Abstract
Introduction: Cardiac arrest predominantly observed in children younger than 1 year. About 60,000 children per year suffer from Cardiac arrest in united states. The aim of the present study is to know the magnitude and epidemiology of cardiopulmonary arrest & cardiopulmonary failure and outcome in existing pediatric intensive care units. Materials and Methods: All children were assessed according to PALS guidelines [8] for cardio pulmonary failure and cardio pulmonary arrest, which consist of general assessment, primary assessment, secondary assessment and tertiary assessment. Results: Children culminating into CPR an either progressing from respiratory failure (52.1%) (or) progressively worsening from shock (47.8%), and no direct cardiac event recorded. Mortality rate was observed in 18 (43.4%) CPF patients out of 23, even after Cardiopulmonary Resuscitation. Among 87 CPF and CPA patients, survival rate was observed in 18 patients (20.6%). Survival rate is nil in CPA patients. Majority of deaths were observed in <3 years of age group. Conclusion: Studies are needed in India to know the effectiveness of PALS courses in reviving the case of CPA/CPF and also to find out the lacunae in implementing PALS courses, so that they can be rectified and more number of children is given new life.
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