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提高心脏骤停患者的生存率:优化体外心肺复苏实施和方案的迫切需求——社论

Enhancing survival in cardiac arrest: the urgent need for optimized extracorporeal cardiopulmonary resuscitation implementation and protocols - editorial.

作者信息

Waheed Aiman, Gul Muhammad H, Naeem Risha, Arshad Azam Raja Hafsa, Wardak Abdul B, Khan Umer

机构信息

Department of Anesthesia, Rawalpindi Medical University and Allied Hospitals, Rawalpindi, Pakistan.

Department of General Medicine, Hayatabad Medical Complex, Peshawar, Pakistan.

出版信息

Ann Med Surg (Lond). 2024 Nov 13;86(12):6926-6929. doi: 10.1097/MS9.0000000000002740. eCollection 2024 Dec.

Abstract

Extracorporeal CPR (ECPR) involves venoarterial extracorporeal membrane oxygenation (VA-ECMO) in patients with sudden and unexpected pulse loss due to heart-stopping mechanical activity. ECPR in patients with cardiac arrest has been shown to significantly improve the prognosis. In emergency rooms, interdisciplinary coordination exists among emergency medicine, cardiology, critical care, and perfusion technology. However, some problems must be solved, such as excessive costs, resource allocation, and the need for specialized equipment. Resuscitation success and patient outcomes can be enhanced by combining ECPR and emergency care.

摘要

体外心肺复苏(ECPR)是指对因心脏机械活动停止而突然意外脉搏消失的患者进行静脉-动脉体外膜肺氧合(VA-ECMO)。心脏骤停患者的ECPR已被证明能显著改善预后。在急诊室,急诊医学、心脏病学、重症监护和灌注技术之间存在跨学科协作。然而,一些问题必须得到解决,如成本过高、资源分配以及对专业设备的需求。将ECPR与急诊护理相结合可提高复苏成功率和患者预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20be/11623826/9b26f31641df/ms9-86-6926-g001.jpg

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