Rosenberg M B, Phero J C
Department of Oral and Maxillofacial Surgery, Tufts University School of Dental Medicine, Boston, Massachusetts, USA.
Dent Clin North Am. 1995 Jul;39(3):663-76.
Fortunately, the incidence of pediatric cardiopulmonary arrest is extremely low in the outpatient dental office setting. Because most cardiopulmonary arrests in children result from a progressive deterioration in respiratory function, outcome critically depends on rapid diagnosis and evaluation of the adequacy of ventilation and the pediatric airway. This holds true for any pediatric medical emergency. Our goal must be instituting simple resuscitative measures before full cardiopulmonary arrest develops. Whatever the nature of the medical emergency, caring for a child under these circumstances is challenging. Pediatric Advanced Life Support (PALS) and continual review of the American Heart Association guidelines should be considered by those specializing in the treatment of infants and children. This training will not only bolster practitioner confidence, but enable prompt, effective response for any pediatric medical emergency.
幸运的是,在门诊牙科诊所环境中,小儿心肺骤停的发生率极低。由于儿童的大多数心肺骤停是由呼吸功能的进行性恶化引起的,因此结局在很大程度上取决于对通气是否充分以及小儿气道的快速诊断和评估。这适用于任何小儿医疗紧急情况。我们的目标必须是在完全心肺骤停发生之前采取简单的复苏措施。无论医疗紧急情况的性质如何,在这种情况下照顾儿童都具有挑战性。专门治疗婴幼儿的人员应考虑进行儿科高级生命支持(PALS)培训并持续复习美国心脏协会的指南。这种培训不仅会增强从业者的信心,还能使其对任何小儿医疗紧急情况做出迅速、有效的反应。