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心脏骤停时的床旁超声检查(POCUS-CA):叙述性综述文章。

Point-of-care ultrasound in cardiorespiratory arrest (POCUS-CA): narrative review article.

作者信息

Ávila-Reyes Diana, Acevedo-Cardona Andrés O, Gómez-González José F, Echeverry-Piedrahita David R, Aguirre-Flórez Mateo, Giraldo-Diaconeasa Adrian

机构信息

Department of Critical Care Medicine, Universidad Tecnológica de Pereira, Grupo de Investigación Medicina Crítica Y Cuidados Intensivos (GIMCCI), Pereira, Colombia.

Department of Critical Care Medicine, Universidad Tecnológica de Pereira,, Pereira, Colombia.

出版信息

Ultrasound J. 2021 Dec 2;13(1):46. doi: 10.1186/s13089-021-00248-0.

Abstract

The POCUS-CA (Point-of-care ultrasound in cardiac arrest) is a diagnostic tool in the Intensive Care Unit and Emergency Department setting. The literature indicates that in the patient in a cardiorespiratory arrest it can provide information of the etiology of the arrest in patients with non-defibrillable rhythms, assess the quality of compressions during cardiopulmonary resuscitation (CPR), and define prognosis of survival according to specific findings and, thus, assist the clinician in decision-making during resuscitation. This narrative review of the literature aims to expose the usefulness of ultrasound in the setting of cardiorespiratory arrest as a tool that allows making a rapid diagnosis and making decisions about reversible causes of this entity. More studies are needed to support the evidence to make ultrasound part of the resuscitation algorithms. Teamwork during cardiopulmonary resuscitation and the inclusion of ultrasound in a multidisciplinary approach is important to achieve a favorable clinical outcome.

摘要

床旁心脏骤停超声检查(POCUS-CA)是重症监护病房和急诊科使用的一种诊断工具。文献表明,对于心肺骤停患者,它可以为非除颤心律患者的骤停病因提供信息,评估心肺复苏(CPR)期间的按压质量,并根据特定发现确定生存预后,从而协助临床医生在复苏过程中做出决策。本文献综述旨在揭示超声在心肺骤停情况下作为一种能够快速诊断并对该病症可逆病因做出决策的工具的有用性。需要更多研究来支持相关证据,以使超声成为复苏算法的一部分。心肺复苏期间的团队合作以及将超声纳入多学科方法对于取得良好的临床结果很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd95/8639882/3aaa60151fd9/13089_2021_248_Fig1_HTML.jpg

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