从平线到生命线:对拉撒路现象的范围审查
Georgios Mavrovounis1, Marina Kontou1, Orestis Tsiotsikas1
1Department of Emergency Medicine, Faculty of Medicine, University of Thessaly, BIOPOLIS, 41500 Larissa, Greece.
The American journal of emergency medicine
|July 22, 2023
概括
拉撒路现象,或自动复苏 (autoROSC),是在心肺复苏 (CPR) 停止后,血液循环的自发恢复. 这次审查发现,自动ROSC的报告不足,大多数病例发生在医院内,生存率各不相同.
科学领域:
- 医学科学 医学科学 医学科学
- 紧急医疗 紧急医疗
- 关键的护理关键的护理
背景情况:
- 拉撒路现象,也称为自动复苏 (autoROSC),描述了在心肺复苏 (CPR) 工作停止后,血液循环的自发恢复 (ROSC).
- 了解autoROSC对于改善重症监护机构患者的治疗结果至关重要.
研究的目的:
- 进行对自动复苏现有文献 (autoROSC) 的范围审查.
- 编制和提交关于心肺复苏 (CPR) 后自动ROSC报告病例的数据.
主要方法:
- 在四个科学数据库中进行了系统的搜索,以确定报告自动ROSC病例的研究.
- 数据提取集中在与心肺复苏和随后的自动ROSC事件相关的细节上.
- 该审查遵循了系统性审查和元分析扩展范围审查 (PRISMA-ScR) 的优先报告项目指南.
主要成果:
- 在66项研究中,共发现了76例自动ROSC病例,其中大多数心脏骤停发生在医院内 (57.89%).
- 从心肺复苏结束到自动ROSC的中位时间为5分钟.
- 虽然31.58%的患者存活下来,但77.61%的患者死亡,只有14.47%的患者有完整的神经结果. 在患有呼吸道并发病症的患者中观察到较高的死亡率.
结论:
- 自动复苏 (autoROSC) 可能是医疗界不太认可的事件.
- 医疗保健专业人员应保持对autoROSC的认识,并在临床上适当时积极监测其发生情况.
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