Intensive care medicine research agenda on cardiac arrest
Intensive care medicine research agenda on cardiac arrest
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DOI：
10.1007/s00134-017-4739-7
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发表时间：
2017-09-01
影响因子：
38.9
通讯作者：
Cariou, Alain
中科院分区：
文献类型：
--
作者：
Nolan, Jerry P.;Berg, Robert A.;Cariou, Alain
在过去的15年里，昏迷后心脏骤停患者的治疗已经发展到包括治疗策略，如紧急冠状动脉造影与经皮冠状动脉介入治疗（PCI），有针对性的温度管理（TTM）-需要机械通气和镇静-和更复杂和谨慎的麻醉。2015年，欧洲复苏理事会（ERC）和欧洲重症监护医学会（ESICM）合作，制定了第一份欧洲复苏后护理指南。本文综述了心脏骤停治疗的最新进展，最近的试验挑战了目前的做法和剩余的不确定性领域。
Over the last 15 years, treatment of comatose post-cardiac arrest patients has evolved to include therapeutic strategies such as urgent coronary angiography with percutaneous coronary intervention (PCI), targeted temperature management (TTM)-requiring mechanical ventilation and sedation-and more sophisticated and cautious prognostication. In 2015, collaboration between the European Resuscitation Council (ERC) and the European Society for Intensive Care Medicine (ESICM) resulted in the first European guidelines on post-resuscitation care. This review addresses the major recent advances in the treatment of cardiac arrest, recent trials that have challenged current practice and the remaining areas of uncertainty.