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欧洲复苏理事会和欧洲危重病医学会 2015 年后复苏护理指南。

European Resuscitation Council and European Society of Intensive Care Medicine 2015 guidelines for post-resuscitation care.

出版信息

Intensive Care Med. 2015 Dec;41(12):2039-56. doi: 10.1007/s00134-015-4051-3.

Abstract

The European Resuscitation Council and the European Society of Intensive Care Medicine have collaborated to produce these post-resuscitation care guidelines, which are based on the 2015 International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations. Recent changes in post-resuscitation care include: (a) greater emphasis on the need for urgent coronary catheterisation and percutaneous coronary intervention following out-of-hospital cardiac arrest of likely cardiac cause; (b) targeted temperature management remains important but there is now an option to target a temperature of 36 °C instead of the previously recommended 32-34 °C; (c) prognostication is now undertaken using a multimodal strategy and there is emphasis on allowing sufficient time for neurological recovery and to enable sedatives to be cleared; (d) increased emphasis on rehabilitation after survival from a cardiac arrest.

摘要

欧洲复苏理事会和欧洲危重病医学会合作制定了这些复苏后护理指南,这些指南基于 2015 年心肺复苏科学与治疗建议的国际共识。复苏后护理的最新变化包括:(a) 更加重视对可能由心脏原因引起的院外心脏骤停患者进行紧急冠状动脉造影和经皮冠状动脉介入治疗;(b) 目标温度管理仍然很重要,但现在可以选择目标温度为 36°C,而不是以前推荐的 32-34°C;(c) 现在使用多模态策略进行预后判断,并强调要为神经恢复留出足够的时间,并使镇静剂得以清除;(d) 更加重视心脏骤停存活后的康复。

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