53. Improved outcome of cardio-pulmonary arrest in post-operative cardiac children resuscitated in critical care setup

Abstract

Outcome of cardio-pulmonary resuscitation in post-operative cardiac children in ICU setup has changed markedly in the last 20 years. The purpose of the study is to look for the current causes, practice and outcome of CPR in post-operative children within PCICU setup. Methods: we conducted retrospective review study of all children who had cardio pulmonary arrest (CPA) after cardiac surgery in PCICU of KAMC during 2012–2013. We looked for the causes, circumstances, duration of resuscitation and time to return of spontaneous circulation (ROSC) after arrest and outcome. Results: During this study, of the 758 post-operative children admitted to the PCICU. 15 patients (2%) had 19 episodes of Cardio-Pulmonary Arrests. 9/19 (47%) arrests were due to arrhythmia. The age of the patients ranged from 15 day to 14 years (median of 10 months). Cardiac arrest occurred during procedure in 5 cases (26%). One Patient (7%) had open cardiac message. Median arrests time occurred on the 5th post-operative days. Of the 19 arrests episodes in 15 patients 16/19 (84%) were successfully resuscitated to ROSC and 12/15 patients (80%) survived to discharge from hospital with average follow up of 5.8 ± 1.25 months. Conclusions: The current outcome of cardio-pulmonary arrest in post-operative cardiac children has improved. Majority of cardiac arrest were successfully resuscitated with ROSC and 80% survived to discharge. The current result reflects significant improvement in the reported outcome of children who had cardio-pulmonary arrest in post-operative cardiac children in PCICU setup.