Cuidados síndrome postparo

Autores/as

DOI:

https://doi.org/10.47464/MetroCiencia/vol29/supple1/2021/49-63

Palabras clave:

SPP, angioplastia, pediatría

Resumen

El manejo del SPP en adultos ha mostrado buenos resultados en sobrevida y resultados neurológicos, incorporando la angioplastia de emergencia y el manejo de la temperatura post recuperación de la RCE. Ya sabemos que el PC pediátrico tiene peor pronóstico que el de adultos por su origen asfíctico. Como ya veremos en los casos post paro de pediatría, lo que hagamos en esta etapa es muy importante, pero el pronóstico final dependerá de la causa del paro y del tiempo que el niño haya estado sin oxígeno y sin perfusión de los órganos. Un porcentaje importante de niños que son inicialmente reanimados fallecen luego de la RCE, en los días o semanas siguientes, y esto puede ocurrir por fracaso hemodinámico, muerte cerebral o adecuación del esfuerzo terapéutico.

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Biografía del autor/a

Mauricio Yunge, Clínica las Condes

Intensivista pediátrico; Clínica las Condes. Chile

Santiago Campos-Miño, Hospital Metropolitano

Pediatra Intensivista, Departamento de Pediatría y UCI Pediátrica;  Hospital Metropolitano Quito, Ecuador

Bernado Alonso, Universidad de la República Uruguay

Asistente de Clínica Pediátrica, Facultad Medicina; Universidad de la República Uruguay

Citas

Peberdy M, Callaway C, Neumar R, Geocadin R, Zimmerman J, Donnino M, Gabrielli A. Silvers SM, Merchant R, Vanden Hoek TL, Kronick SL. Part 9: post cardiac care:2010 AHA guidelines for cardiopulmonaryresuscitation and emergency cardiovascular care. Circulation 2010;122: S768-S786

Neumar RW, Nolan JP, Adrie C, Aibiki M, Berg RA, Bottiger BW, Callaway C, Clark RS, Geocadin RG, Jauch EC, Kern KB, Laurent I, Longstreth WT Jr, Merchant RM, Morley P, Morrison LJ, Nadkardni V, Peberdy MA, Rivers EP, Rodríguez-Nuñez A, Selllke FW, Spaulding C, Saunde K, Vanden Hoek TL. Post cardiac arrest syndrome: epidemiology, pathophysiology, treatment, and prognostication: a consensus statement from the ILCOR, the AHA ECCC, the Council on cardiopulmonary, Perioperative, and Critical Care; the Council on Critical Cardiology; and the Stroke Council. Circulation. 2008;118: 2452-2483

Stub D, Bernard S, Duffy S. Post cardiac arrest syndrome. A review of therapeutic strategies. Circulation. 2011; 123:1428-1435 4.

Topjian A, de Caen A, Wainwright M, Abella B, Abend N, Atkins D, Bembea M, Fink E, Guerguerian AM, Haskell S, Kilgannon JH, Lasa J, Hazisnki MF. On Behalf of the AHA Emergency Cardiovascular Care Pediatric Emphasis Group. Pediatric Post-Cardiac Arrest Care. Circulation 2019; 140: e194-e233.

Maconochie I, Aickin R, Hazinski M, et al on behalf of the Pediatric Life Support Collaborators. 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with tretment Recomendations. Circulation 2020; 142 (suppl1): S140-S184

Kilgannon JH, Jones AE, Shapiro NI, Angelos MG, Milcarek B, Hunter K, Parrillo JE, Trzeciak S; Emergency Mediciene Shock Research Network (EMSShockNet) Investigators. Association between arterial hiperoxia following resuscitation from cardiac arrest and in-hospital mortality. JAMA 2010; 303:2165-2171. doi: 10.1001/jama.2010.707.

Kilgannon JH, Jones AE, Parrillo JE, Dellinger RP, Milcarek B, Hunter K, Shapiro NI, Trzeciak S; Emergency Mediciene Shock Research Network (EMSShockNet) Investigators. Relationship between supranormal oxygen tension and outcome after resuscitation from cardiac arrest. Circulation 2011; 123:2717-2722. doi: 10,1161/CIRCULATIONAHA. 110,001016.

Ferguson LP, Durward A, Tibby SM. Relashionship between arterial partial oxygen pressure and mortality in children. Circulation. 2012;126: 335-342.doi: 10,1161/CIRCULATIONAHA.111.085100.

Roberts BW, Kilgannon JH, Chansky ME, Mittal N, Wooden J, Trzeciak S. Association between postresuscitation parcial pressure of arterial carbon dioxide and neurological outcome in patients with post-cardiac arrest syndrome. Circulation. 2013; 127:2107-2113. doi:10.1161/ CIRCULATIONAHA,112,000168.

Lee BK, Jeung KW, Lee HY, Lee SJ, Jung YH, Lee WK, Heo T, Min YI. Association between mean arterial blood gas tension and outcome in cardiac arrest patients treated with therapeutic hypothermia. Am J Emerg Med. 2014; 32:55-60. doi: 1031016/j.ajem.2013.09,044.

Skippen P, Seear M, Poskitt K, Kestle J, Cochrane D, Annich G, Handel J. Effect of hyperventilation on regional cerebral blood flow in head-injured children. Crit Care Med. 1197; 25:1402-1409.

http://ilcor.org. Revisión sistemática ILCOR. Jan 2020

Bennett, Kimberly Statler; Clark, Amy E.; Meert, Kathleen L.; Topjian, Alexis A.; Schleien, Charles L.; Shaffner, Donald H.; Dean, J. Michael; Moler, Frank W.; Pediatric Emergency Care Medicine Applied Research, Network. Early oxygenation and ventilation measurements after pediatric cardiac arrest: lack of association with outcome. Critical care medicine 2013;41(6):1534-42 2013

Del Castillo, Jimena; Lopez-Herce, Jesus; Matamoros, Martha; Canadas, Sonia; Rodriguez-Calvo, Ana; Cechetti, Corrado; Rodriguez-

Nunez, Antonio; Alvarez, Angel Carrillo; Iberoamerican Pediatric Cardiac Arrest Study Network. Hyperoxia, hypocapnia and hypercapnia

as outcome factors after cardiac arrest in children. Resuscitation 2012;83(12):1456-61 2012

Ferguson, Lee P.; Durward, Andrew; Tibby, Shane M. Relationship between arterial partial oxygen pressure after resuscitation from cardiac arrest and mortality in children. Circulation 2012;126(3):335-42 2012.

Lopez-Herce, Jesus; del Castillo, Jimena; Matamoros, Martha; Canadas, Sonia; Rodriguez-Calvo, Ana; Cecchetti, Corrado; RodriguezNunez, Antonio; Carrillo, Angel; Iberoamerican Pediatric Cardiac Arrest Study Network. Post return of spontaneous circulation factors associated with mortality in pediatric in-hospital cardiac arrest: a prospective multicenter multinational observational study. Critical care (London, England) 2014;18(6):607 2014

Van Zellem, Lennart; de Jonge, Rogier; van Rosmalen, Joost; Reiss, Irwin; Tibboel, Dick; Buysse, Corinne. High cumulative oxygen levels are associated with improved survival of children treated with mild therapeutic hypothermia after cardiac arrest. Resuscitation 2015;90():150-7 2015

Moler FW, Donaldson AE, Meert K, et al. Multicenter cohort study of out of-hospital pediatric cardiac arrest. Crit Care Med 2011; 39:141–149.

Jayaram N, McNally B, Tang F, Chan PS. Survival after out-of-hospital cardiac arrest in children. J Am Heart Assoc 2015; 4: e002122.20. Girotra S, Spertus JA, Li Y, Berg RA, et al. Survival trends in pediatric in-hospital cardiac arrests: an analysis from Get With the Guidelines–

Resuscitation. Circ Cardiovasc Qual Outcomes 2013; 6: 42–49.

Berg RA, Nadkarni VM, Clark AE, et al. Incidence and outcomes of cardiopulmonary resuscitation in PICUs. Crit Care Med 2016; 44: 798–808.

Fink EL, Clark RSB, Kochanek PM. Hypoxic-Ischemic Encephalopathy: Pathobiology and Therapy of the Post-Resuscitation Syndrome in Children. En: Fuhrman y Zimmerman´s Pediatric Critical Care 4th. edition. Elsevier, Philadelphia, 2011, p. 871.

Manole MD, Kochanek PM, Fink EL, Clark RS. Postcardiac arrest syndrome: focus on the brain. Curr Opin Pediatr 2009; 21: 745– 750.

Topjian AA, de Caen A, Wainwright MS, et al. Pediatric Post–Cardiac Arrest Care A Scientific Statement From the American Heart Association. Circulation 2019; 140: e194–e233.

Holbrook P. [ed]: Critical Care Clinics, vol 4, Philadelphia, 1988, WB Saunders, p 661.Buunk G, van der Hoeven JG, Meinders AE. Cerebrovascular reactivity in comatose patients resuscitated from a cardiac arrest. Stroke 1997; 28: 1569–1573

Ferguson LP, Durward A, Tibby SM. Relationship between arterial partial oxygen pressure after resuscitation from cardiac arrest and mortality in children. Circulation 2012; 126: 335–342.

Del Castillo J, López-Herce J, Matamoros M, et al. Iberoamerican Pediatric Cardiac Arrest Study Network RIBEPCI. Hyperoxia, hypocapnia and hypercapnia as outcome factors after cardiac arrest in children. Resuscitation 2012; 83: 1456–1461.

Kuroda Y. Post-cardiac Arrest Syndrome (PCAS). En: K. Kinoshita (ed.), Neurocritical Care. Springer Nature Singapore Pte Ltd. 2019, p. 165. DOI: 10.1007/978-981-13-7272-8_13. https://eccguidelines. heart.org/circulation/cpr-ecc-guidelines/part-8-post-cardiac-arrestcare

Duff JP, Topjian AA, Berg MD, et al. 2019 American Heart Association Focused Update on Pediatric Advanced Life Support: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Pediatrics. 2020; 145: e20191361.

Kleinman ME, Chameides L, Schexnayder SM, et al. Part 14: pediatric advanced life support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2010; 122 (suppl 3): S876–S908.

Livesay S, Emergency Neurological Life Support Resuscitation Following Cardiac Arrest Protocol Version 4.0 Neurocritical Care Society, 2019.

Herman ST, Abend NS, Bleck TP, et al. Consensus statement on continuous EEG in critically ill adults and children, part II: personnel, technical specifications, and clinical practice. J Clin Neurophysiol 2015; 32: 96–108.

Nolan J. Resuscitation Council UK, Guidelines: Post-resuscitation Care. https://www.resus.org.uk/library/2015-resuscitationguidelines/guidelines-post-resuscitation-care

Utagawa A. Fluid Management for Neurocritical Care. En: K. Kinoshita (ed.), Neurocritical Care. Springer Nature Singapore Pte Ltd. 2019, p. 56. DOI: 10.1007/978-981-13-7272-8_13.

Ameloot K, Genbrugge G, Meex I, et al. Low hemoglobin levels are associated with lower cerebral saturations and poor outcome after cardiac arrest. Resuscitation 2015; 96: 280-6.

Kang Y, Management of post-cardiac arrest syndrome. Acute and Critical Care 2019; 34: 173-178.

Yunge M, Cordero J, Martinez D, et al. Effectiveness of Two Targeted Temperature Management Methods After Pediatric Postcardia Arrest: A Multicenter International Study. Pediatr Crit Care Med 2019; 20: e77–e82.

Maconochiea IK, Binghamb R, Eichc C, et al. European Resuscitation Council Guidelines for Resuscitation 2015, Section 6. Paediatric life support. Resuscitation 2015. DOI: 10.1016/j.resuscitation.2015.07.028.

Moler FW, Silverstein FS, Holubkov R, et al. Therapeutic Hypothermia after Out-of-Hospital Cardiac Arrest in Children. N Engl J Med 2015; 372: 1898-1908.

Moler FW, Silverstein FS, Holubkov R, et al. Therapeutic hypothermia after in-hospital cardiac arrest in children. N Engl J Med 2017; 376: 318–329.

De Caen AR, Berg MD, Chameides L, et al. Part 12: Pediatric Advanced Life Support 2015 American Heart Association Guidelines Update

for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015; 132 [suppl 2]: S526–S542.

Mandel R, Martinot A, Delepoulle F, et al. Prediction of outcome after hypoxic-ischemic encephalopathy: a prospective clinical and electrophysiologic study. J Pediatr 2002; 141: 45–50.

Kirschen MP, Topjian AA, Hammond R, et al. Neuroprognostication after pediatric cardiac arrest. Pediatr Neurol 2014; 51: 663–668. https://eccguidelines.heart.org/circulation/cpr-ecc-guidelines/part-8-postcardiac-arrest-care

Nolan J. Resuscitation Council UK, Guidelines: Post-resuscitation Care. https://www.resus.org.uk/library/2015-resuscitationguidelines/guidelines-post-resuscitation-care

Callaway CW, Donnino MW, Fink EL, et al. Part 8: Post–Cardiac Arrest Care 2015. American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015; 132 [suppl 1]: S465–S482.

Nolan JP, Soar J, Cariou A. European Resuscitation Council and European Society of Intensive Care Medicine Guidelines for PostResuscitation Care 2015. Section 5 of the European Resuscitation Council Guidelines for Resuscitation 2015. Resuscitation 2015; 95: 202– 222.

De Caen AR, Berg MD, Chameides L, et al. Part 12: pediatric advanced life support: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 2015; 132 (suppl 2): S526–S542.

Topjian AA, de Caen A, Wainwright MS, et al. Pediatric Post–Cardiac Arrest Care A Scientific Statement From the American Heart Association. Circulation 2019; 140: e194–e233.

Wijdicks EF, Hijdra A, Young GB, et al; Quality Standards Subcommittee of the American Academy of Neurology. Practice parameter:prediction of outcome in comatose survivors after cardiopulmonary resuscitation (an evidence-based review)

Dupont A, Biarent D. Le syndrome post-arret cardaaque chez l’enfant. Annales Francaices et de Réanimation 2013 ;32: e55-e59

Publicado

2021-08-30

Cómo citar

Yunge, M., Campos-Miño, S., & Alonso, B. (2021). Cuidados síndrome postparo. Metro Ciencia, 29((suppl 1), 49–63. https://doi.org/10.47464/MetroCiencia/vol29/supple1/2021/49-63

Número

Sección

Suplemento Consenso Latinoamericano de RCP (SLACIP)

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