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首页> 外文期刊>Prehospital emergency care >Guiding Cardiopulmonary Resuscitation with Focused Echocardiography: A Report of Five Cases
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Guiding Cardiopulmonary Resuscitation with Focused Echocardiography: A Report of Five Cases

机译：用聚焦超声心动图引导心肺复苏：五种情况的报告

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Background: Focused transthoracic echocardiography has been used to determine etiologies of cardiac arrest and evaluate utility of continuing resuscitation after cardiac arrest. Few guidelines exist advising ultrasound timing within the advanced cardiac life support algorithm. Natural timing of echocardiography occurs during the pulse check, when views are unencumbered by stabilization equipment or vigorous movements. However, recent studies suggest that ultrasound performance during pulse checks prolongs the pause duration of cardiopulmonary resuscitation. Transesophageal echocardiography studies have demonstrated benefits in this regard, but there have been no transthoracic echocardiography studies assessing the physical performance of compressions during cardiopulmonary resuscitation. Objective: The purpose of this study was to describe cases where echocardiography performed at the beginning of the cardiac arrest algorithm offers actionable information to cardiopulmonary resuscitation itself without delaying provision of compressions. Conclusion: Providers using focused echocardiography to evaluate cardiac arrest patients should consider initiating scans at the start of compressions to identify the optimal location for compression delivery and to detect inadequate compressions. Subsequent visualization of full left ventricular compression may be seen after a location change, and combined with end tidal carbon dioxide values, gives indication for improved forward circulatory flow. Although it is not possible in all patients, doing so hastens provision of quality compressions that affect hemodynamic parameters without causing prolongations to the pulse check pause. Further research is needed to determine patient outcomes from both out-of-hospital and in-hospital cardiac arrest when cardiopulmonary resuscitation is visually guided by focused echocardiography.
机译：背景：焦点的经线超声心动图已被用于确定心脏骤停心脏骤停的病因，并评估心脏骤停后继续复苏的效用。很少有指导方针建议先进的心脏寿命支持算法内的超声时间。在脉冲检查期间发生超声心动图的自然时机，当通过稳定设备或剧烈运动不受欢迎的视图。然而，最近的研究表明，脉冲检查期间的超声性能延长了心肺复苏的暂停持续时间。过度异味超声心动图研究在这方面已经证明了益处，但是没有进行经脉冲超声心动图研究，评估心肺复苏期间按压的物理性能。目的：本研究的目的是描述在心脏骤停算法开始时进行超声心动图的情况，而不会对心肺复苏本身提供可操作的信息，而不会延迟提供压缩。结论：使用聚焦超声心动图评估心脏骤停患者的提供商应考虑在按压开始时发起扫描，以确定压缩输送的最佳位置，并检测压缩不足的压缩。在位置变化之后可以看到完整左心室压缩的随后可视化，并与端潮二氧化碳值组合，给出改善前向循环流动的指示。虽然在所有患者中都不可能，但这样做是为了提供影响血液动力学参数的质量压缩，而不会导致脉冲检查暂停的延长。需要进一步的研究来确定当用心超声心动图视觉引导心肺复苏时，从医院外和医院心脏骤停中确定患者结果。

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