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    原作者: Michael Winters,葛赟譯, 文章來源: 《中華急診醫學雜志》編輯部 發布日期:2015-03-03
    關鍵詞:心臟驟停 心肺復蘇 氣管導管 二氧化碳監測

    Title: Tips for the Resuscitationist - "PQRST"
    Author 作者: Michael Winters
    翻譯:葛赟 校對:肖鋒
    "PQRST" - Capnography in Cardiac Arrest
    1 Resuscitation of the patient in cardiac arrest can be stressful, chaotic, and variable depending on the setting.
    2 心臟驟停的復蘇過程可能是緊張的、混亂,和因病情而變化。
    3 Capnography is a valuable tool in the management of patients in cardiac arrest.
    4 二氧化碳檢測儀是搶救心臟驟停患者的重要工具。
    5 Heradstveit, et al. published a mnemonic for the use of capnography during cardiac arrest:
    6 Heradstveit等發表了一篇文章,提出了一個幫助記憶心臟驟停時應用二氧化碳監測儀的要點。
    P - Position of the tube
    P – 氣管導管的位置
    The sensivity and specificity of capnography for endotracheal tube confirmation is superior to auscultation and capnometry.
    Q - Quality of CPR
    Q – CPR的質量
    Early detection of poor-quality compressions.
    R - ROSC
    R -自主循環恢復(Return of spontaneous circulation,ROSC)
    A sudden increase in end-tidal CO2 can indicate ROSC without interrupting CPR for pulse checks.
    S - Strategy
    S – 策略
    May assist clinicians in determining underlying etiology of cardiac arrest.
    T - Termination
    T – 結束
    An end-tidal CO2 value < 10 mm Hg after 20 min of resuscitation has been shown to be very accurate in
    在復蘇20分鐘后呼氣末二氧化碳的值< 10 mm Hg ,已經可以準確無誤的預示死亡predicting death.

    References 參考文獻
    Heradstveit BE, Heltne JK. PQRST - A unique aide-memoire for capnography interpretation during cardiac arrest. Resuscitation 2014; 85:1619-1620.