2022年心肺复苏与心血管急救科学和治疗建议国际共识解读——儿童和新生儿生命支持

Interpretation of the updates in the pediatric and neonatal life support in 2022 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations

2022年11月国际复苏联络委员会第6次更新了心肺复苏和心血管急救科学与治疗建议国际共识。国际联络委员会复苏特别工作组根据最新发表的复苏证据,系统评价了21个主题,其中,与儿童和新生儿生命支持相关的主题有9个,包括儿童公共除颤仪的使用、儿科早期预警系统、出生后立即保持正常体温、出生时负压吸引羊水、出生后立即复苏患儿的触觉刺激、使用持续气道正压通气治疗足月儿产时呼吸窘迫、产房呼吸监测、产房心率监测、新生儿声门上气道的使用。工作组对上述每一个主题在权衡证据并讨论后提出了治疗推荐;对数据非常有限但复苏学界特别关注的主题,则提出代表专家意见的良好实践声明。为了便于读者很好地理解治疗推荐,在推荐依据部分中,相关治疗推荐的基本依据被简单阐述;另外,各项主题系统评价后存在的问题和今后的研究方向也得到明确说明。

In November 2022,the International Liaison Committee on Resuscitation updated the International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations for the sixth time.The 2022 review includes 21 topics addressed with systematic reviews by the Recovery Task Force of International Liaison Committee on Resuscitation.Among them,there are nine topics related to life support for newborns and children,including public-access defibrillation devices for children,pediatric early warning systems,maintaining normal temperature immediately after birth,suctioning of amniotic fluid at birth,tactile stimulation for resuscitation immediately after birth,use of continuous positive airway pressure for respiratory distress at term birth,respiratory monitoring in the delivery room,heart rate monitoring in the delivery room,and supraglottic airway use in neonates.The Task Force made treatment recommendations for each of the above topics after weighing evidence and discussion.In some cases,good practice statements have been provided for topics thought to be of particular interest to the resuscitation community when the evidence is insufficient to support a recommendation.Good practice statements are not recommendations but represent expert opinion.In order to facilitate the readers to understand the treatment recommendation well,in the recommendation basis part,the basic principle is briefly described.In addition,the existing problems and future research directions of each topic after the systematic reviews are also clearly stated.