心肺复苏-电除颤-沈骁幻灯片.pptxVIP

Cardio-Pulmonary Resuscitation ;28/08/2014;电除颤;动力学不稳定或药物控制不佳的患者;电除颤的并发症;2010 AHA guideline;Herlitz, Johan, et al. Resuscitation 34.1 (1997): 17-22.;CPR before defibrillation?;;心脏骤停后的三个时相理论;Recommendation;2010 AHA guideline;除颤-电极位置？;Kirchhof P, et al. Lancet 2002; 360: 1275-1279.;Recommendation;电极板的大小？;2010 AHA guideline;;单相波 vs 双相波;双相波并不优于单相波。;Recommendation;4个RCT研究;Termination of ventricular fibrillation after first shock;Return of spontaneous circulation;Return of organized rhythm after first shock;双相波形的选择;心肌损害;与150J双相波相比，360J单相波不会引起更多心脏损伤。;Recommendation;除颤能量与预后;这些研究结果表明，如果患者需要除颤，那么较高的能量更有益