*Department of Emergency Medicine,Rush University Medical Center,Chicago,IL.
CJEM. 2018 Oct;20(S2):S9-S13. doi: 10.1017/cem.2016.409. Epub 2017 Jan 10.
Post-cardiac arrest hypotension is associated with worse outcomes. However, a significant proportion of patients may not be responsive to intravenous (IV) fluids, and vasopressor infusions require significant time to initiate. This case series describes the successful use of a bolus dose of epinephrine to rapidly treat IV fluid refractory hypotension among three patients in the post-arrest period. A bolus dose of epinephrine may be considered as a treatment for post-arrest hypotension that does not respond to IV fluids, but further studies should be performed prior to routine use.
心搏骤停后低血压与预后不良相关。然而，相当一部分患者可能对静脉（IV）输液无反应，而血管加压素输注需要相当长的时间才能开始。本病例系列描述了在复苏后期间，3 名患者中使用肾上腺素推注剂量成功治疗 IV 液体难治性低血压的情况。对于对 IV 液体无反应的心搏骤停后低血压，可考虑使用肾上腺素推注剂量作为治疗方法，但在常规使用之前应进行进一步研究。
