European Resuscitation Council and European Society of Intensive Care Medicine 2015 guidelines for post-resuscitation care
European Resuscitation Council and European Society of Intensive Care Medicine 2015 guidelines for post-resuscitation care
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DOI：
10.1007/s00134-015-4051-3
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发表时间：
2015-12-01
影响因子：
38.9
通讯作者：
Sandroni, Claudio
中科院分区：
文献类型：
--
作者：
Nolan, Jerry P.;Soar, Jasmeet;Sandroni, Claudio
欧洲复苏理事会和欧洲重症监护医学会合作制定了这些复苏后护理指南，该指南基于2015年国际心肺复苏科学共识和治疗建议。复苏后护理方面的最新变化包括：（a）更加强调在可能由心脏原因引起的院外心脏骤停后紧急冠状动脉导管插入术和经皮冠状动脉介入治疗的必要性;（B）有针对性的体温管理仍然很重要，但现在有一种选择，将体温目标定为36摄氏度，而不是以前建议的32-34摄氏度;（c）目前采用多模式战略进行急救，重点是为神经系统恢复留出足够的时间，并使镇静剂能够清除;（d）更加重视心脏骤停后的康复。
The European Resuscitation Council and the European Society of Intensive Care Medicine have collaborated to produce these post-resuscitation care guidelines, which are based on the 2015 International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations. Recent changes in post-resuscitation care include: (a) greater emphasis on the need for urgent coronary catheterisation and percutaneous coronary intervention following out-of-hospital cardiac arrest of likely cardiac cause; (b) targeted temperature management remains important but there is now an option to target a temperature of 36 A degrees C instead of the previously recommended 32-34 A degrees C; (c) prognostication is now undertaken using a multimodal strategy and there is emphasis on allowing sufficient time for neurological recovery and to enable sedatives to be cleared; (d) increased emphasis on rehabilitation after survival from a cardiac arrest.