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重燃希望:儿童心脏骤停后儿科重症监护病房复苏后护理的综合综述

Reviving Hope: A Comprehensive Review of Post-resuscitation Care in Pediatric ICUs After Cardiac Arrest.

作者信息

K Sri Sita Naga Sai Priya, Taksande Amar, Meshram Revat J

机构信息

Pediatrics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2023 Dec 15;15(12):e50565. doi: 10.7759/cureus.50565. eCollection 2023 Dec.

Abstract

This comprehensive review thoroughly examines post-resuscitation care in pediatric ICUs (PICUs) following cardiac arrest. The analysis encompasses adherence to resuscitation guidelines, advances in therapeutic interventions, and the nuanced management of neurological, cardiovascular, and respiratory considerations during the immediate post-resuscitation phase. Delving into the complexities of long-term outcomes, cognitive and developmental considerations, and rehabilitation strategies, the review emphasizes the importance of family-centered care for pediatric survivors. A call to action is presented, urging continuous education, research initiatives, and quality improvement efforts alongside strengthened multidisciplinary collaboration and advocacy for public awareness. Through implementing these principles, healthcare providers and systems can collectively contribute to ongoing advancements in pediatric post-resuscitation care, ultimately improving outcomes and fostering a culture of excellence in pediatric critical care.

摘要

本综述全面深入地研究了儿童心脏骤停后在儿科重症监护病房(PICU)的复苏后护理。分析内容包括对复苏指南的遵循情况、治疗干预措施的进展,以及复苏后即刻阶段神经、心血管和呼吸方面细微的管理考量。该综述深入探讨了长期预后的复杂性、认知和发育方面的考量以及康复策略,强调了以家庭为中心的护理对儿科幸存者的重要性。文中发出行动呼吁,敦促持续开展教育、研究项目以及质量改进工作,同时加强多学科协作并倡导提高公众意识。通过实施这些原则,医疗服务提供者和医疗系统能够共同推动儿科复苏后护理的持续进步,最终改善预后并在儿科重症监护领域培育卓越文化。

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