2010CPR指南发布-从ABC到CAB

华西小卒 · 发表于 2010-10-19 16:10:56

本帖最后由华西小卒于 2010-10-19 16:14 编辑

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转自丁香园 somnolent战友翻译
2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care 的最新CPR指南已经发表在Circulation上面
新指南将以前一直沿用的ABC(Airway-Breathing-Compressions) ，调整为CAB（Compressions-Airway-Breathing) ！！

原文链节：http://circ.ahajournals.org/content/vol122/18_suppl_3/

有两个部份与开刀房内与ICU复苏相关性较高的，应该提早学习！新增的部份，与目前我们在开刀房内心肺复苏做的部份已经很接近了，如capnography的使用与应用，CVP 与 A-LINE常规置放等！

Part8:Adult Advanced Cardiovascular Life Support

part9ost–Cardiac Arrest Care

Part 8: 更新的部份：

1.Continuous quantitative waveform capnography is recommended for confirmation and monitoring of endotracheal tube placement.
建议持续定量的呼末二氧化碳波形监测，以确认及监视气管内管正确置放位置。

2.Cardiac arrest algorithms are simplified and redesigned to emphasize the importance of high-quality CPR (including chest compressions of adequate rate and depth, allowing complete chest recoil after each compression, minimizing interruptions in chest compressions and avoiding excessive ventilation).
简化及重新设计心脏停止处理流程图，强调高效能的心肺复苏，包括适当按压速率及深度胸廓按摩，允许每次按压後完全的胸廓回弹，最大程度减少胸廓按压的中断，以及不要过度换气。

3.Atropine is no longer recommended for routine use in the management of pulseless electrical activity (PEA)/asystole.
阿托品不再建议常规使用於心停与无脉性电器活性。

4.There is an increased emphasis on physiologic monitoring to optimize CPR quality and detect ROSC.
增强生命徵象监视的力道，以优化心肺复苏的品质与侦察自主循环的恢复。

5.Chronotropic drug infusions are recommended as an alternative to pacing in symptomatic and unstable bradycardia.
有异常症状与不稳定生命徵象的心缓，增快心率的药物输注可以为起博的第二选择。

6.Adenosine is recommended as a safe and potentially effective therapy in the initial management of stable undifferentiated regular monomorphic wide-complex tachycardia.
腺甘酸可以建议使用於稳定生命徵象，未辨识出的单形宽QRS波的快速心率的初始治疗。

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