当自动体外除颤器遇到植入式心律转复除颤器……自动体外除颤器。植入式心律转复除颤器。

When an AED meets an ICD... Automated external defibrillator. Implantable cardioverter defibrillator.

作者信息

Calle P A, Buylaert W

机构信息

Department of Emergency Medicine, University Hospital, Gent, Belgium.

出版信息

Resuscitation. 1998 Sep;38(3):177-83. doi: 10.1016/s0300-9572(98)00105-1.

DOI:10.1016/s0300-9572(98)00105-1

PMID:9872639

Abstract

The chances of prehospital care providers being confronted with a patient with an implantable cardioverter defibrillator (ICD) are increasing and so care providers must receive proper training. Based on observations made during the resuscitation of a patient with an ICD using an automated external defibrillator (AED) some technical features and possible interactions of ICDs and AEDs are highlighted. Furthermore, we discuss the key points of basic knowledge, safety, and treatment protocols for cardiac arrest and other situations required for practical training in the ICD for prehospital care providers.

摘要

院前急救人员遇到植入式心脏复律除颤器（ICD）患者的情况日益增多，因此急救人员必须接受适当培训。基于使用自动体外除颤器（AED）对一名ICD患者进行复苏时的观察，突出了ICD和AED的一些技术特点以及可能的相互作用。此外，我们还讨论了院前急救人员在ICD实际培训中所需的心脏骤停及其他情况的基础知识、安全和治疗方案要点。