七年制医学课件 外科麻醉 4Cardiopulmonary Cerebral Resuscitation.ppt

Cardiopulmonary Cerebral Resuscitation Department of Anesthesiaology Chen ping 一、background For many peoples,cardiac arrest is a natural ending of long and productive life. cardiac arrest discussed in this lesson means that heart are stricken by accidental event too early in life. for example:MI,Apnea.Overdose of drugs Acute severe trauma. Failure to fully resuscitation has brought tragic consequences. including feeling .financial and social problems Survivors（cerebral insult leading to various degrees nurologic mental or congnitive dysfunction, which are not only devastating for family ,friends and but also for patients themselvs) ? “heart and brain too good to die”. So it is very important to recovery the heart beat and brainfunction with various methods. this methods include artificial circulation and artificial ventilation and postresuse- tation management called CPCR survival rate ? in hospital : survival rate to discharge ranged from 0-29%.mean of 14% out hospital :the survival to discharge is 0%-40%. unfortunately only alout 5% of all cardiac arrest victum discharge alive However,when CPR was begun within 4 minutes by bystanders at the scene . spontaneous circulation was restored within 8 minutes about 40% have been discharged. “chain of survival” Therefore the concept of “chain of survial” has been supported by the World Federation of Societies of Anesthesiologists (WFSA), the American Heart Association (AHA), and the European Resuscitation council(ERC). “ chain of survival” (1)Early activation of the EMS System (2) Early BLS (including airway control, artificial ventilation,and external chest compression(ECC) (3)Early defibrillation (4)Early ALS (including intubation and medication) 二、diognosis of cardiac arrest unconsciousness. apnea or gasping. no pulse in the carotid and femoral