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Part 9: Adult Advanced Life Support: 2025 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
AHA・2025・40 ページ · 弁膜症・大動脈・末梢・肺循環 · 集中治療・救急・蘇生
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Circulation1 TOP 10 TAKE-HOME MESSAGES FOR ADULT ADVANCED LIFE SUPPORT1 PREAMBLE2 1 Martin SS, Aday AW, Allen NB, Almarzooq ZI, Anderson CAM, Arora P, Avery2 INTRODUCTION TO THE 2025 ALS GUIDELINES2 1 Donoghue A, Auerbach M, Banerjee A, Blewer A, Cheng A, Kadlec K, Lin3 DEFIBRILLATION3 1 B-NR3 1 Emergent electric defibrillation is highly effec-5 6 There is no conclusive evidence of superiority6 12 Rea TD, Helbock M, Perry S, Garcia M, Cloyd D, Becker L, Eisenberg M. In-7 ANCILLARY WAVEFORM TECHNOLOGY7 1 Despite the theoretical advantages, no study7 2 The electric characteristics of the VF waveform are7 1 Tan Q, Freeman GA, Geheb F, Bisera J. Electrocardiographic analy-7 VECTOR CHANGE AND DOUBLE SEQUENTIAL DEFIBRILLATION8 18 Delorenzo A, Nehme Z, Yates J, Bernard S, Smith K. Double sequential9 NONDEFIBRILLATION ELECTRICAL THERAPIES FOR CARDIAC ARREST9 1 Existing evidence, including observational and10 1 Tucker KJ, Shaburihvili TS, Gedevanishvili AT. Manual external (fist) pac-10 VASCULAR ACCESS IN CARDIAC ARREST MANAGEMENT10 1 Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Car-11 RECOMMENDATIONS FOR VASOPRESSOR MEDICATIONS IN ADULT CARDIAC ARREST11 1 There have been no new RCTs comparing epineph-12 3 Multiple observational studies have demonstrated12 4 Systematic reviews and meta-analyses of RCTs12 6 Multiple RCTs have compared administration of12 1 Perkins GD, Ji C, Deakin CD, Quinn T, Nolan JP, Scomparin C, Regan13 NONVASOPRESSOR MEDICATIONS DURING CARDIAC ARREST13 1 The 2023 AHA focused update on adult advanced13 ADJUNCTS FOR PERFORMANCE OF CPR16 1 ETCO2 values during CPR serve as a surrogate17 2 Multiple observational studies report the use of17 3 POCUS has been used to assess cardiac17 6 A retrospective study from the AHA’s Get With17 1 Weil MH, Bisera J, Trevino RP, Rackow EC. Cardiac output and18 TERMINATION OF RESUSCITATIVE MEASURES20 1 B-NR20 1 In a meta-analysis of 7 published BLS TOR studies20 3 The UTOR rule, which uses the same criteria as the21 1 Ebell MH, Vellinga A, Masterson S, Yun P. Meta-analysis of the accuracy of21 2 Kwong JL, Drennan IR, Turner L, Cheskes S. Predefibrillation end-21 ADVANCED AIRWAY PLACEMENT DURING RESUSCITATION21 1 B-NR21 1 C-LD21 1 C-EO22 1 Frequent retraining is important to maintain a22 1 Panchal AR, Berg KM, Hirsch KG, Kudenchuk PJ, Del Rios M, Cabanas24 WIDE-COMPLEX TACHYCARDIA25 1 B-NR25 1 In hemodynamically unstable patients with WCT it is25 2 In stable patients with WCT, vagal maneuvers or25 5 Verapamil is a calcium channel blocker that slows25 6 Adenosine will not terminate a WCT of ventricular25 1 Page RL, Joglar JA, Caldwell MA, Calkins H, Conti JB, Deal BJ, Estes NA25 POLYMORPHIC VENTRICULAR TACHYCARDIA27 1 B-NR27 1 Regardless of the underlying QT interval, all forms of27 1 Chan A, Isbister GK, Kirkpatrick CM, Dufful SB. Drug-induced QT pro-28 13 Hoshino K, Ogawa K, Hishitani T, Isobe T, Etoh Y. Successful uses of mag-28 REGULAR NARROW-COMPLEX TACHYCARDIA28 1 B-R28 1 B-NR29 4 Cardioversion can be used to treat stable patients29 1 C-LD30 3 Guidance for monophasic waveform car-32 6 Shock-refractory AF, defined as AF that33 1 Joglar JA, Chung MK, Armbruster AL, Benjamin EJ, Chyou JY, Cronin33 39 Ferreira D, Mikhail P, Lim J, Ray M, Dwivedi J, Brienesse S, Butel-Simoes34 1 B-NR34 1 Clinical trial evidence shows that nondihydropyri-35 INITIAL MANAGEMENT OF BRADYCARDIA36 1 C-EO36 1 Symptomatic bradycardia may be caused by37 2 Atropine has been shown to be effective for the37 3 When symptomatic bradycardia is refractory to37 2 Smida T, Voges L, Crowe R, Scheidler J, Bardes J. Prehospital Transcutane-39
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