Acls Pocket Reference: An Approach to the Key Algorithms for by Ken Grauer, Dan Cavallaro PDF

By Ken Grauer, Dan Cavallaro

ISBN-10: 0815134355

ISBN-13: 9780815134350

ISBN-10: 5880010074

ISBN-13: 9785880010073

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Extra resources for Acls Pocket Reference: An Approach to the Key Algorithms for Cardiopulmonary Resuscitation

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25. Что делать при асистолии Хотя прогноз при асистолии очень плохой, исход ее, если асистолия развилась в стационаре, не так безнадежен, как если это случилось во внебольничной обстановке. Асистолия при внебольничной остановке кровообращения это, как правило, исход ФЖ. Напротив, асистолия в стационаре иногда результат резкой ваготонии, а потому введение атропина в отдельных случаях дает очень хороший эффект.

4. Электрокардиостимуляция Кардиостимуляция эффективна, только если сохранена функция миокарда, а потому при асистолии она обычно бесполезна. Тем не менее в случаях асистолии приходится прибегать к кардиостимуляции, когда перечисленные выше меры не дали результата. Эффективность кардиостимуляции тем выше, чем раньше она начата (в идеале - сразу после того, как станет очевидной рефрактерность к атропину и адреналину, если не раньше); с другой стороны, по данным Cummins и соавт. (1993), при асистолии даже рано начатая наружная электрокардиостимуляция практически не улучшает прогноз.

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Acls Pocket Reference: An Approach to the Key Algorithms for Cardiopulmonary Resuscitation by Ken Grauer, Dan Cavallaro


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