挽救生命的心脏骤停后干预措施。
Postarrest Interventions that Save Lives.
作者信息
Steinberg Alexis, Elmer Jonathan
机构信息
Department of Critical Care Medicine, University of Pittsburgh, 3550 Terrace Street, Pittsburgh, PA 15214, USA; Department of Neurology, University of Pittsburgh, Kauffman Building, 3471 Fifth Avenue, Suite 802, Pittsburgh, PA, 15213, USA.
Department of Critical Care Medicine, University of Pittsburgh, 3550 Terrace Street, Pittsburgh, PA 15214, USA; Department of Emergency Medicine, University of Pittsburgh, Iroquois Building, Suite 400A, 3600 Forbes Avenue, Pittsburgh, PA 15213, USA; Department of Neurology, University of Pittsburgh, Kauffman Building, 3471 Fifth Avenue, Suite 802, Pittsburgh, PA, 15213, USA.
出版信息
Emerg Med Clin North Am. 2020 Nov;38(4):771-782. doi: 10.1016/j.emc.2020.06.001. Epub 2020 Jul 21.
Patients resuscitated from cardiac arrest require complex management. An organized approach to early postarrest care can improve patient outcomes. Priorities include completing a focused diagnostic work-up to identify and reverse the inciting cause of arrest, stabilizing cardiorespiratory instability to prevent rearrest, minimizing secondary brain injury, evaluating the risk and benefits of transfer to a specialty care center, and avoiding early neurologic prognostication.
从心脏骤停中复苏的患者需要复杂的管理。对心脏骤停后早期护理采取有条理的方法可以改善患者的预后。优先事项包括完成重点诊断检查以识别并扭转引发骤停的原因、稳定心肺功能不稳定以防止再次骤停、将继发性脑损伤降至最低、评估转至专科护理中心的风险和益处，以及避免早期进行神经学预后评估。
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