: analysis of data from the American Heart Association Get With The Guidelines<sup>®</sup>-Resuscitation registry.
- Authors
Christensen, Robert; Voepel-Lewis, Terri; Lewis, Ian; Ramachandran, Satya Krishna; Malviya, Shobha; Davidson, Andrew
- Abstract
Background Nearly 20% of anesthesia-related pediatric cardiopulmonary arrests ( CPAs) occur during emergence or recovery. The aims of this study were to describe (i) the nature of pediatric postanesthesia care unit ( PACU) CPA and subsequent outcomes and (ii) factors associated with mortality. Methods Cardiopulmonary Arrests occurring in PACU in children (<18 years) were identified from the American Heart Association Get With The Guidelines®-Resuscitation, multicenter CPA registry. Demographics, underlying conditions, cause(s) of CPA, monitoring, interventions and outcomes were extracted. Descriptive statistics were used to characterize data, and odds ratios ( OR) with confidence intervals ( CI) were calculated as appropriate to compare survivors and nonsurvivors. Results Twenty seven CPA events were included: 67% in children <5 years and 30% in infants (<1 year). Most children (78%) had underlying comorbidities, including 15% with congenital heart disease. Respiratory issues were the most frequent causes of CPA (44%), but cardiac/hemodynamic causes were associated with nonsurvival ( P = 0.01). Nonsurvival was also associated with older age ( P = 0.02), weekend occurrence ( P < 0.01), nonpediatric setting ( P = 0.02) and occurrence at night ( P = 0.04). Conclusions This study identified similar risk factors and underlying causes as described in previous reports of pediatric perioperative CPA, with higher mortality following a cardiac/hemodynamic cause.
- Subjects
CARDIAC arrest; POST anesthesia nursing; INTENSIVE care units; RESUSCITATION; COMORBIDITY; CONGENITAL heart disease; AMERICAN Heart Association
- Publication
Pediatric Anesthesia, 2013, Vol 23, Issue 6, p517
- ISSN
1155-5645
- Publication type
Article
- DOI
10.1111/pan.12154