Cessation of unsuccessful pediatric resuscitation--how long is too long?

@article{OMarcaigh1993CessationOU,
  title={Cessation of unsuccessful pediatric resuscitation--how long is too long?},
  author={A S O'Marcaigh and William J Koenig and Julia A Rosekrans and Carol Lynn Berseth},
  journal={Mayo Clinic proceedings},
  year={1993},
  volume={68 4},
  pages={
          332-6
        }
}
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16 Citations
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16 Citations

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Withholding or Termination of Resuscitation in Pediatric Out-of-Hospital Traumatic Cardiopulmonary Arrest
TLDR
Involvement of parents and family of these children in the decision-making process with assistance and guidance from medical professionals should be considered as part of an emphasis on family-centered care because the evidence suggests that either death or a poor outcome is inevitable.
Withholding or Termination of Resuscitation in Pediatric Out-of-Hospital Traumatic Cardiopulmonary Arrest
TLDR
Recommendations for out-of-hospital termination of resuscitation could be made for children who are victims of traumatic cardiopulmonary arrest should be considered as part of an emphasis on family-centered care because the evidence suggests that either death or a poor outcome is inevitable.
Withholding or termination of resuscitation in pediatric out-of-hospital traumatic cardiopulmonary arrest.
  • M. Fallat
  • Medicine
    Annals of emergency medicine
  • 2014
Cardiopulmonary resuscitation in pediatric intensive care units.
TLDR
Pediatric ICU survival decreased as the number of pediatric ICU arrests increased, and Severity of illness, as measured by the Pediatric Risk of Mortality III score, was a significant predictor of survival.
Does the pediatric advanced life support course improve knowledge of pediatric resuscitation?
TLDR
The pediatric advanced life support course significantly increases immediate short-term knowledge of pediatric resuscitation for all professional groups and supports the use of PALS as an educational tool.
Outcome of cardiopulmonary resuscitation in a pediatric cardiac intensive care unit
TLDR
After cardiopulmonary resuscitation in this pediatric CICU, the rate of success was 63% and the rates of survival was 42%.
The perspective of paramedics about on-scene termination of resuscitation efforts for pediatric patients.
Distinct criteria for termination of resuscitation in the out-of-hospital setting.
TLDR
Excluding patients with persistent ventricular fibrillation, resuscitative efforts can be terminated at the scene when normothermic adults with unmonitored, out-of-hospital, primary cardiac arrest do not regain spontaneous circulation within 25 minutes following standard advanced cardiac life support.
Adult and pediatric CPR: attitudes and expectations of health professionals and laypersons.
TLDR
Assessment of attitudes and expectations about adult and pediatric CPR in 1988/1989 and 1998/1999 indicated that health care professionals had a clearer idea of when to terminate adult CPR than pediatric CPR.
Outcome of out-of-hospital cardiac or respiratory arrest in children.
TLDR
The results suggest that out-of-hospital cardiac arrest among children has a very poor prognosis, especially when efforts at resuscitation continue for longer than 20 minutes and require more than two doses of epinephrine.
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References

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TLDR
It is suggested that if reduction in mortality is to be maximized, cardiac arrest patients must have CPR initiated within four minutes and definitive care provided within ten minutes.
Cardiopulmonary Resuscitation: Values and Decisions—A Comparison of Health Care Professionals
TLDR
It is demonstrated that biomedical, mental status, and psychosocial patient factors have a significant impact on the decision to initiate CPR by both internal medicine residents and nurses.
Appraisal of pediatric cardiopulmonary resuscitation.
TLDR
It is suggested that survival among resuscitated children is no better than that among adults but can be improved with early recognition and monitoring of children at risk, and improved education of medical and lay personnel, and further research into pediatric resuscitative techniques.
Outcome of pediatric resuscitation.
Outcome and predictors of outcome in pediatric submersion victims receiving prehospital care in King County, Washington.
TLDR
Prehospital information provided the most valuable predictors of outcome, and prompt prehospital advanced cardiac life support is the most effective means of medical intervention for the pediatric submersion victim.
Epidemiology of cardiac arrest and resuscitation in children.
Evaluating the effect of a human values seminar series on ethical attitudes toward resuscitation among pediatric residents.
Attitudes of medical residents regarding intensive care for patients with the acquired immunodeficiency syndrome.
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The results of this study suggest that the intensity of exposure to patients with AIDS determines the assessment of prognosis, and that one or both of these factors strongly influences attitudes toward intensive care.
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Ninety-one patients had cardiorespiratory arrest in a children's hospital emergency department over six years. Only five children survived, three with severe neurologic sequelae. The records of 40…
Longitudinal development in pediatric residents of attitudes toward neonatal resuscitation.
TLDR
Data acquired both cross-sectionally and longitudinally indicated that attitudes toward neonatal resuscitation changed during residency training, and residents showed significantly increased reluctance to resuscitate infants at the end of the first year of training and again at theend of the third year ofTraining.
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