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Association of duration of hypotension with survival after pediatric cardiac arrest

Pediatric Critical Care Medicine Feb 13, 2020

Laverriere EK, et al. - Researchers undertook this retrospective cohort analysis to assess the link of a single episode of hypotension and burden of hypotension with survival to hospital discharge after resuscitation from pediatric cardiac arrest. This inquiry was performed in a single-center PICU, and experts investigated patients between 1 day and 18 years old who experienced a cardiac arrest, were managed with chest compressions for more than 2 minutes, had return of spontaneous circulation for more than 20 minutes, and were given post-resuscitation care in the ICU. There were 116 patients who were evaluable. Findings revealed a common occurrence of systolic hypotension (55%) following successful resuscitation from pediatric cardiac arrest. Significantly reduced discharge survival was observed in correlation with a higher burden of postresuscitation hypotension within the first 72 hours of ICU postresuscitation care, after accounting for potential confounders including the number of doses of epinephrine, arrest location, and arrest etiology because of airway obstruction or trauma.
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