Latin American Consensus for Pediatric Cardiopulmonary Resuscitation 2017: Latin American Pediatric Critical Care Society Pediatric Cardiopulmonary Resuscitation Committee.

OBJECTIVES: To develop a Latin American Consensus about Pediatric Cardiopulmonary Resuscitation. To clarify, reinforce, and adapt some specific recommendations for pediatric patients and to stimulate the implementation of these recommendations in clinical practice. DESIGN: Expert consensus recommendations with Delphi methodology. SETTING: Latin American countries. SUBJECTS: Experts in pediatric cardiopulmonary resuscitation from 19 Latin American countries. INTERVENTIONS: Delphi methodology for expert consensus. MEASUREMENTS AND MAIN RESULTS: The goal was to reach consensus with all the participating experts for every recommendation. An agreement of at least 80% of the participating experts had to exist in order to deliver a recommendation. Two Delphi voting rounds were sent out electronically. The experts were asked to score between 1 and 9 their level of agreement for each recommendation. The score was then classified into three groups: strong agreement (score 7-9), moderate agreement (score 4-6), and disagreement (score 1-3). Nineteen experts from 19 countries participated in both voting rounds and in the whole process of drafting the recommendations. Sixteen recommendations about organization of cardiopulmonary resuscitation, prevention, basic resuscitation, advanced resuscitation, and postresuscitation measures were approved. Ten of them had a consensus of 100%. Four of them were agreed by all the participants except one (94.7% consensus). One recommendation was agreed by all except two experts (89.4%), and finally, one was agreed by all except three experts (84.2%). All the recommendations reached a level of agreement. CONCLUSIONS: This consensus adapts 16 international recommendations to Latin America in order to improve the practice of cardiopulmonary resuscitation in children. Studies should be conducted to analyze the effectiveness of the implementation of these recommendations.

Procuración y trasplante de órganos y tejidos / Procurement and Transplantation of Organs and Tissues

Los avances de la medicina han hecho posible que el trasplante de órganos y tejidos sea una opción terapéutica para la curación de algunas patologías, y mejora de la calidad de vida en otras. Por cada donante de órganos se pueden realizar siete trasplantes de órganos sólidos y varios más de tejidos. La actividad trasplantológica en nuestro país está regulada por el Instituto Nacional Central Único de Ablación e Implante (INCUCAI) y sus organismos provinciales, coordinados bajo el Programa Nacional de Procuración. Existen además otros programas que organizan, promueven y educan al personal de salud en el seguimiento de pacientes críticos, detección de potenciales donantes y guían el proceso de donación-trasplante. Estos programas son el Programa Federal de Procuración de Órganos y Tejidos, con el Subprograma de Garantía de Calidad (Glasgow 7) y el Programa Nacional de Atención Integrada del Paciente Crítico y Potencial Donante. El Coordinador Hospitalario tiene un rol clave en todo el proceso de donación-trasplante, así como también en la educación del personal sanitario. El Hospital de Niños Ricardo Gutiérrez es uno de los hospitales de Municipalidad que cuenta con esta figura. Desde el año pasado se modificó la Ley que rige para todo el país, y como personal sanitario es importante conocerla y entenderla para poder trabajar en conjunto en pos del beneficio del paciente

The advances of medicine have made it possible for organ and tissue transplants to be a therapeutic option for the cure of some pathologies, and to improve the quality of life in others. Seven organ transplants and several more tissues can be performed for each organ donor. Transplantology activity in our country is regulated by the National Central Single Ablation and Implant Institute (INCUCAI) and its provincial agencies, coordinated under the National Procurement Program. There are also other programs that organize, promote and educate health personnel in the follow-up of critical patients, detection of potential donors and guide the donation-transplant process. These programs are the Federal Program for Procurement of Organs and Tissues, with the Subprogram of Quality Assurance (Glasgow 7) and the National Program of Integrated Care of Critical Patients and Potential Donors. The Hospital Coordinator plays a key role in the entire donation-transplant process, as well as in the education of health personnel. The Hospital of Children Ricardo Gutiérrez is one of the hospitals of the Municipality that has this figure. Since last year, the Law that governs the entire country has been modified, and as health personnel it is important to know and understand it in order to work together to benefit the patient