Rahmani Shaghayegh, Mokhtari Amirmajdi Elham, Kolahi Ahari Rana, Farzaneh Roohie
Innovated Medical Research Center, Faculty of Medicine, Mashhad Branch, Islamic Azad University, Mashhad, Iran.
Department of Internal Medicine, Mashhad Branch, Islamic Azad University, Mashhad, Iran.
Arch Acad Emerg Med. 2022 May 26;10(1):e40. doi: 10.22037/aaem.v10i1.1583. eCollection 2022.
Although American Heart Association Guidelines (AHA) are practical and standardized in many aspects of cardiopulmonary resuscitation (CPR) performance, recommendations on when to terminate resuscitation are not fully understood and clear. There is not enough evidence about how long we can continue CPR in shockable rhythms and how many shocks can be delivered to patients, and if there is an end point for it or not. This issue is more challenging when we read papers published on survival rates and good functional and neurological outcomes after prolonged CPRs. Here, we demonstrate a case of cardiac arrest receiving CPR in the emergency room, for whom it was hard and challenging to make a decision on when to terminate the resuscitation attempts.
尽管美国心脏协会指南（AHA）在心肺复苏（CPR）操作的许多方面都很实用且标准化，但关于何时终止复苏的建议并未得到充分理解且不够明确。关于在可电击心律下我们能持续进行心肺复苏多长时间、可以对患者进行多少次电击以及是否存在终止点，目前尚无足够证据。当我们阅读关于长时间心肺复苏后生存率以及良好功能和神经学预后的论文时，这个问题更具挑战性。在此，我们展示了一例在急诊室接受心肺复苏的心脏骤停病例，对于该病例，决定何时终止复苏尝试既困难又具有挑战性。
