Guidelines for CPR in Dogs & Cats

The Reassessment Campaign on Veterinary Resuscitation (RECOVER) initiative was designed to develop a set of clinical guidelines for cardiopulmonary resuscitation (CPR) in dogs and cats. An extensive review was conducted, and questions in 5 domains were evaluated: preparedness and prevention, basic life support, advanced life support, monitoring, and postcardiac arrest care. An organized, efficient response is necessary for a good outcome. The location, storage, and content of resuscitation equipment should be standardized and regularly audited. Personnel should also be trained and adhere to CPR guidelines with refresher courses and periodic performance assessments. Clinical guidelines from this study were developed, reviewed, and published. An algorithm of CPR, CPR drug dosing chart, and postarrest algorithm are also available.

CommentaryMany veterinarians are disappointed by overall outcomes with CPR; however, the onus is on members of the profession to provide the best possible care. The RECOVER project will likely have some measurable impact for our patients—not only have we identified many ideal aspects of CPR that can be easily employed (to maximize outcomes), but we have also identified knowledge gaps so further research can be focused to answer specific questions. As a Diplomate of ACVECC and a contributor to the RECOVER project, I am proud of my colleagues’ work to create and carry out such a project; this information will further contribute to our profession.—Andrew Linklater, DVM, DACVECC

SourceRECOVER evidence and knowledge gap analysis on veterinary CPR. Part 7: Clinical guidelines. Fletcher DJ, Boller M, Brainard BM, et al. JVECC 22:s102-s131, 2012.