Department of Emergency Medicine, Singapore General Hospital, Outram Road, Singapore 169608.
Singapore Med J. 2011 Aug;52(8):548-55; quiz 556.
The main emphasis in the Advanced Cardiac Life Support (ACLS) guidelines are in the areas of good quality chest compressions, ensuring normoventilation, removal of atropine from the cardiac arrest algorithm, removal of the use of the endotracheal route for drug administration, and renewed focus on the care provided after return of spontaneous circulation. In addition, the need for monitoring of quality of the various care procedures is emphasised. While the various ACLS procedures are being carried out, there is a need to minimise interruptions to chest compressions for maintenance of coronary perfusion pressures. In addition, the resuscitation team needs to continually look out for reversible causes of the cardiac arrest.
高级心血管生命支持（ACLS）指南的重点主要在于高质量的胸外按压、确保正常通气、从心脏骤停算法中去除阿托品、去除经气管内给药的使用途径，以及重新关注自主循环恢复后的护理。此外，还强调了需要监测各种护理程序的质量。在进行各种 ACLS 程序的同时，需要尽量减少中断胸外按压以维持冠状动脉灌注压。此外，复苏团队需要不断寻找心脏骤停的可逆原因。
