Preparation process for initiating extracorporeal cardiopulmonary resuscitation in hospital: best evidence summary
10.3760/cma.j.cn211501-20230627-01537
- VernacularTitle:体外心肺复苏院内启动准备流程的最佳证据总结
- Author:
Pengcheng WANG
1
;
Di WANG
;
Xueli JI
;
Li ZHANG
;
Xihua HUANG
;
Yangchun ZHANG
;
Na MA
;
Weinan ZHANG
;
Xufeng CHEN
Author Information
1. 南京医科大学第一附属医院急诊室，南京 210029
- Keywords:
Heart arrest;
Extracorporeal membrane oxygenation;
Extracorporeal cardiopulmonary resuscitation;
Initiation;
Preparation;
Evidence summary
- From:
Chinese Journal of Practical Nursing
2024;40(5):365-371
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve, evaluate and integrate the evidence related to the preparation process for initiating extracorporeal cardiopulmonary resuscitation in hospital, so as to provide reference for clinical implementation of extracorporeal cardiopulmonary resuscitation.Methods:According to the evidence-based nursing method and the 6S evidence model, guidelines, clinical decisions, expert consensus, systematic review and other literatures related to the preparation process for initiating extracorporeal cardiopulmonary resuscitation in hospital were searched from National Guideline Clearinghouse, Scottish Intercollegiate Guidelines Network, National Institute for Health and Care Excellence, and other websites, UpToDate, The Cochrane Library, PubMed, Embase, CNKI, Wanfang and other databases. The retrieval date limit was from the establishment of the database to May 20, 2023. Researchers assessed the quality of the included articles, and extracted and summarized the evidence that met the quality standards.Results:A total of 11 articles were included, including 2 guidelines, 6 expert consensuses, 1 systematic review and 2 quasi-experimental studies. A total of 18 pieces of evidences were summarized from 6 aspects, including medical conditions, team building, materials management, operation mechanism, pre-initiating treatment and initiating judgment.Conclusions:This study summarizes the evidence of preparation process for initiating extracorporeal cardiopulmonary resuscitation in hospital, which can provide reference for promoting the implementation of extracorporeal cardiopulmonary resuscitation. Future studies still need to focus on team building, personnel training and assessment, and optimisation of the management system, so as to improve the efficiency and readiness of treatment.
