Abstract
In children, ventilation management is essential before, during, and after cardiopulmonary resuscitation (CPR). In the pre-arrest phase, interventions must focus on the prevention of cardiopulmonary arrest. During CPR, the objective is to match ventilation with perfusion, because much less ventilation is necessary for adequate gas exchange and evidences indicate that overventilation is common and can compromise venous return, cardiac output and outcome. Hypoventilation, hypoxemia and hyperoxemia must be also avoided. Self-inflating bags connected to a face mask or an endotracheal tube are the preferred devices to deliver oxygen and positive pressure ventilation during respiratory or cardiac arrest in children. Following return of spontaneous circulation (ROSC) a complex and global process of reperfusion injury occurs; therefore, intensive monitoring and goal directed respiratory therapy should be the standard of care. New studies and evidences are needed to define the optimal ventilation procedures and strategies in pediatric CPR.
Keywords: Ventilation, Oxygenation, Children, Cardiopulmonary resuscitation, Hyperventilation, Post-resuscitation.
Current Pediatric Reviews
Title:Ventilation During Pediatric CPR
Volume: 9 Issue: 2
Author(s): Antonio Rodriguez- Nunez
Affiliation:
Keywords: Ventilation, Oxygenation, Children, Cardiopulmonary resuscitation, Hyperventilation, Post-resuscitation.
Abstract: In children, ventilation management is essential before, during, and after cardiopulmonary resuscitation (CPR). In the pre-arrest phase, interventions must focus on the prevention of cardiopulmonary arrest. During CPR, the objective is to match ventilation with perfusion, because much less ventilation is necessary for adequate gas exchange and evidences indicate that overventilation is common and can compromise venous return, cardiac output and outcome. Hypoventilation, hypoxemia and hyperoxemia must be also avoided. Self-inflating bags connected to a face mask or an endotracheal tube are the preferred devices to deliver oxygen and positive pressure ventilation during respiratory or cardiac arrest in children. Following return of spontaneous circulation (ROSC) a complex and global process of reperfusion injury occurs; therefore, intensive monitoring and goal directed respiratory therapy should be the standard of care. New studies and evidences are needed to define the optimal ventilation procedures and strategies in pediatric CPR.
Export Options
About this article
Cite this article as:
Nunez Antonio Rodriguez-, Ventilation During Pediatric CPR, Current Pediatric Reviews 2013; 9 (2) . https://dx.doi.org/10.2174/1573396311309020003
DOI https://dx.doi.org/10.2174/1573396311309020003 |
Print ISSN 1573-3963 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-6336 |
- Author Guidelines
- Graphical Abstracts
- Fabricating and Stating False Information
- Research Misconduct
- Post Publication Discussions and Corrections
- Publishing Ethics and Rectitude
- Increase Visibility of Your Article
- Archiving Policies
- Peer Review Workflow
- Order Your Article Before Print
- Promote Your Article
- Manuscript Transfer Facility
- Editorial Policies
- Allegations from Whistleblowers
Related Articles
-
Synergistic Effect of Inhibitors of MMPs and ROS-dependent Modifications of Contractile Proteins on Protection Hearts Subjected to Oxidative Stress
Current Pharmaceutical Design The Role of Calcium Handling Mechanisms in Reperfusion Injury
Current Pharmaceutical Design Mitochondria: A Target for Neuroprotective Interventions in Cerebral Ischemia-Reperfusion
Current Pharmaceutical Design TXNIP in Metabolic Regulation: Physiological Role and Therapeutic Outlook
Current Drug Targets Efficient Synthesis of 6-O-methyl-scutellarein from Scutellarin via Selective Methylation
Letters in Organic Chemistry Anti-Inflammatory Role of Fetuin-A in Injury and Infection
Current Molecular Medicine Cryopreservation of Ovarian Tissue: State of the Art in 2007
Current Women`s Health Reviews Contributions of Functional Neuroimaging to Clinical and Cognitive Neuropsychology: A Selective Review
Current Medical Imaging Protective Effects of Astaxanthin on Nephrotoxicity in Rats with Induced Renovascular Occlusion
Combinatorial Chemistry & High Throughput Screening Development of Nitric Oxide Donors for the Treatment of Cardiovascular Diseases
Cardiovascular & Hematological Agents in Medicinal Chemistry Novel Applications for Invasive and Non-invasive Tools in the Era of Contemporary Percutaneous Coronary Revascularisation
Current Cardiology Reviews Potential Role of ADAMTS13 in the Progression of Alcoholic Hepatitis
Current Drug Abuse Reviews The Prothrombotic State in Hypertension and the Effects of Antihypertensive Treatment
Current Pharmaceutical Design Myocardial Revascularization for the Elderly: Current Options, Role of Off-pump Coronary Artery Bypass Grafting and Outcomes
Current Cardiology Reviews Oxidative Stress as a Regulator of Murine Atherosclerosis
Current Drug Targets Gene Therapy in Lung Transplantation
Current Gene Therapy Intrathecal Administration of Melatonin Ameliorates the Neuroinflammation- Mediated Sensory and Motor Dysfunction in A Rat Model of Compression Spinal Cord Injury
Current Molecular Pharmacology Effect of Lipid Emulsion on the Improvement of Renal Damage in Colistin- Induced Nephrotoxicity
Current Drug Safety Surgical Complications of Hyperglycaemia
Current Diabetes Reviews Nitric Oxide Supplementation in Postischemic Acute Renal Failure: Normotension Versus Hypertension
Current Pharmaceutical Biotechnology