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首页> 外文期刊>Plastic surgical nursing: official journal of the American Society of Plastic and Reconstructive Surgical Nurses >Cardiac arrest and the 2010 advanced cardiac life support guidelines--part IV.
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Cardiac arrest and the 2010 advanced cardiac life support guidelines--part IV.

机译：心脏骤停和2010年高级心脏生命支持指南-第四部分

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The chance of a successful outcome with any cardiac arrest is prompt initiation of hands-only compression at a rate of at least 100 per min, to a depth of 2 in.,with full chest recoil, and no more than a 10-s interruption of compressions. The priority, regardless of being in a private clinic or in a facility using a team approach,is to start compressions and maintain effective compressions with minimal interruptions. Most cardiac arrests are related to ventricular fibrillation and the chance of successfully defibrillating this rhythm is highest at the beginning of the arrest. For every minute a patient is in ventricular fibrillation, his or her chance of survival greatly decreases (Traverset al., 2010). This is why it is extremely important to defibrillate immediately. Once a patient has return of spontaneous circulation,postresuscitation care needs to be implemented. The biggest reason for a patient to develop ventricular fibrillation is an acute coronary syndrome, and this is why the new guidelines have outlined transferring a post arrest patient to a cardiac catheterization laboratory to perform an emergency angiogram and angioplasty. Part of this post arrest management also includes therapeutic hypothermia in those patients who remain comatose after return of spontaneous circulation. This article has reviewed a case study of a postoperative patient who developed ventricular fibrillation and the priorities of care according to the 2010 ACLS guidelines. Watch for more ACLS-based case studies in upcoming articles.
机译：发生任何心脏骤停成功结果的机会是立即以每秒至少100次的速度开始以双手按压，深度达到2英寸，并有完全的胸部后坐力，并且中断不超过10秒压缩。无论是在私人诊所中还是在使用团队方法的机构中，优先事项都是开始压缩并保持有效压缩，同时将中断降到最低。大多数心脏骤停与心室颤动有关，并且在开始骤停时成功使这种心律除颤的机会最高。患者每分钟发生心室纤颤，其生存机会就会大大减少（Traverset等人，2010）。这就是为什么立即除颤非常重要的原因。一旦患者恢复自然循环，就需要进行复苏后护理。导致患者发生心室纤颤的最大原因是急性冠状动脉综合征，这就是为什么新指南概述了将逮捕后患者转移至心脏导管实验室以进行紧急血管造影和血管成形术的原因。对于那些自发循环后仍保持昏迷的患者，这种逮捕后管理的一部分还包括治疗性体温过低。本文回顾了根据2010 ACLS指南发生室颤的术后患者的病例研究和重点护理。在接下来的文章中观看更多基于ACLS的案例研究。

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