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de_Caen.qxd 1/13/2006 2:55 PM Page 11 EDITORIAL A summary of the changes in paediatric and neonatal resuscitation guidelines from the International Liaison Committee on Resuscitation document 1 2 Allan de Caen MD FRCPC , Nalini Singhal MD FRCPC he International Liaison Committee on Resuscitation standard-dose adrenaline (0.01 mg/kg). A recent large Tpublished its first evidence-based medicine analysis of prospective randomized controlled trial (6) showed resuscitation science in 2000 (1). The translation of science that children in CPA who received high-dose into resuscitation guidelines has been done by resuscitation intravenous adrenaline showed no survival benefit. councils from different countries. Since the release of the Additionally, post hoc analysis suggested increased guidelines in 2000, the Heart and Stroke Foundation of neurological morbidity in those survivors of asphyxial Canada has participated as one of the council members CPA who had been treated with high-dose adrenaline. within the International Liaison Committee on There is a clear need to de-emphasize the role for high- Resuscitation and partnered with the American Heart dose adrenaline in resuscitation. Association to generate guidelines that are relevant to • Literature examining vasopressin’s use in the North America. Progress in resuscitation science has led to resuscitation of paediatric CPA is
Paediatrics & Child Health – Oxford University Press
Published: Jan 1, 2006
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