Horn Rudolf, Blaivas Michael, Wastl Daniel, Michels Guido, Seibel Armin, Morf Susanne, Widler Marco, Dietrich Christoph F
Center da sandà Val Müstair, 7536 Sta. Maria, Switzerland.
Department of Medicine, School of Medicine, University of South Carolina, Columbia, SC 29209, USA.
Life (Basel). 2025 Apr 14;15(4):646. doi: 10.3390/life15040646.
In the recently published 2021 European Resuscitation Council Guidelines on Adult Advanced Life Support, focused echocardiography was upgraded to a target recommendation. Several key recommendations were made, including that point-of-care ultrasound (POCUS) should only be used during CPR performed by experienced users and prolonged interruptions longer than 10 s (as accepted for pulse checking) during chest compressions should be avoided. Ultrasound does not replace clinical evaluation nor awareness of the clinical scenario. However, in addition to other assessments such as laboratory analyses, ultrasound can help to directly identify a cause for the peri-arrest state. The advantage of ultrasound is that examinations can be performed at the bedside while other tests are being carried out and repeated as frequently as required. This article focusses on how to use ultrasound during peri-arrest situations, requirements for ultrasound equipment, reversible causes of cardiac arrest, and the use of the RUSH protocol, focused echocardiography, and "deresuscitation" (post resuscitation/return of spontaneous circulation).
在最近发布的《2021年欧洲复苏委员会成人高级生命支持指南》中，床旁超声心动图已升级为目标推荐。提出了几项关键建议，包括即时超声检查（POCUS）仅应由经验丰富的使用者在心肺复苏期间使用，应避免在胸外按压期间出现超过10秒的长时间中断（如同检查脉搏时所认可的那样）。超声检查不能替代临床评估，也不能替代对临床情况的了解。然而，除了实验室分析等其他评估外，超声检查有助于直接确定心脏骤停前期状态的原因。超声检查的优势在于，可在床边进行检查，同时还能进行其他检查，并可根据需要频繁重复。本文重点关注如何在心脏骤停前期情况下使用超声检查、超声设备的要求、心脏骤停的可逆原因，以及RUSH方案、床旁超声心动图和“去复苏”（复苏后/自主循环恢复）的使用。
