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关于近期心肺复苏相关文章的思考

Thoughts on recent articles on cardiopulmonary resuscitation.

作者信息

Sunder Thirugnanasambandan

机构信息

Department of Heart Lung Transplantation and Mechanical Circulatory Support, Apollo Hospitals, Chennai 600086, Tamil Nadu, India.

出版信息

World J Cardiol. 2024 Dec 26;16(12):683-688. doi: 10.4330/wjc.v16.i12.683.

DOI:10.4330/wjc.v16.i12.683
PMID:39734820
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11669978/
Abstract

Comments were made on some thought-provoking articles, which included articles that dealt with cardiac arrest (CA). Two articles on CA elaborate on the role of automated compression devices to provide chest compressions during cardiopulmonary resuscitation (CPR) in "hostile" environments and on a predictive model in cases of out-of-hospital CA (OHCA). CPR after CA has been practiced for centuries, and the evolution until current modern-day practices are discussed. The delay in adopting efficient techniques of resuscitation by the medical community for decades is also touched upon. Both in-hospital and OHCA are discussed along with guidelines and strategies to improve outcomes. Areas of possible research in the future are mentioned.

摘要

针对一些发人深省的文章发表了评论,其中包括涉及心脏骤停(CA)的文章。两篇关于心脏骤停的文章详细阐述了自动按压设备在“恶劣”环境下的心肺复苏(CPR)过程中提供胸部按压的作用,以及院外心脏骤停(OHCA)病例的预测模型。心脏骤停后的心肺复苏已经实施了几个世纪,并讨论了其发展至现代实践的过程。还提到了医学界几十年来在采用高效复苏技术方面的延迟。讨论了院内和院外心脏骤停情况以及改善预后的指南和策略。还提及了未来可能的研究领域。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f06/11669978/8469f9181554/WJC-16-683-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f06/11669978/8469f9181554/WJC-16-683-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f06/11669978/8469f9181554/WJC-16-683-g001.jpg

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本文引用的文献

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2023 American Heart Association Focused Update on Adult Advanced Cardiovascular Life Support: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.2023 年美国心脏协会成人高级心血管生命支持重点更新:对美国心脏协会心肺复苏和紧急心血管护理指南的更新。
Circulation. 2024 Jan 30;149(5):e254-e273. doi: 10.1161/CIR.0000000000001194. Epub 2023 Dec 18.
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2023 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, Implementation, and Teams; and First Aid Task Forces.2023 年国际心肺复苏和紧急心血管护理科学共识及治疗推荐:基础生命支持、高级生命支持、儿科生命支持、新生儿生命支持、教育、实施和团队以及急救任务组的总结。
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Establishment of a prediction model for prehospital return of spontaneous circulation in out-of-hospital patients with cardiac arrest.建立院外心脏骤停患者院前自主循环恢复的预测模型。
World J Cardiol. 2023 Oct 26;15(10):508-517. doi: 10.4330/wjc.v15.i10.508.
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PLoS One. 2023 Jul 26;18(7):e0288688. doi: 10.1371/journal.pone.0288688. eCollection 2023.
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Cardiac arrest and cardiopulmonary resuscitation in "hostile" environments: Using automated compression devices to minimize the rescuers' danger.“恶劣”环境下的心脏骤停与心肺复苏:使用自动按压设备以降低救援人员的危险。
World J Cardiol. 2023 Feb 26;15(2):45-55. doi: 10.4330/wjc.v15.i2.45.
6
Corrigendum to "European Resuscitation Council Guidelines 2021: Cardiac arrest in special circumstances" [Resuscitation 161 (2021) 152-219].《欧洲复苏委员会2021年指南:特殊情况下的心脏骤停》勘误 [《复苏》161 (2021) 152 - 219]
Resuscitation. 2021 Oct;167:91-92. doi: 10.1016/j.resuscitation.2021.08.012. Epub 2021 Aug 31.
7
European Resuscitation Council Guidelines 2021: Adult advanced life support.欧洲复苏理事会指南 2021:成人高级生命支持。
Resuscitation. 2021 Apr;161:115-151. doi: 10.1016/j.resuscitation.2021.02.010. Epub 2021 Mar 24.
8
Mechanical versus manual chest compressions in the treatment of in-hospital cardiac arrest patients in a non-shockable rhythm: A multi-centre feasibility randomised controlled trial (COMPRESS-RCT).机械与手动胸外按压治疗非室颤性院内心搏骤停患者的多中心可行性随机对照试验(COMPRESS-RCT)。
Resuscitation. 2021 Jan;158:228-235. doi: 10.1016/j.resuscitation.2020.09.033. Epub 2020 Oct 7.
9
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J Thorac Dis. 2020 May;12(5):2220-2227. doi: 10.21037/jtd.2020.04.25.
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Underutilisation of public access defibrillation is related to retrieval distance and time-dependent availability.公共接入除颤器的未充分利用与检索距离和时间相关的可用性有关。
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