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首页> 外文期刊>Current opinion in anaesthesiology >Feedback during cardiopulmonary resuscitation.
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Feedback during cardiopulmonary resuscitation.

机译:心肺复苏过程中的反馈。

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摘要

PURPOSE OF REVIEW: Current cardiopulmonary resuscitation guidelines emphasize that providing high-quality basic life support is the single most important contribution to successful resuscitation. Efficiency of advanced cardiac life support depends on sufficient cardiopulmonary resuscitation performance leading to continuous bloodflow and oxygenation. Existing data show that the quality of cardiopulmonary resuscitation performance is poor. Feedback technologies claim to improve cardiopulmonary resuscitation quality by supporting rescuers in their efforts. RECENT FINDINGS: Rescuers regularly fail to achieve chest compressions at sufficient frequency and depth. Interruption of chest compression whilst the patient is in cardiac arrest results in reduced chances for successful defibrillation and survival. ECG interpretation in cardiac arrest challenges rescuers and results in nonindicated defibrillations. In several simulator studies and clinical trails cardiopulmonary resuscitation performance was improvedby introducing feedback elements. It remains unclear, however, to what extent feedback is needed and useful. SUMMARY: Since effective basic life support is crucial for victims of cardiac arrest, recent findings that cardiopulmonary resuscitation quality provided by professionals fails to achieve recommended levels is not acceptable. Efforts need to be made in order to improve cardiopulmonary resuscitation quality and to support rescuers by real-time feedback. The technical elements of cardiopulmonary resuscitation feedback need to be carefully studied before being introduced into practice.
机译:审查目的:当前的心肺复苏指南强调,提供高质量的基本生命支持是成功复苏的最重要的单一贡献。高级心脏生命支持的效率取决于足够的心肺复苏性能,从而导致持续的血流和充氧。现有数据表明,心肺复苏的质量较差。反馈技术声称可以通过支持救援人员的努力来提高心肺复苏质量。最近发现:救援人员经常无法以足够的频率和深度进行胸部按压。患者处于心脏骤停状态时中断胸外按压会减少成功除颤和存活的机会。心跳骤停中的ECG解释对救助人员构成了挑战,并导致了未指示的除颤。在一些模拟器研究和临床试验中,通过引入反馈元素改善了心肺复苏性能。但是,尚不清楚反馈在何种程度上是必要的和有用的。摘要:由于有效的基本生活支持对心脏骤停的受害者至关重要,因此,最近的发现表明专业人员提供的心肺复苏质量未能达到建议的水平是不可接受的。需要努力提高心肺复苏质量并通过实时反馈来支持救助人员。心肺复苏反馈的技术要素在投入实践之前需要仔细研究。

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