What's new in the 2026 pediatric cardiopulmonary resuscitation recommendations

Objectives: To adapt the 2025 international guidelines for pediatric cardiopulmonary resuscitation (CPR) for application in Spain. Methods: Critical analysis of the international CPR guidelines. Results: The most relevant changes in the basic life support guidelines are: simplification of the basic...

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Detalles Bibliográficos
Autores: Cid, JLH, del Castillo, J, Morales, SP, Martinez, IM, Barberán, VS, Núñez, AR, Lirio, ME
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2026
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:dnet:r-fisabio___::40601e171938b7af30f0136c2d2f55e6
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/20832
Access Level:acceso abierto
Palabra clave:Resuscitation
Pediatric resuscitation
Cardiac arrest
Basic life support
Advanced life support
Medical education
Descripción
Sumario:Objectives: To adapt the 2025 international guidelines for pediatric cardiopulmonary resuscitation (CPR) for application in Spain. Methods: Critical analysis of the international CPR guidelines. Results: The most relevant changes in the basic life support guidelines are: simplification of the basic life support steps, immediate notification to emergency services (112) with the phone on speakerphone, simultaneous assessment of breathing and other vital signs, and performing chest compressions in infants by wrapping both hands around the chest, both for CPR and for clearing a foreign body causing airway obstruction. The changes in advanced life support are: repeat the adrenaline dose every 4 minutes to coordinate it with the cycles of chest compressions and ventilation; place the defibrillation pads in an anteroposterior position in children weighing less than 25 kg or under 8 years of age; and aim for a diastolic blood pressure of at least 25 mmHg in infants and 30 mmHg in children during CPR. Conclusions: The changes in pediatric life support recommendations are aimed at facilitating learning and practical application. It is important that pediatric life support training in Spain follows the same recommendations, adapted to the characteristics of health care system and the needs of the trainees. The objective of the Spanish Pediatric and Neonatal Cardiopulmonary Resuscitation Group is to coordinate CPR training in Spain, with the active participation of all professionals, societies, and groups that care for children requiring CPR. (c) 2026 Asociacion Espanola de Pediatr & imath;a. Published by Elsevier Espana, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/ 4.0/).