Background: Cardiac arrest can be described as the absence of central pulses, unresponsiveness, and apnea as clinical manifestations indicating the termination of functional mechanical heart activity. There is no way to tell for sure how common out-of-hospital cardiac arrests happen in children, but the estimated rate is 9 for every 100,000 person/years. Whereas, the rate in intensive care units is 0.94 for every 100 admissions. In order to maintain optimal blood pressure, cardiac output and systemic perfusion, fluids and vasoactive, inotropic and inodilator medications should be titrated as needed, such as norepinephrine, dobutamine and milrinone. Even while mechanical circulatory support helps patients who aren't going into cardiac arrest, it hasn't been linked to better clinical outcomes, and it's not suggested whether it can be used routinely in patients who have already gone into cardiac arrest.
Objective: Survival in pediatric critical care units after cardiac arrest is little understood, making it imperative that additional research should be conducted in this area in order to better the treatment given to those who have experienced a cardiac arrest. Methods: The databases were searched for articles published in English in 3 data bases PubMed, Google scholar and science direct as well as Boolean operators (AND, OR, NOT) had been used such as survival rate in pediatric ICU and cardiac arrest OR cardiopulmonary resuscitation (CPR) in pediatric and in peer-reviewed articles between April 2009 and June 2021.
Conclusion: The survival rates of infants and young children are higher than those of older children, and this variation in survival is mediated by the varying rates of bystander CPR or automated external defibrillators (AED) use. Children with Out-of-Hospital cardiac arrest had a better survival rate.