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https://www.readbyqxmd.com/read/27746074/-changes-in-the-international-recommendations-on-neonatal-stabilisation-and-resuscitation-2015
#1
Gonzalo Zeballos Sarrato, Enrique Salguero García, Josefa Aguayo Maldonado, Celia Gómez Robles, Marta Thió Lluch, Martín Iriondo Sanz
The International Liaison Committee on Resuscitation (ILCOR) recommendations provide a universal guide of measures to support the transition and resuscitation of newborn after their birth. This guide is expected to be adapted by local groups or committees on resuscitation, according to their own circumstances. The objective of this review is to analyse the main changes, to discuss several of the controversies that have appeared since 2010, and contrasting with other national and international organisations, such as European Resuscitation Council (ERC), American Heart Association (AHA), or the Australian-New Zealand Committee on Resuscitation (ANZCOR)...
October 13, 2016: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/27643857/tidal-volume-delivery-and-endotracheal-tube-leak-during-cardiopulmonary-resuscitation-in-intubated-newborn-piglets-with-hypoxic-cardiac-arrest-exposed-to-different-modes-of-ventilatory-support
#2
Marc R Mendler, Claudia Weber, Mohammad A Hassan, Li Huang, Benjamin Mayer, Helmut D Hummler
BACKGROUND: There are few data available on the interaction of inflations, chest compressions (CC), and delivery of tidal volumes in newborn infants undergoing resuscitation in the presence of endotracheal tube (ET) leaks. OBJECTIVES: To determine the effects of different respiratory support strategies along with CC on changes in tidal volume and ET leaks in hypoxic newborn piglets with cardiac arrest. METHODS: Asphyxiated newborn piglets, intubated with weight-adapted uncuffed ET, were randomized into three groups and resuscitated according to ILCOR 2010 guidelines: (1) T-piece resuscitator (TPR) group = peak inspiratory pressure (PIP)/positive end-expiratory pressure (PEEP) 25/5 cm H2O, rate 30/min, inflations interposed between CC (3:1 ratio); (2) self- inflating bag (SIB) group = PIP 25 cm H2O without PEEP, rate 30/min, inflations interposed between CC (3:1 ratio), and (3) ventilator group = PIP/PEEP of 25/5 cm H2O, rate 30/min...
September 20, 2016: Neonatology
https://www.readbyqxmd.com/read/27456419/implementing-delivery-room-checklists-and-communication-standards-in-a-multi-neonatal-icu-quality-improvement-collaborative
#3
Stacie C Bennett, Neil Finer, Louis P Halamek, Nick Mickas, Mihoko V Bennett, Courtney C Nisbet, Paul J Sharek
BACKGROUND: The 2015 American Academy of Pediatrics Neonatal Resuscitation Program (NRP) and International Liaison Committee on Resuscitation (ILCOR) resuscitation guidelines state, "It is still suggested that briefing and debriefing techniques be used whenever possible for neonatal resuscitation." Effective communication and reliable delivery of evidence-based best practices are critical aspects of the 2015 NRP guidelines. To promote optimal communication and best practice-focused checklists use during active neonatal resuscitation, the Readiness Bundle (RB) was integrated within the larger change package deployed in the California Perinatal Quality Care Collaborative's (CPQCC) 12-month Delivery Room Management Quality Improvement Collaborative...
August 2016: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/27400776/current-status-and-problems-concerning-neonatal-resuscitation-in-japan-in-2015
#4
Tetsuya Kunikata, Kayo Morita, Hayato Sakurai, Hiroko Kakei, Masakazu Honda, Masaki Wada, Hidenori Kawasaki, Masanori Tamura
BACKGROUND: The International Liaison Committee on Resuscitation (ILCOR) published Consensus 2015 in October, 2015. Thereafter, Japanese version of neonatal cardiopulmonary resuscitation programs was revised. Prior to the revision, we re-conducted questionnaire surveys in three types of medical facilities in January 2015. METHODS: Targeted groups included (1) 277 training hospitals authorized by the Japanese Society of Perinatal/Neonatal Medicine for training of physicians specialized in perinatal care (neonatology) in January 2015 (training hospitals, response rate: 70...
July 12, 2016: Pediatrics International: Official Journal of the Japan Pediatric Society
https://www.readbyqxmd.com/read/27357213/review-article-updated-resuscitation-guidelines-for-2016-a-summary-of-the-australian-and-new-zealand-committee-on-resuscitation-recommendations
#5
REVIEW
Peter Leman, Peter Morley
This review paper summarises the key changes made to the resuscitation guidelines used in Australia and New Zealand. They were released by the Australian and New Zealand Committee on Resuscitation in January 2016. These are local adaptations of the evidence previously published in October 2015 by the International Liaison Committee on Resuscitation (ILCOR). They are presented across the main working groups in ILCOR: ALS, BLS, paediatrics, neonates, acute coronary syndromes, first aid and 'Education, Implementation and Teams'...
August 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/27350372/a-comparison-of-therapeutic-hypothermia-and-strict-therapeutic-normothermia-after-cardiac-arrest
#6
Andrew Casamento, Adrian Minson, Samuel Radford, Johan Mårtensson, Elliott Ridgeon, Paul Young, Rinaldo Bellomo
BACKGROUND AND AIMS: In a recent high-quality randomised controlled trial (RCT), strict therapeutic normothermia (STN) following cardiac arrest with coma resulted in similar outcomes to therapeutic hypothermia (TH). We aimed to test the feasibility, reproducibility, and safety of the STN protocol outside of its RCT context. METHODS: In two teaching hospital ICUs, we performed a before-and-after study comparing the previously International Liaison Committee on Resuscitation (ILCOR)-endorsed TH protocol to the recently studied STN protocol...
September 2016: Resuscitation
https://www.readbyqxmd.com/read/26915262/-the-step-toward-2015-jrc-guidelines-since-the-end-of-the-2nd-world-war
#7
Kazuo Okada
2015 JRC Guidelines have already published on 16th of October in 2015. This manuscript tries to explain the way how to arrive at this publication since CPR in Japan after the Second World War. ILCOR is the international organization in resuscitation, leads the world and publishes the international consensus CoSTR. JRC could join official member of ILCOR since 2006 after the establishment of Resuscitation Council of Asia. In 2010 RCA and JRC could contribute in 2010 version. In 2015 JRC Guidelines, the most significant change is the addition of 'First Aid' Chapter...
February 2016: Nihon Rinsho. Japanese Journal of Clinical Medicine
https://www.readbyqxmd.com/read/26915252/-pediatric-emergency-medicine
#8
REVIEW
Kohei Osada, Yoshio Sakurai, Masanori Tamura
Pediatric advanced life support (PALS) is the global standard of pediatric emergency medicine. It depends on the consensus of ILCOR which has been revised every 5 years by the experts worldwide. The concept of PALS is to treat the sick and injured children based on the systematic approach of the evaluation and classification in terms of the respiratory and circulatory status. On the other hand, point of care ultrasound (POCU) has been getting popular worldwide in the field of the emergency and critical care medicine...
February 2016: Nihon Rinsho. Japanese Journal of Clinical Medicine
https://www.readbyqxmd.com/read/26822425/limited-public-ability-to-recognise-and-understand-the-universal-sign-for-automated-external-defibrillators
#9
Rasmus Aagaard, Erik Lerkevang Grove, Ronni Mikkelsen, Anne Wolff, Kirstine Würtz Iversen, Bo Løfgren
OBJECTIVE: To study if the public is able to recognise and understand the International Liaison Committee on Resuscitation (ILCOR) sign for automated external defibrillators (AEDs), and to explore how national resuscitation councils have adopted the sign. METHODS: A survey was conducted among travellers in an international airport serving 21 million passengers annually. Participants were asked to state the meaning of six international safety signs, one of which was the ILCOR AED sign...
May 15, 2016: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/26573267/-randomised-study-of-the-relationship-between-the-use-of-cprmeter%C3%A2-device-and-the-quality-of-chest-compressions-in-a-simulated-cardiopulmonary-resuscitation
#10
J A Calvo-Buey, D Calvo-Marcos, R M Marcos-Camina
OBJECTIVE: To determine whether the use of CPRmeter(®) during the resuscitation manoeuvres, is related to a higher quality of external cardiac massage, as recommended by the International Liaison Committee on Resuscitation (ILCOR). To compare the quality obtained without the use or this, and whether there are differences related to anthropometric, demographic, professional and/or occupational factors. METHOD: Experimental, open trial performed with life support simulators in a stratified random sample of 88 health workers randomly distributed between groups A (without indications of the device) and B (with them)...
January 2016: Enfermería Intensiva
https://www.readbyqxmd.com/read/26547092/evaluation-of-a-cardiopulmonary-resuscitation-curriculum-in-a-low-resource-environment
#11
Mary P Chang, Camila B Lyon, David Janiszewski, Deborah Aksamit, Francis Kateh, John Sampson
OBJECTIVES: To evaluate whether a 2-day International Liaison Committee on Resuscitation (ILCOR) Universal Algorithm-based curriculum taught in a tertiary care hospital in Liberia increases local health care provider knowledge and skill comfort level. METHODS: A combined basic and advanced cardiopulmonary resuscitation (CPR) curriculum was developed for low-resource settings that included lectures and low-fidelity manikin-based simulations. In March 2014, the curriculum was taught to healthcare providers in a tertiary care hospital in Liberia...
2015: International Journal of Medical Education
https://www.readbyqxmd.com/read/26460587/effect-of-different-respiratory-modes-on-return-of-spontaneous-circulation-in-a-newborn-piglet-model-of-hypoxic-cardiac-arrest
#12
Marc R Mendler, Claudia Weber, Mohammad A Hassan, Li Huang, Markus Waitz, Benjamin Mayer, Helmut D Hummler
BACKGROUND: There are no clear evidence-based recommendations on the use of different techniques of respiratory support and chest compressions (CC) during neonatal cardiopulmonary resuscitation (CPR). OBJECTIVES: To determine the effects of different respiratory support strategies along with CC representing clinical practice on the return of spontaneous circulation (ROSC) in hypoxic newborn piglets with cardiac arrest. We hypothesized that use of a T-piece resuscitator (TPR) providing positive end-expiratory pressure (PEEP) reduces time to ROSC as compared to a self-inflating bag (SIB) without PEEP...
2016: Neonatology
https://www.readbyqxmd.com/read/26449873/temperature-management-after-cardiac-arrest-an-advisory-statement-by-the-advanced-life-support-task-force-of-the-international-liaison-committee-on-resuscitation-and-the-american-heart-association-emergency-cardiovascular-care-committee-and-the-council-on-cardiopulmonary
#13
Michael W Donnino, Lars W Andersen, Katherine M Berg, Joshua C Reynolds, Jerry P Nolan, Peter T Morley, Eddy Lang, Michael N Cocchi, Theodoros Xanthos, Clifton W Callaway, Jasmeet Soar
For more than a decade, mild induced hypothermia (32 °C-34 °C) has been standard of care for patients remaining comatose after resuscitation from out-of-hospital cardiac arrest with an initial shockable rhythm, and this has been extrapolated to survivors of cardiac arrest with initially nonshockable rhythms and to patients with in-hospital cardiac arrest. Two randomized trials published in 2002 reported a survival and neurological benefit with mild induced hypothermia. One recent randomized trial reported similar outcomes in patients treated with targeted temperature management at either 33 °C or 36 °C...
January 2016: Resuscitation
https://www.readbyqxmd.com/read/26434495/temperature-management-after-cardiac-arrest-an-advisory-statement-by-the-advanced-life-support-task-force-of-the-international-liaison-committee-on-resuscitation-and-the-american-heart-association-emergency-cardiovascular-care-committee-and-the-council-on-cardiopulmonary
#14
REVIEW
Michael W Donnino, Lars W Andersen, Katherine M Berg, Joshua C Reynolds, Jerry P Nolan, Peter T Morley, Eddy Lang, Michael N Cocchi, Theodoros Xanthos, Clifton W Callaway, Jasmeet Soar
For more than a decade, mild induced hypothermia (32 °C-34 °C) has been standard of care for patients remaining comatose after resuscitation from out-of-hospital cardiac arrest with an initial shockable rhythm, and this has been extrapolated to survivors of cardiac arrest with initially nonshockable rhythms and to patients with in-hospital cardiac arrest. Two randomized trials published in 2002 reported a survival and neurological benefit with mild induced hypothermia. One recent randomized trial reported similar outcomes in patients treated with targeted temperature management at either 33 °C or 36 °C...
December 22, 2015: Circulation
https://www.readbyqxmd.com/read/26261928/-implementation-of-therapeutic-hypothermia-into-clinical-practice
#15
REVIEW
Friederike Himmel, Steffen Desch, Sebastian Wolfrum
Implementation of mild therapeutic hypothermia after cardiac arrest into clinical practice is a continuing process. Although ILCOR recommendation was given in 2003, only 24% of the German hospitals reported the use of hypothermia in this setting in 2005. Growing evidence and most importantly the implementation of hypothermia into the guidelines led to a significant increase of acceptance of this therapeutic option leading to a user rate of 69% in 2009. Encouraged by the new guidelines from 2010 86% of German hospitals finally reported to use hypothermia after cardiac arrest routinely in 2012, a decade after publication of the mile stone studies...
August 2015: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/26092516/prevalence-of-systemic-air-embolism-after-prolonged-cardiopulmonary-resuscitation-in-newborns-a-pilot-study
#16
Feico J J Halbertsma, Thilo Mohns, Levinus A Bok, Hendrik J Niemarkt, Boris W Kramer
BACKGROUND: Chest compressions (CC) during cardiopulmonary resuscitation (CPR) are the cornerstone of adult CPR protocols and are meant to restore circulation and improve outcome. Although adverse effects such as air-embolisms have been reported, these are rare and considered to be outweighed by beneficial effect. In newborns, however, the lung tissue is more fragile. Thus, the high intra-thoracic pressures resulting from CC may make the newborns more vulnerable for air-embolisms. OBJECTIVES: We studied the postmortem prevalence of air-embolism in neonates that have received CPR...
August 2015: Resuscitation
https://www.readbyqxmd.com/read/25906941/evolution-safety-and-efficacy-of-targeted-temperature-management-after-pediatric-cardiac-arrest
#17
Barnaby R Scholefield, Kevin P Morris, Heather P Duncan, Gavin D Perkins, Jessica Gosney, Richard Skone, Victoria Sanders, Fang Gao
BACKGROUND: It is unknown whether targeted temperature management (TTM) improves survival after pediatric out-of-hospital cardiac arrest (OHCA). The aim of this study was to assess the evolution, safety and efficacy of TTM (32-34 °C) compared to standard temperature management (STM) (<38 °C). METHODS: Retrospective, single center cohort study. Patients aged >one day up to 16 years, admitted to a UK Paediatric Intensive Care Unit (PICU) after OHCA (January 2004-December 2010)...
July 2015: Resuscitation
https://www.readbyqxmd.com/read/25533043/correlation-between-umbilical-cord-hemoglobin-and-rate-of-jaundice-requiring-phototherapy-in-healthy-newborns
#18
Machiko Nakagawa, Yasushi Ishida, Yuko Nagaoki, Hidenobu Ohta, Rinshu Shimabukuro, Michio Hirata, Michiko Yamanaka, Isao Kusakawa
BACKGROUND: Delay of umbilical cord clamping by at least 1 min is recommended for newborns not requiring resuscitation in the International Liaison Committee On Resuscitation-Consensus on Science with Treatment Recommendations (ILCOR-CoSTR) 2010 guidelines. The delay in clamping improves iron status through early infancy but may increase the likelihood of jaundice requiring phototherapy. The present study investigated the relationship between umbilical cord hemoglobin and the rate of jaundice requiring phototherapy in healthy Japanese newborns...
August 2015: Pediatrics International: Official Journal of the Japan Pediatric Society
https://www.readbyqxmd.com/read/25212112/cardiopulmonary-resuscitation-cpr-plus-delayed-defibrillation-versus-immediate-defibrillation-for-out-of-hospital-cardiac-arrest
#19
REVIEW
Yu Huang, Qing He, Li J Yang, Guan J Liu, Alexander Jones
BACKGROUND: Sudden cardiac arrest (SCA) is a common health problem associated with high levels of mortality. Cardiac arrest is caused by three groups of dysrhythmias: ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT), pulseless electric activity (PEA) and asystole. The most common dysrhythmia found in out-of-hospital cardiac arrest (OHCA) is VF. During VF or VT, cardiopulmonary resuscitation (CPR) provides perfusion and oxygenation to the tissues, whilst defibrillation restores a viable cardiac rhythm...
2014: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/25150197/official-lay-basic-life-support-courses-in-germany-is-delivered-content-up-to-date-with-the-guidelines-an-observational-study
#20
Patrick Wagner, Christian Lingemann, Hans-Richard Arntz, Jan Breckwoldt
BACKGROUND AND OBJECTIVES: Educating the lay public in basic life support (BLS) is a cornerstone to improving bystander cardiopulmonary resuscitation (CPR) rates. In Germany, the official rescue organisations deliver accredited courses based on International Liaison Committee on Resuscitation (ILCOR) guidelines to up to 1 million participants every year. However, it is unknown how these courses are delivered in reality. We hypothesised that delivered content might not follow the proposed curriculum, and miss recent guideline updates...
July 2015: Emergency Medicine Journal: EMJ
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