1. Predictors of cardio pulmonary resuscitation outcome in post-operative cardiac children

Abstract

Outcome of cardiopulmonary resuscitation (CPR) in children with congenital heart disease has improved and many children survived after in hospital cardiac arrestthe purpose of this study is to determine predictor of poor outcome after CPR in critical children undergoing cardiac surgerywe conducted a retrospective chart review and data analysis of all CPR records and charts of all postoperative cardiac children who had cardiac arrest and required resuscitation from 2012 till 2015. Demographic, pre-operative data were reviewed and analyzed during study period 18 post-operative pediatric cardiac patients had CPR. Nine of them had return of spontaneous circulation (ROSC) and survived (50%). On average CPR was required on the 3rd postoperative day. Univariate analysis demonstrated that poor outcome was associated with higher lactic acid measured 4–6 h prior to arrest (P = 0.045) (P = 0.02) coupled with higher heart rate (P = 0.031), lower O2 saturation (P = 0.01) and lower core body temperature (P = 0.019) record 6 h before arrest. Non-survival required longer resuscitation duration and more epinephrine doses (P < 0.05) higher heart rate, lower core body temperature , lower O2 saturation and higher lactic acid measured 6 h before arrest are possible predictors of poorer outcome and mortality following CPR in post-operative cardiac children.