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Intensive Care Medicine

, Volume 18, Issue 2, pp 109–111 | Cite as

Cardiopulmonary resuscitation in paediatric intensive care patients

  • A. P. Bos
  • A. Polman
  • E. van der Voort
  • D. Tibboel
Originals

Abstract

To identify the success of cardiopulmonary resuscitation in the paediatric ICU patient we undertook a retrospective study in an 11-bed medical and a 14-bed surgical paediatric ICU over a 32-month period. Thirtyfour patients suffered an arrest in the ICU. Only 4 patients could be resuscitated successfully; 1 died after 24 h. Of the 3 long-term survivors 1 suffered from severe neurologic sequelae. All patients were in CCS classes III or IV. All but 3 patients had PSI scores >8. The decision to resuscitate or to withhold therapy in individual patients who are deteriorating in the course of a critical, preceding illness should not be based on the risk index of these scoring systems. Both medical and ethical considerations should be guidelines in the process of decision-making.

Key words

Cardiopulmonary resuscitation Intensive care Paediatrics 

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Copyright information

© Springer-Verlag 1992

Authors and Affiliations

  • A. P. Bos
    • 1
    • 3
  • A. Polman
    • 1
  • E. van der Voort
    • 2
  • D. Tibboel
    • 1
  1. 1.Department of Paediatric Surgery, Sophia Children's HospitalErasmus University Medical SchoolRotterdamThe Netherlands
  2. 2.Department of Paediatrics, Sophia Children's HospitalErasmus University Medical SchoolRotterdamThe Netherlands
  3. 3.Paediatric Surgical Intensive Care UnitSophia Children's HospitalRotterdamThe Netherlands

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