Advancing resuscitation science

作者：Ewy Gordon A^*; Kellum Michael

来源：Current Opinion in Critical Care, 2012, 18(3): 221-227.

DOI：10.1097/MCC.0b013e328352c702

• cardiac arrest
• cardiocerebral resuscitation
• cardiopulmonary resuscitation
• chest compression only
• resuscitation
• ventricular fibrillation

Purpose of review
To describe an alternative approach for improving survival of patients with out-of-hospital cardiac arrest (OHCA). The survival of patients with OHCA has been poor and relatively unchanged for decades in spite of recurrent national and international guidelines. Although there are exceptions, many thought and continue to think that any change in the guidelines for cardiopulmonary resuscitation should be based on randomized controlled trials in humans. However, many factors, including the need for informed consent, the marked variability of patients, and the variability of the type and quality of bystander and advanced resuscitation efforts, all make such studies problematic. Thus, potentially life-saving procedures are often withheld for decades, resulting in unnecessary loss of life.
Recent findings
Many improvements in public health conditions have been made using models of continuous quality improvement. When applied to resuscitation science, once baseline data are obtained, changes based on reliable experimental findings are instituted and outcomes measured. This approach has now been shown to result in significant improvement in neurologically intact survival of patients with OHCA.
Summary
Following this model, we found significant improvement in survival of patients with a witnessed OHCA primary cardiac arrest.

• 出版日期2012-6