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床旁超声在俯卧位心肺复苏中的应用价值

Utility of Point-of-Care Ultrasound During Prone Positioning Cardiopulmonary Resuscitation.

作者信息

Patail Haris, Saralidze Tinatin, Romero Gabriel Hernandez, Patail Hassan

机构信息

Department of Internal Medicine University of Connecticut, 263 Farmington Ave, Farmington, Connecticut 06030, USA.

Department of Internal Medicine Jacobi Medical Center, Bronx, New York, USA.

出版信息

Case Rep Crit Care. 2024 Sep 14;2024:9256556. doi: 10.1155/2024/9256556. eCollection 2024.

Abstract

This report describes a 34-year-old male admitted to the medical intensive care unit (ICU) who sustained cardiac arrest while in prone positioning. Prone position CPR was initiated, and the utilization of point-of-care ultrasound (POCUS) during CPR was necessary to assess compression quality. Specifically, the popliteal was observed using POCUS to gauge the adequacy of compressions and subsequent perfusion during prone position CPR. This approach provides insight into assessing the effectiveness of chest compressions in a challenging prone position, potentially improving outcomes in similar cases. Further research and application of POCUS in this context may enhance the quality of CPR and patient care during cardiac arrest events in prone positioning.

摘要

本报告描述了一名34岁男性,他在俯卧位时心脏骤停,随后被送入医学重症监护病房(ICU)。立即开始进行俯卧位心肺复苏(CPR),在CPR过程中使用床旁超声(POCUS)来评估按压质量是必要的。具体而言,在俯卧位CPR期间,使用POCUS观察腘动脉以评估按压的充分性和随后的灌注情况。这种方法为评估在具有挑战性的俯卧位时胸外按压的有效性提供了思路,有可能改善类似病例的治疗结果。在这种情况下,POCUS的进一步研究和应用可能会提高俯卧位心脏骤停事件期间CPR的质量和患者护理水平。

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Prone cardiopulmonary resuscitation: Relevance in current times.俯卧位心肺复苏:当下的相关性。
J Anaesthesiol Clin Pharmacol. 2022 Jul;38(Suppl 1):S8-S12. doi: 10.4103/joacp.joacp_421_21. Epub 2022 Jun 30.
10
Point-of-care ultrasound in cardiopulmonary resuscitation: a concise review.床旁超声在心肺复苏中的应用:简要综述
J Ultrasound. 2017 Jul 31;20(3):193-198. doi: 10.1007/s40477-017-0256-3. eCollection 2017 Sep.

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