Goudie Adrian, Blaivas Michael, Horn Rudolf, Lien Wan-Ching, Michels Guido, Wastl Daniel, Dietrich Christoph Frank
Department of Emergency Medicine, Fiona Stanley Hospital, Murdoch 6150, Australia.
Department of Medicine, University of South Carolina School of Medicine, Columbia, SC 29209, USA.
Diagnostics (Basel). 2024 Mar 11;14(6):593. doi: 10.3390/diagnostics14060593.
Ultrasound is used in cardiopulmonary resuscitation (CPR) and advanced life support (ALS). However, there is divergence between the recommendations of many emergency and critical care societies who support its use and the recommendations of many international resuscitation organizations who either recommend against its use or recommend it only in limited circumstances. Ultrasound offers potential benefits of detecting reversable causes of cardiac arrest, allowing specific interventions. However, it also risks interfering with ALS protocols and increasing unhelpful interventions. As with many interventions in ALS, the evidence base for ultrasound use is weak, and well-designed randomized trials are needed. This paper reviews the current theory and evidence for harms and benefits.
超声被用于心肺复苏（CPR）和高级生命支持（ALS）。然而，许多支持其使用的急诊和重症监护学会的建议，与许多国际复苏组织的建议存在分歧，后者要么反对使用超声，要么仅在有限情况下推荐使用。超声具有检测心脏骤停可逆原因的潜在益处，从而能够进行特定干预。然而，它也有干扰ALS方案并增加无益干预的风险。与ALS中的许多干预措施一样，超声使用的证据基础薄弱，需要设计良好的随机试验。本文综述了当前关于其危害和益处的理论及证据。
