心脏骤四停后治疗.pptVIP

* * * * * * * * * * * 通气管理与优化 血氧饱和度/动脉血气分析 原理：心脏骤停恢复再灌注后，100%氧气吸入可增加氧自由基产生，加重代谢障碍和神经功能恶化，影响出院存活率； 调整FiO2使SpO2≥94%的最低浓度，即确保足够氧供，又避免组织氧过多。(ClassⅠ) Comparison of 30 and the 100% inspired oxygen concentrations during early post-resuscitation period: a randomised controlled pilot study. —— Kuisma M, et al. Resuscitation, 2006. Oximetry-guided reoxygenation improves neurological outcome after experimental cardiac arrest. —— Irina s, et al. Stroke, 2006. Association b