Zaritsky A
Circulation. 1986 Dec;74(6 Pt 2):IV124-8.
Cardiopulmonary resuscitation in children is not well studied; many of the current recommendations for advanced pediatric life support (APLS) are based on anecdotal experience rather than scientific study. The following are unique issues in APLS requiring a consensus decision: What are the best methods of vascular access and of drug delivery and dosages? What constitutes minimal paramedic training and equipment? There are also many shared controversies between APLS and ACLS, including the use of calcium, epinephrine vs isoproterenol, methoxamine, and bicarbonate. This article presents the scientific basis for these controversial issues and highlights areas where information is lacking. A discussion of these questions generated a consensus on some issues and hopefully will stimulate further study to answer the questions that were raised.
儿童心肺复苏术尚未得到充分研究；目前许多关于高级儿科生命支持（APLS）的建议是基于轶事经验而非科学研究。APLS中存在以下需要达成共识的独特问题：最佳的血管通路方法、药物递送和剂量是什么？最低限度的护理人员培训和设备是什么？APLS和高级心血管生命支持（ACLS）之间也存在许多共同的争议，包括钙的使用、肾上腺素与异丙肾上腺素、甲氧明和碳酸氢盐的比较。本文阐述了这些有争议问题的科学依据，并突出了信息匮乏的领域。对这些问题的讨论就一些问题达成了共识，有望激发进一步的研究以回答所提出的问题。
