自动体外除颤器在复苏中的应用：其作用不止于电击。
The AED in resuscitation: it's not just about the shock.
作者信息
Page Richard L
机构信息
University of Wisconsin School of Medicine and Public Health, Suite 5000, 1685 Highland Ave., Madison, WI 53705-2281, USA.
出版信息
Trans Am Clin Climatol Assoc. 2011;122:347-55.
Abstract
The automated external defibrillator (AED), in combination with effective cardiopulmonary resuscitation (CPR), is a critical part of the American Heart Association's "Chain of survival." Newer guidelines have simplified resuscitation and emphasized the importance of CPR in providing rapid and deep compressions with minimal interruptions; in fact, CPR should resume immediately after the shock given by the AED, without the delay entailed in checking for pulse or rhythm conversion. Our experience with the AED aboard aircraft, showing 40% long-term survival with the AED in ventricular fibrillation, demonstrated the safety and efficacy of the device. Despite this and other reports of successful AED deployment, AEDs are not yet available at all public locations. Prospective research, as undertaken by the Resuscitation Outcomes Consortium, will be the key to future refinements of the guidelines and enhanced survival with use of the AED in sudden cardiac arrest.
摘要
自动体外除颤器（AED）与有效的心肺复苏术（CPR）相结合，是美国心脏协会“生存链”的关键组成部分。更新后的指南简化了复苏流程，并强调了CPR的重要性，即要进行快速、深度的按压且尽量减少中断；事实上，在AED电击后应立即恢复CPR，无需耽搁时间去检查脉搏或心律是否恢复。我们在飞机上使用AED的经验表明，对于心室颤动患者，使用AED后的长期生存率为40%，这证明了该设备的安全性和有效性。尽管有此及其他关于成功部署AED的报告，但并非所有公共场所都配备了AED。复苏结果联盟所开展的前瞻性研究，将是未来完善指南以及提高心脏骤停患者使用AED后的生存率的关键。
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