英国心脏导管实验室心脏骤停管理指南

J. Dunning, A. Archbold, J. de Bono, Liz Butterfield, N. Curzen, C. Deakin, Ellie Gudde, Thomas R. Keeble, Alan Keys, Mike Lewis, N. O'Keeffe, J. Sarma, M. Stout, P. Swindell, S. Ray
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引用次数: 2

摘要

超过300 000个手术在英国的心脏导管实验室中进行。自侵入性心脏病学早期以来,经皮心血管手术的种类和复杂性都大幅增加,当时主要集中在选择性冠状动脉造影和单腔(右心室)永久性起搏器植入。现代侵入性心脏病学包括初级经皮冠状动脉介入治疗、心脏再同步治疗、复杂心律失常消融和结构性心脏干预。这些手术都有心脏骤停的风险。我们制定了导管实验室中成年患者心脏骤停管理的循证指南。该指南包括九个专业和患者协会合作制定的建议,这些协会致力于促进心血管疾病患者的高质量护理。我们提出了一套方案,该方案利用了整个导管实验室团队的技能,旨在为在这种情况下心脏骤停的患者实现尽可能好的结果。我们确定了六个角色,并制定了一种治疗算法,该算法应在导管实验室的心脏骤停期间采用。我们建议所有导管实验室工作人员定期接受培训,以应对他们将不可避免地面临的这些紧急情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Joint British Societies’ guideline on management of cardiac arrest in the cardiac catheter laboratory
More than 300 000 procedures are performed in cardiac catheter laboratories in the UK each year. The variety and complexity of percutaneous cardiovascular procedures have both increased substantially since the early days of invasive cardiology, when it was largely focused on elective coronary angiography and single chamber (right ventricular) permanent pacemaker implantation. Modern-day invasive cardiology encompasses primary percutaneous coronary intervention, cardiac resynchronisation therapy, complex arrhythmia ablation and structural heart interventions. These procedures all carry the risk of cardiac arrest. We have developed evidence-based guidelines for the management of cardiac arrest in adult patients in the catheter laboratory. The guidelines include recommendations which were developed by collaboration between nine professional and patient societies that are involved in promoting high-quality care for patients with cardiovascular conditions. We present a set of protocols which use the skills of the whole catheter laboratory team and which are aimed at achieving the best possible outcomes for patients who suffer a cardiac arrest in this setting. We identified six roles and developed a treatment algorithm which should be adopted during cardiac arrest in the catheter laboratory. We recommend that all catheter laboratory staff undergo regular training for these emergency situations which they will inevitably face.
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