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小儿心肺复苏:指南的近期变化

Paediatric cardiopulmonary resuscitation: recent changes to guidelines.

作者信息

Tibballs James

机构信息

Intensive Care Unit, Royal Children's Hospital, Parkville, Melbourne, Victoria, Australia.

出版信息

J Paediatr Child Health. 2008 Jan;44(1-2):67-9. doi: 10.1111/j.1440-1754.2007.01257.x.

DOI:10.1111/j.1440-1754.2007.01257.x
PMID:18086040
Abstract

Recommended cardiopulmonary resuscitation guidelines for infants and children by health-care personnel have been updated following an extensive review of the science of resuscitation. Notable changes include a change to a single chest compression-to-ventilation ratio of 15:2, a single DC shock (2 J/kg) strategy for shockable rhythms followed by immediate uninterrupted cardiopulmonary resuscitation for 2 min, use of amiodarone (5 mg/kg) for DC-shock resistant rhythms, the routine use of carbon dioxide detection to confirm correct endotracheal tube placement and the use of therapeutic hypothermia if the victim fails to resume consciousness after resuscitation.

摘要

在对复苏科学进行广泛审查之后,医护人员针对婴儿和儿童的心肺复苏指南已得到更新。显著变化包括:将胸外按压与通气的比例改为单一的15:2;对于可电击心律采用单次直流电除颤(2 J/kg)策略,随后立即进行2分钟不间断的心肺复苏;对于直流电除颤抵抗性心律使用胺碘酮(5 mg/kg);常规使用二氧化碳检测来确认气管内导管的正确放置位置;以及如果受害者在复苏后未能恢复意识则使用治疗性低温。

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