心肺复苏时有创呼吸机正确参数设置示范 CPR过程中的机械通气 Mode:容量控制通气(VCV) 触发灵敏度(Trigger sensitivity): 压力触发设置到最高数值或关闭触发灵敏度; 通气频率:10次/分 潮气量:6~7 mL/kg 流速:递减波 FiO2:100% PEEP:0cmH2O CPRV 心肺复苏成功后目标通气 参考文献: 心肺复苏过程中机械通气策略研究进展 中华危重病急救医学2014 年10 月第26 卷第10 期 心肺复苏机械通气时选择不同流速模式对 气道峰压的影响 中华危重病急救医学2014 年10 月第26 卷第10 期C吴黎明 . 高质量心肺复苏 : 探索与挑战 [J]. 中华危重病急救医学 , 2013, 25 (11): 642-645. DOI: 10.3760/cma.j.issn.2095-4352. 2013.11.002. 孟庆义 . 论心肺复苏的核心原理——万变不离其宗 [J]. 中国急救医学 , 2011, 31 (4): 295-299. DOI: 10.3969/j.issn.1002-1949. 2011.04.003. 李学技 . 心肺脑复苏研究及护理进展 [J/CD]. 实用器官移植电子杂志 , 2013, 1 (6): 363-375. DOI: 10.3969/j.issn.2095-5332. 2013.06.012. 王立祥 , 俞森洋 . 合理应用现代通气机心肺复苏 [J]. 中华危重病急救医学 , 2002, 14 (10): 582-583. DOI: 10.3760/cma.j. issn.1003-0603.2002.10.002. Johnson N J , Carlbom D J , Gaieski D F . Ventilator Management and Respiratory Care After Cardiac Arrest: Oxygenation, Ventilation, Infection, and Injury[J]. Chest, 2017. Berg RA, Kern KB, Hilwig RW, et al. Assisted ventilation during 'bystander' CPR in a swine acute myocardial infarction model does not improve outcome [J]. Circulation, 1997, 96 (12): 4364-4371. Dörges V, Ocker H, Hagelberg S, et al. Optimisation of tidal volumes given with self-inflatable bags without additional oxygen [J]. Resuscitation, 2000, 43 (3): 195-199. Neumar RW, Otto CW, Link MS, et al. Part 8: adult advanced cardiovascular life support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care [J]. Circulation, 2010, 122 (18 Suppl 3): S729767. DOI: 10.1161/CIRCULATIONAHA.110.970988. 文才 余涛 王立祥. 心肺复苏过程中机械通气策略研究进展[J]. 中华危重病急救医学, September 2017, Vol.29, No.9. Kilgannon JH, Jones AE, Shapiro NI, et al. Association between arterial hyperoxia following resuscitation from cardiac arrest and in-hospital mortality [J]. JAMA, 2010, 303 (21): 2165-2171. DOI: 10.1001/jama.2010.707. Elmer J, Scutella M, Pullalarevu R, et al. The association between hyperoxia and patient outcomes after cardiac arrest: analysis of a high-resolution database [J]. Intensive Care Med, 2015, 41 (1): 49-57. DOI: 10.1007/s00134-014-3555-6. Link MS, Berkow LC, Kudenchuk PJ, et al. Part 7: Adult advanced cardiovascular life support: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care [J]. Circulation, 2015, 132 (18 Suppl 2): S444-464. DOI: 10.1161/CIR.0000000000000261.
来源:急诊EM智库 急诊时间(省医呼吸重症RICU)
联系客服