在超声整合婴儿复苏中揭示伪无脉冲电活动 (伪PEA)
Belinda Chan1,2, Susan Sieg3, Yogen Singh4,5
1Department of Pediatrics, Division of Neonatology, University of Utah, Salt Lake City, UT, 84108, USA.
European journal of pediatrics
|September 19, 2023
概括
护理点超声波 (POCUS) 可以识别婴儿的伪无脉冲电活动 (PEA),这种情况是可以看到心脏活动但没有检测到脉冲. 本综述将成人POCUS发现适应新生儿复苏,并提出新的整合策略.
科学领域:
- 新生儿重症监护室新生儿重症监护室
- 关键护理医学 关键护理医学
- 护理点的超声波 (POCUS) 超声波检查
背景情况:
- 护理点超声波 (POCUS) 越来越多地用于新生儿重症监护室 (NICU) 治疗重症婴儿.
- 已建立的协议,如SAFE-R和CNP指导心肺衰竭的诊断和治疗.
- 传统的无脉动电活动 (PEA) 诊断排除了心肌活动,忽视了心脏运动但没有脉冲的病例.
结论:
- 伪PEA是一种在POCUS引导的复苏期间在婴儿中新发现的诊断.
- 整合POCUS可以改善患有伪PEA的婴儿的管理.
- 跨学科学习对于应对新生儿医学新出现的挑战至关重要.
相关概念视频
Special considerations while measuring pulse
613
Assessing a patient's pulse is a fundamental skill in healthcare, but certain situations require special attention:
613
Cardiopulmonary Resuscitation I: Adult
20
Cardiopulmonary resuscitation, or CPR, is a life-saving emergency procedure performed when a person's heart has stopped beating or they are no longer breathing. The foundation of CPR is Basic Life Support (BLS), which focuses on the early recognition of cardiac arrest, the immediate start of high-quality chest compressions, and the timely use of an automated external defibrillator (AED).Assessing Responsiveness and Checking the Carotid PulseWhen approaching an unresponsive person, first ensure...
20
Cardiopulmonary Resuscitation III: AED Use
38
Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
38
Pulse rhythm
832
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
832
Cardiopulmonary Resuscitation IV: Pharmacological Management
17
Pharmacologic intervention is crucial in treating cardiac arrest patients during ACLS or Advanced Cardiovascular Life Support. The ACLS algorithms guide the administration of specific drugs based on the patient's cardiac arrest rhythm, which includes pulseless ventricular tachycardia (VT), ventricular fibrillation (VF), asystole, and pulseless electrical activity (PEA).EpinephrineIndication: Epinephrine is the first-line drug for all cardiac arrest rhythms.Mechanism of Action: Epinephrine...
17


