■儿科心脏骤停结果,尤其是对婴儿来说,保持贫穷。由于培训的不同,资源差异,和历史原因,不同亚洲国家的儿科心脏骤停算法各不相同。虽然亚洲复苏委员会(RCA)为成年人提供了一种通用的基本生命支持算法,目前尚无常用的儿科生命支持RCA算法.我们旨在审查来自不同亚洲复苏委员会的已发布的儿科生命支持指南。
■从2015年1月至2023年6月,对已发布的儿科基本和高级生命支持指南进行了Pubmed和GoogleScholar搜索。从2022年9月至2023年6月,寻求并联系了亚洲复苏委员会的儿科代表,以提供意见。
■虽然亚洲国家已发布的儿科生命支持算法的大多数组成部分相似,在18岁以下的儿科人群中,推荐使用成人基本生命支持算法的年龄标准存在显著差异,建议儿科胸部按压深度目标,提前气道内阻滞后的通气率,以及小儿心脏骤停时可电击节律的首次除颤剂量。
■这是对已发表的亚洲儿科复苏算法的概述和映射。它强调了亚洲国家儿科生命支持指南的相似性。儿科生命支持的组成部分存在一些差异,这突显了儿科复苏科学中的重要知识空白。成员理事会认可的儿科生命支持指南中的微小差异可能为优先考虑复苏研究提供了一个框架,并突出了儿科复苏方面的知识差距。
UNASSIGNED: Paediatric cardiac arrest outcomes, especially for infants, remain poor. Due to different training, resource differences, and historical reasons, paediatric cardiac arrest algorithms for various Asia countries vary. While there has been a common basic life support algorithm for adults by the Resuscitation Council of Asia (RCA), there is no common RCA algorithm for paediatric life support.We aimed to review published paediatric life support
guidelines from different Asian resuscitation councils.
UNASSIGNED: Pubmed and Google Scholar search were performed for published paediatric basic and advanced life support
guidelines from January 2015 to June 2023. Paediatric representatives from the Resuscitation Council of Asia were sought and contacted to provide input from September 2022 till June 2023.
UNASSIGNED: While most of the components of published paediatric life support algorithms of Asian countries are similar, there are notable variations in terms of age criteria for recommended use of adult basic life support algorithms in the paediatric population less than 18 years old, recommended paediatric chest compression depth targets, ventilation rates post-advanced airway intra-arrest, and first defibrillation dose for shockable rhythms in paediatric cardiac arrest.
UNASSIGNED: This was an overview and mapping of published Asian paediatric resuscitation algorithms. It highlights similarities across paediatric life support
guidelines in Asian countries. There were some differences in components of paediatric life support which highlight important knowledge gaps in paediatric resuscitation science. The minor differences in the paediatric life support
guidelines endorsed by the member councils may provide a framework for prioritising resuscitation research and highlight knowledge gaps in paediatric resuscitation.