Goal-directed hemodynamic optimization in the post-cardiac arrest syndrome: A systematic review

被引：35

作者：

Jones, Alan E. ^{[2
]}

Shapiro, Nathan I. ^{[3
]}

Kilgannon, J. Hope ^{[1
]}

Trzeciak, Stephen ^{[1
,4
]}

机构：

[1] Univ Med & Dent New Jersey, Robert Wood Johnson Med Sch, Cooper Univ Hosp, Dept Emergency Med, Camden, NJ 08103 USA

[2] Carolinas Med Ctr, Dept Emergency Med, Charlotte, NC 28203 USA

[3] Beth Israel Deaconess Med Ctr, Dept Emergency Med, Boston, MA 02215 USA

[4] Univ Med & Dent New Jersey, Robert Wood Johnson Med Sch, Cooper Univ Hosp, Dept Med,Div Crit Care Med, Camden, NJ 08103 USA

来源：

RESUSCITATION | 2008年 / 77卷 / 01期

关键词：

cardiac arrest; resuscitation; hemodynamics; Cardiopulmonary resuscitation;

D O I：

10.1016/j.resuscitation.2007.10.021

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Aims: The treatment recommendations from the 2005 International Consensus Conference on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science (hosted by the American Heart Association) advocate a goat-directed treatment strategy for hemodynamic optimization after return of spontaneous circulation (ROSC) in post-cardiac arrest care. We performed a systematic review to (1) examine the available evidence for goat-directed hemodynamic support in the post-cardiac arrest syndrome, (2) determine the effect of such a treatment strategy on survival, and (3) define the specific hemodynamic goals, if any, that have been tested in clinical trials of post-cardiac arrest patients. Methods: We conducted a systematic review of the Cochrane Library, MEDLINE, CINAHL, conference proceedings, clinical practice guidelines, and other sources using a comprehensive strategy to identify randomized controlled trials and quasi-experimental studies of goat-directed hemodynamic optimization in patients with ROSC after cardiac arrest.

引用

页码：26 / 29

页数：4

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