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首页> 外文期刊>Resuscitation. >Defibrillation during renal dialysis: a survey of UK practice and procedural recommendations.
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Defibrillation during renal dialysis: a survey of UK practice and procedural recommendations.

机译：肾透析期间的除颤：英国实践和程序建议调查。

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INTRODUCTION: Defibrillation of patients connected to medical equipment that is not defibrillation proof risks ineffective defibrillation and harm to the operator as a result of aberrant electrical pathways taken by the defibrillation current. Many renal dialysis systems are not currently defibrillation proof. Although national and international safety standards caution against defibrillating under this circumstance, it appears to be an area of confusion that we have investigated in more detail. METHODS: Thirty renal dialysis units across the UK were invited to participate in a telephone survey of current practice from 1 October 2004 to 1 October 2005. The Medical Healthcare Regulatory Agency and renal dialysis machine manufacturers were contacted for advice, and current safety standards were reviewed. RESULTS: Twenty-eight renal dialysis units completed the survey. Seven (25%) units would not disconnect patients from dialysis equipment during defibrillation, collectively reporting 14 patients who had required defibrillation during dialysis. Eighteen (64.3%) units would disconnect patients from dialysis equipment during defibrillation, collectively reporting 29 patients who had required defibrillation during dialysis. No complications were identified by this survey, through the MHRA or through a literature search. CONCLUSION: Defibrillation of patients while undergoing renal dialysis is common practice in the UK. Although no adverse events have been reported, this practice risks injury to the patient and clinical staff, and equipment damage if the dialysis equipment is not defibrillation proof. It is in breach of national and international safety standards and should not be practiced.
机译：简介：连​​接到没有防纤颤功能的医疗设备的患者的除纤颤可能会导致无效的除纤颤，并且由于除纤颤电流会导致异常的电气路径，从而对操作人员造成伤害。目前，许多肾透析系统尚不能进行除纤颤。尽管国家和国际安全标准警告在这种情况下不要进行除颤，但我们已经对其进行了详细研究，这似乎是一个令人困惑的领域。方法：从2004年10月1日至2005年10月1日，邀请了英国的30个肾透析单位参加有关当前实践的电话调查。与医疗保健监管机构和肾透析机制造商取得了联系，并就当前的安全标准进行了审查。 。结果：28个肾脏透析单位完成了调查。七（25％）个单位在除颤期间不会断开患者与透析设备的连接，总共报告了14名在透析期间需要除颤的患者。在除颤过程中，有18个（64.3％）的设备将使患者与透析设备断开连接，总共报告了29名在透析期间需要除颤的患者。通过MHRA或文献检索，该调查未发现并发症。结论：在英国，进行肾脏透析的患者除颤是很普遍的做法。尽管没有不良事件的报道，但是如果透析设备不具备除颤功能，这种做法可能会给患者和临床工作人员带来伤害以及设备损坏的风险。它违反了国家和国际安全标准，因此不应予以实践。

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