Attin Mina, Tucker Rebecca G, Carey Mary G
University of Rochester School of Nursing, 601 Elmwood Avenue, BOX SON, Rochester, NY 14642, USA.
University of Rochester School of Nursing, 601 Elmwood Avenue, BOX SON, Rochester, NY 14642, USA.
Crit Care Nurs Clin North Am. 2016 Sep;28(3):387-97. doi: 10.1016/j.cnc.2016.04.010. Epub 2016 Jul 2.
Nonshockable rhythms, including pulseless electrical activity (PEA) and asystole, precede more than 70% of in-hospital cardiac arrests (I-HCA). Compared with shockable rhythms (ventricular fibrillation and ventricular tachycardia), nonshockable rhythms have higher mortality and morbidity. Therefore, investigating the underlying mechanisms of these arrhythmias to improve the quality of care and outcome for patients who suffer cardiac arrest is a priority. As the first responders to I-HCA, nurses must have the proper knowledge and training to provide timely and efficient cardiopulmonary resuscitation therapy. This article provides an overview of nonshockable cardiac arrhythmias preceding I-HCA as a means of addressing the gap between science and clinical practice.
非可电击心律，包括无脉电活动（PEA）和心搏停止，在超过70%的院内心脏骤停（I-HCA）之前出现。与可电击心律（心室颤动和室性心动过速）相比，非可电击心律具有更高的死亡率和发病率。因此，研究这些心律失常的潜在机制以提高心脏骤停患者的护理质量和预后是当务之急。作为I-HCA的第一反应者，护士必须具备适当的知识和培训，以提供及时有效的心肺复苏治疗。本文概述了I-HCA之前的非可电击性心律失常，以弥补科学与临床实践之间的差距。
