pediatrics-conference-2016_posters-accepted-abstracts

Volume 6, Issue 4(Suppl)

Pediat Therapeut 2016

ISSN: 2161-0665 Pediatrics, an open access journal

Page 62

Notes:

Pediatrics Conference 2016

September 14-16, 2016

conferenceseries

.com

European Pediatrics and

Pediatric Surgery

September 14-16, 2016 Amsterdam, Netherlands

Is cerebral oxygen saturation an effectivemethod to terminate or continue cardiopulmonary resuscitation

in pediatric patients?

Murat Duman, Aykut Caglar, Anil Er, Emel Ulusoy, Fatma Akgul, Hale Citlenbik

and

Durgul Yilmaz

Dokuz Eylul University, Turkey

Objective

: Near infrared spectroscopy (NIRS) is a new technology for monitoring of cardiopulmonary resuscitation (CPR). The use

of NIRS has advantages to monitoring cerebral oxygenation in the cardiac arrest patients. In this prospective study, the efficacy of the

NIRS device on the determination of ROSC or futility of CPR was investigated in pediatric out-of-hospital cardiac arrest patients in

the emergency department.

Methods

: All the out-of-hospital cardiac arrest patients who admitted to our pediatric emergency department were included in this

prospective study. All patients were monitored via NIRS besides standard monitoring during CPR. Cardiopulmonary resuscitation

was performed accordingly Pediatric Advanced Life Support 2010 guideline.

Results

: 10 patients were included to this study. The median (IQR) age of patients was 40.0 (14.0-88.2) months. Three (30%) of 10

patients had been achieved sustained ROSC. Abruptly increments in cerebral regional oxygen saturation (CrSO

) were observed in

all these three patients. Minimum values of the CrSO

were significantly higher and the percentages of the median times under the

30% of CrSO

were significantly lower in the ROSC group (p=0.02, p=0.02).

Conclusions

: Our study indicated that low CrSO

value can be a predictive factor for futility of CPR. Additionally, abruptly increment

of CrSO

during CPR can be an indicator for ROSC but on-going high level of CrSO

values should be maintain for sustained ROSC.

Murat Duman et al., Pediat Therapeut 2016, 6:4(Suppl)