特殊情况下的CPR研讨.ppt

CPR in Special Situations特殊情况下的CPR;ACLS in the Perioperative Period围术期高级心脏生命支持;a different milieu of pathophysiology病理生理的不同之处;hyperventilation is almost invariablyassociated with worsened survival过度通气常与糟糕的生存预后相关;Cardioversion心脏复律;;Common Causes of ACLS events in the perioperative setting Anesthetic 药物原因;Respiratory呼吸原因;Cardiovascular心血管原因;Recognizing cardiac arrest in the OR识别手术室内的心跳骤停;BLS/ACLS in the OR –Some key points to remember . . .;BLS/ACLS in the OR –Some key points to remember . . .;;;Neuroaxial Anesthesia;Treatment of Cardiac Arrest Associated with Neuraxial Anesthesia椎管内麻醉相关心跳骤停的处理;Differential Diagnosis for perioperative PEA or Asystole: 8H 8T;Cardiac Arrest Associated With Asthma与哮喘相关的心跳骤停;;Cardiac Arrest AssociatedWith Pregnancy; 寻找并处理可能的原因 B 出血/DIC E 栓塞：冠脉/肺/羊水 A 麻醉药 U 宫缩无力 C 心脏疾病（心梗/缺血/主动脉夹层/心肌病） H 高血压/先兆子痫/子痫 O 其他：鉴别诊断 P 胎盘早剥/前置胎盘 S 脓毒血症;;;;Cardiac Arrest Associated With Life-Threatening Electrolyte Disturbances电解质失衡相关的心跳骤停;Hyperkalemia高钾血症;;;;Hypermagnesemia高镁血症;Hypermagnesemia高镁血症;Hypomagnesemia低镁血症;Local Anesthetic Toxicity局麻药毒性;Cyanide氰化物;Cardiac Arrest Associated With Trauma创伤相关的心跳骤停;;;;Treatment of PEA requires identification and treatment of reversible causes, such as severe hypovolemia, hypothermia, cardiac tamponade, or tension pneumothorax.处理无脉性电活动需要鉴别并处理可逆原因，如严重的低血容量、低温、心脏压塞或张力性气胸。 Development of bradyasystolic rhythms often indicates the presence of severe hypovolemia, severe hypoxemia, or cardiorespiratory failure.心动过缓进展到心跳停止常代表严重低血容量、严重低氧血症或心肺衰竭。 Ventricular fibrillation (VF) and pulseless ventricular tachycardia (VT) are treated with CPR and defibrillation. 室颤和室速常通过CPR和除颤来处理。 Resuscitative thoracotomy may be indicated in selected patients.对一些病人可开胸复苏。;Drowning溺水;;Cardiac Arrest During Percutaneous Coronary Intervention经皮冠脉介入时的心跳骤停