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[最新的儿科复苏建议]

[The latest in paediatric resuscitation recommendations].

作者信息

López-Herce Jesús, Rodríguez Antonio, Carrillo Angel, de Lucas Nieves, Calvo Custodio, Civantos Eva, Suárez Eva, Pons Sara, Manrique Ignacio

机构信息

Servicio de Cuidados Intensivos Pediátricos, Hospital General Universitario Gregorio Marañón, Madrid, Instituto de investigación sanitaria, Hospital Gregorio Marañón, Facultad de Medicina, Universidad Complutense de Madrid, Grupo Español de Reanimación Cardiopulmonar Pediátrica y Neonatal, Red de Salud Maternoinfantil y del Desarrollo (RedSAMID). RETICS, ISCIII.

Área de Pediatría, Servicio de Críticos, Intermedios y Urgencias Pediátricas, Hospital Clínico Universitario de Santiago de Compostela, Grupo de Investigación CLINURSID, Departamento de Enfermería, Universidade de Santiago de Compostela, Instituto de Investigación de Santiago (IDIS). Red de Salud Maternoinfantil (SAMID II), RETICS, ISCIII.

出版信息

An Pediatr (Barc). 2017 Apr;86(4):229.e1-229.e9. doi: 10.1016/j.anpedi.2016.11.004. Epub 2017 Jan 18.

Abstract

Cardiac arrest has a high mortality in children. To improve the performance of cardiopulmonary resuscitation, it is essential to disseminate the international recommendations and the training of health professionals and the general population in resuscitation. This article summarises the 2015 European Paediatric Cardiopulmonary Resuscitation recommendations, which are based on a review of the advances in cardiopulmonary resuscitation and consensus in the science and treatment by the International Council on Resuscitation. The Spanish Paediatric Cardiopulmonary Resuscitation recommendations, developed by the Spanish Group of Paediatric and Neonatal Resuscitation, are an adaptation of the European recommendations, and will be used for training health professionals and the general population in resuscitation. This article highlights the main changes from the previous 2010 recommendations on prevention of cardiac arrest, the diagnosis of cardiac arrest, basic life support, advanced life support and post-resuscitation care, as well as reviewing the algorithms of treatment of basic life support, obstruction of the airway and advanced life support.

摘要

心脏骤停在儿童中死亡率很高。为提高心肺复苏的实施效果,传播国际建议以及对卫生专业人员和普通民众进行复苏培训至关重要。本文总结了2015年欧洲儿科心肺复苏建议,这些建议基于对心肺复苏进展的回顾以及国际复苏委员会在科学和治疗方面的共识。由西班牙儿科和新生儿复苏小组制定的西班牙儿科心肺复苏建议是对欧洲建议的改编,将用于培训卫生专业人员和普通民众进行复苏。本文重点介绍了与2010年之前关于心脏骤停预防、心脏骤停诊断、基础生命支持、高级生命支持和复苏后护理的建议相比的主要变化,同时还回顾了基础生命支持、气道梗阻和高级生命支持的治疗算法。

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