Advances in the hospital management of patients following an out of hospital cardiac arrest

被引：34

作者：

Nolan, Jerry P. ^{[8
]}

Lyon, Richard M. ^{[7
]}

Sasson, Comilla ^{[6
]}

Rossetti, Andrea O. ^{[4
,5
]}

Lansky, Alexandra J. ^{[3
]}

Fox, Keith A. A. ^{[2
]}

Meier, Pascal ^{[1
]}

机构：

[1] UCL, Heart Hosp London, London, England

[2] Univ Edinburgh, Ctr Cardiovasc Sci, Edinburgh, Midlothian, Scotland

[3] Yale Univ, Sch Med, Yale Cardiovasc Res Grp, New Haven, CT USA

[4] CHU Vaudois, Dept Clin Neurosci, Lausanne, Switzerland

[5] Univ Lausanne, Lausanne, Switzerland

[6] Univ Colorado, Sch Med, Dept Emergency Med, Aurora, CO USA

[7] London Air Ambulance, London, England

[8] Royal United Hosp, Dept Anaesthesia & Intens Care Med, Bath BA1 3NG, Avon, England

来源：

HEART | 2012年 / 98卷 / 16期

关键词：

RESUSCITATION COUNCIL GUIDELINES; 2010 INTERNATIONAL CONSENSUS; CARDIOVASCULAR CARE SCIENCE; THERAPEUTIC HYPOTHERMIA; CARDIOPULMONARY-RESUSCITATION; COMATOSE SURVIVORS; MYOCARDIAL-INFARCTION; ARTERIAL HYPEROXIA; CHEST COMPRESSIONS; ORGAN DONORS;

D O I：

10.1136/heartjnl-2011-301293

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The outcome for patients after an out-of-hospital cardiac arrest (OHCA) has been poor over many decades and single interventions have mostly resulted in disappointing results. More recently, some regions have observed better outcomes after redesigning their cardiac arrest pathways. Optimised resuscitation and prehospital care is absolutely key, but in-hospital care appears to be at least as important. OHCA treatment requires a multidisciplinary approach, comparable to trauma care; the development of cardiac arrest pathways and cardiac arrest centres may dramatically improve patient care and outcomes. Besides emergency medicine physicians, intensivists and neurologists, cardiologists are playing an increasingly crucial role in the post-resuscitation management, especially by optimising cardiac output and undertaking urgent coronary angiography/intervention.

引用

页码：1201 / 1206

页数：6

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