2022年心肺复苏与心血管急救科学和治疗建议国际共识解读——成人心肺复苏  

Interpretation of the updates in the adults cardiopulmonary resuscitation in 2022 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations

作　　者：何亚荣[1,2] 姚鹏 向昕杰[1,2] 周婷圆 王智渊 曹钰 余海放 HE Yarong;YAO Peng;XIANG Xinjie;ZHOU Tingyuan;WANG Zhiyuan;CAO Yu;YU Haifang(Department of Emergency Medicine and Laboratory of Emergency Medicine,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Disaster Medical Center,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院急诊科/急诊医学研究室,成都610041 [2]四川大学灾难医学中心,成都610041

出　　处：《华西医学》2023年第11期1632-1639,共8页West China Medical Journal

基　　金：国家自然科学基金(82072135,82272241);四川省科学技术厅项目(2021YFS0023,2020YJ0033);成都市科学技术局项目(2021-YF05-01576-SN);中国博士后科学基金(2023M732462)。

摘　　要：国际复苏联络委员会于2022年11月在Circulation、Resuscitation和Pediatrics这3本期刊同时在线发表2022年心肺复苏与心血管急救科学和治疗建议国际共识。该共识基于新发表的临床复苏学证据对心肺复苏重要环节进行更新和推荐。该文结合文献对该共识中的成人心肺复苏内容进行解读,主要包括基础生命支持(通气技术、胸外按压中断策略、复苏过程中的转运策略、溺水时的复苏策略)、高级生命支持(复苏后目标温度管理、复苏时床旁超声检查、心脏骤停期间联合使用血管升压素和皮质类固醇及心脏骤停后冠状动脉造影)、心肺复苏教育/实施/团队(院内心脏骤停患者复苏后生存预测、基础生命支持培训、高级生命支持培训、基于混合式教学的生命支持课程及生命支持培训导师的教学能力提升)和救援现场复苏体位。该共识可为临床实践提供重要支撑,也为临床研究的开展给出明确的提示。The International Liaison Committee on Resuscitation published the 2022 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations in Circulation,Resuscitation,and Pediatrics in November 2022.This consensus updates and recommends important aspects of cardiopulmonary resuscitation based on recently published resuscitation evidence.Herein,we interpret the consensus focusing on adult cardiopulmonary resuscitation including basic life support(ventilation techniques,compressions pause,transport strategies during resuscitation,and resuscitation procedures in drowning),advanced life support(target temperature management,point-of-care ultrasound as a diagnostic tool during cardiac arrest,vasopressin and corticosteroids for cardiac arrest,and post-cardiac arrest coronary angiography),cardiopulmonary resuscitation education/implementation/team(survival prediction after resuscitation of patients with in-hospital cardiac arrest,basic life support training,advanced life support training,blended learning for life support education,and faculty development approaches for life support courses)and recovery positions on rescue scene.This consensus provides important guidance for clinical practice and clear hints for the development of clinical research.

关 键 词：心肺复苏 国际共识 基础生命支持 高级生命支持 培训 

分 类 号：R459.7[医药卫生—急诊医学]