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SOME FACTORS RELATED TO OUTCOME OF PEDIATRIC CARDIOPULMONARY RESUSCITATION IN VIETNAM NATIONAL CHILDREN’S HOSPITAL
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Abstract
Cardiac arrest in children is an urgent emergency, has a high mortality rate, often leaves many sequelae and can lead to lifelong neurological sequelae. Although the development of medical science in general and emergency technology in particular has increasingly saved the lives of many pediatric patients, the death rate due to in-hospital cardiac arrest in infants and children is about 65%. In order to contribute to increasing the effectiveness of emergency treatment for pediatric patients and minimizing future neurological sequelae, the study was conducted. Objective: To identify some factors related to outcome of pediatric cardiopulmonary resuscitation (CPR) in Vietnam National Children’s Hospital. Methods: Cross-sectional descriptive study: prospective and retrospective. Results: The study on 203 patients qualified for the study found that: age < 1month, cardiovascular disease history, severe conditions before cardiac arrest such as mechanical ventilation, arrhythmia, abnormalities on echocardiography, severe metabolic acidosis and hypoxemia (pH < 7.0, lactat > 6.5 mmol/l và PaO2 < 60 mmHg). Coagulation disorders (PT < 70%, Fib < 1 g/l), hyperkalemia, duration of CPR and number of and number of vasopressors maintained after CPR. Conclusion: The results of pediatric emergency cardiac arrest are influenced by many factors, so it is necessary to treat and consider all related factors to contribute to increasing the effectiveness of emergency care for pediatric patients and minimizing the following neurological sequelae.
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References
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