脑复苏。护理干预措施。

Crit Care Nurs Clin North Am. 1989 Mar;1(1):155-64.

Critical care nurses who participate in brain resuscitation are constantly challenged to meet the dynamically changing demands of cerebral preservation therapy. New therapies are continuously being developed, experimentally tested, and clinically implemented. Calcium channel blockers, hemodilution, free radical scavengers, and ventriculosubarachnoid perfusion of oxygenated fluorocarbon emulsions are therapies that are currently on the horizon in the field of brain resuscitation. Familiarity with these therapies and a discriminating understanding of their physiologic effects is required by the critical care nurse who seeks to actively participate as a member of the brain resuscitation team. The informed critical care nurse who participates in postcardiac arrest cerebral preservation is best prepared to perform the roles of bedside caregiver, patient advocate, and family liaison. This dynamic, unfolding, and as yet unpredictable field of brain resuscitation presents great challenges, possibilities, and potential rewards for critical care nursing.

参与脑复苏的重症监护护士不断面临挑战，要满足脑保护治疗动态变化的需求。新的治疗方法不断被研发、进行实验测试并应用于临床。钙通道阻滞剂、血液稀释、自由基清除剂以及向脑室蛛网膜下腔灌注含氧氟碳乳剂等治疗方法目前正处于脑复苏领域的前沿。积极参与脑复苏团队的重症监护护士需要熟悉这些治疗方法，并对其生理效应有敏锐的理解。参与心脏骤停后脑保护的知识渊博的重症监护护士最有能力承担床边护理者、患者代言人及家属联络人的角色。这个动态发展、尚未可知的脑复苏领域给重症护理带来了巨大的挑战、可能性和潜在回报。