The role of adrenaline in cardiopulmonary resuscitation
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作者:
Gough, Christopher J. R.
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Royal United Hosp, Anaesthesia & Intens Care Med, Bath BA1 3NG, Avon, EnglandRoyal United Hosp, Anaesthesia & Intens Care Med, Bath BA1 3NG, Avon, England
Gough, Christopher J. R.
[1
]
Nolan, Jerry P.
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Royal United Hosp, Anaesthesia & Intens Care Med, Bath BA1 3NG, Avon, England
Univ Bristol, Bristol Med Sch, Resuscitat Med, Bristol, Avon, EnglandRoyal United Hosp, Anaesthesia & Intens Care Med, Bath BA1 3NG, Avon, England
Nolan, Jerry P.
[1
,2
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机构:
[1] Royal United Hosp, Anaesthesia & Intens Care Med, Bath BA1 3NG, Avon, England
[2] Univ Bristol, Bristol Med Sch, Resuscitat Med, Bristol, Avon, England
Adrenaline has been used in the treatment of cardiac arrest for many years. It increases the likelihood of return of spontaneous circulation (ROSC), but some studies have shown that it impairs cerebral microcirculatory flow. It is possible that better short-term survival comes at the cost of worse long-term outcomes. This narrative review summarises the rationale for using adrenaline, significant studies to date, and ongoing research.