Pediatric Cardiology and Cardiac Surgery
Vol.25 No.6 2009 (766-774)

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Takashi Hishitani

Department of Cardiology, Saitama Children’s Medical Center, Saitama, Japan


A Great amount of evidence has been accumulated since the original forms of cardiopulmonary resuscitation was established in the mid-20th century. International guidelines for cardiopulmonary resuscitation (CPR) and emergency cardiovascular care (ECC) are currently issued every 5 years. Future tasks proposed by committee of pediatric resuscitation are as follows: (1) accurate makers of cardiopulmonary arrest, (2) better resuscitation protocols, (3) an ideal compression-ventilation ratio, (4) assessment of the quality of CPR, (5) better fixation methods for tracheal tubes, (6) clinical data for automated external defibrillator (AED), (7) clinical data for laryngeal mask use, (8) merits and demerits of oxygen use during CPR, (9) clinical data for antiarrhythmic drugs and inotropic agents, (10) therapeutic hypothermia, (11) better methods for identification of myocardial injury after cardiopulmonary arrest, (12) usage of anti-fibrolytic agents and anticoagulant agents during CPR, (13) new methods for the assessment of tissue perfusion, and (14) markers of the prognosis after cardiopulmonary arrest. These categories, in addition to the indication of the usage of sodium bicarbonate are future tasks. International Congress of International Liaison Committee on Resuscitation (ILCOR) was held in March 2009 for the first time in Japan. In Consensus 2010, the generalization and universalization of CPR methods will be advanced, and the new methods of CPR derived from previous worldwide evidence will be proposed. It is time for Japan to play a role as a member of ILCOR.