Kaneko Ichiro
Kyoto Medical Center, National Hospital Organization.
Nihon Rinsho. 2011 Apr;69(4):623-9.
In cardiopulmonary cerebral resuscitation (CPCR), advanced cardiovascular life support(ACLS) is a part of "chain of survival" and effects on resuscitation outcome as the interventions which increase the likehood of ROSC and as the continuing step to the post -cardiac arrest care. In order to build effective ACLS intervention, quality of basic life support is essential throughout the resuscitation effort. Based on quality CPR, ACLS providers should optimize the outcome by the integrated strategy that is consist of appropriate "drug therapy", qualified"advanced airway management", and accurate "physiologic monitoring". In this article, ACLS in American Heart Association(AHA) 2010 guidelines was reviewed and key changes from the 2005 guidelines are extracted. Not only guideline itself but training designed on the valid recommendations of guidelines are important to achieve competency of ACLS teams and better outcome of resuscitation.
在心肺脑复苏（CPCR）中，高级心血管生命支持（ACLS）是“生存链”的一部分，作为增加自主循环恢复（ROSC）可能性的干预措施以及心脏骤停后护理的持续步骤，对复苏结果产生影响。为了建立有效的ACLS干预措施，在整个复苏过程中，基础生命支持的质量至关重要。基于高质量的心肺复苏（CPR），ACLS提供者应通过由适当的“药物治疗”、合格的“高级气道管理”和准确的“生理监测”组成的综合策略来优化结果。本文回顾了美国心脏协会（AHA）2010年指南中的ACLS，并提取了与2005年指南相比的关键变化。不仅指南本身，而且基于指南有效建议设计的培训对于实现ACLS团队的能力和更好的复苏结果都很重要。
