自主循環再現
自主循環再現(英語:Return of spontaneous circulation (ROSC))是心停止之後出現持續的心跳和呼吸活動。[1]自主循環再現出現的標誌包括呼吸、咳嗽、肢體移動、可被感知的脈搏和可被測量的血壓。心肺復甦和除顫電擊將增加自主循環再現的機會。[1]
在心肺復甦失敗後出現的拉撒路綜合症和自激現象也是一種自主循環再現,儘管對心停止者的心肺復甦嘗試已經停止。[2][3]因此,心肺復甦嘗試停止後,推薦進行10分鐘的被動觀察。[2]
參考資料
- ^ 1.0 1.1 Jacobs I, Nadkarni V, Bahr J; et al. Cardiac arrest and cardiopulmonary resuscitation outcome reports: update and simplification of the Utstein templates for resuscitation registries: a statement for healthcare professionals from a task force of the International Liaison Committee on Resuscitation (American Heart Association, European Resuscitation Council, Australian Resuscitation Council, New Zealand Resuscitation Council, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Councils of Southern Africa). Circulation. November 2004, 110 (21): 3385–97. PMID 15557386. doi:10.1161/01.CIR.0000147236.85306.15.
- ^ 2.0 2.1 Wiese CH, Bartels UE, Orso S, Graf BM. [Lazarus phenomenon. Spontaneous return of circulation after cardiac arrest and cessation of resuscitation attempts]. Anaesthesist. April 2010, 59 (4): 333–41. PMID 20224948. doi:10.1007/s00101-010-1709-7 (德語).
- ^ Hornby K, Hornby L, Shemie SD. A systematic review of autoresuscitation after cardiac arrest. Crit. Care Med. May 2010, 38 (5): 1246–53. PMID 20228683. doi:10.1097/CCM.0b013e3181d8caaa.