• Jesús López-Herce, Enma Almonte, Manuel Alvarado, Norma Beatriz Bogado, Mariana Cyunel, Raffo Escalante, Christiane Finardi, Gustavo Guzmán, Juan C Jaramillo-Bustamante, Claudia C Madrid, Martha Matamoros, Luis Augusto Moya, Grania Obando, Gaspar Reboredo, Lissette R López, Christian Scheu, Alejandro Valenzuela, Rocío Yerovi, and Adriana Yock-Corrales.
• Servicio de Cuidados Intensivos Pediátricos, Hospital General Universitario Gregorio Marañón de Madrid, Instituto de Investigación Sanitaria del Hospital Gregorio Marañón Facultad de Medicina, Universidad Complutense de Madrid, Madrid, Spain.
• Pediatr Crit Care Me. 2018 Mar 1; 19 (3): e152-e156.

ObjectivesTo 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.DesignExpert consensus recommendations with Delphi methodology.SettingLatin American countries.SubjectsExperts in pediatric cardiopulmonary resuscitation from 19 Latin American countries.InterventionsDelphi methodology for expert consensus.Measurements And Main ResultsThe 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.ConclusionsThis 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.

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