A survey on the implementation of the early goal-directed therapy after cardio-pulmonary resuscitation in Suzhou area
10.3760/cma.j.issn.1671-0282.2013.10.017
- VernacularTitle:苏州地区心肺复苏术后早期目标治疗状况
- Author:
Jianliang ZHU
;
Yan ZHANG
;
Lin YANG
;
Lijun LIU
- Publication Type:Journal Article
- Keywords:
Cardiac arrest;
Cardio-pulmonary resuscitation;
Early goal-directed therapy;
Mild therapeutic hypothermia;
Mean arterial pressure;
Peripheral oxygen saturation;
Partial pressure of carbon dioxide;
Blood glucose
- From:
Chinese Journal of Emergency Medicine
2013;22(10):1142-1146
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the implementation of the early goal-directed therapy after cardiopulmonary resuscitation in Suzhou area,in order to provide clinical data for standardized post resuscitation care.Methods This retrospective study included comatose survivors of CA,admitted into intensive care units (ICU) of 10 hospitals in Suzhou area between January 2009 and December 2010.the parameters,mean arterial pressure (MAP),peripheral oxygen saturation (SpO2),partial pressure of carbon dioxide (PaCO2),blood glucose (Glu) and body temperature (T),were collected for 48 h after CA.The percentage of parameters achieving recommended goals was compared.Results A total of 101 CA patients were enrolled in this study.Among the parameters of GDT,the percentage of achieving recommended goals for SpO2 and MAP was 90.1％ and 81.4％ ; the percentage of achieving recommended goals for Glu and PaCO2 was 55.4％ and 32.8％ ; however,mild therapeutic hypothermia (MTH) reached the lowest percentage,only 10％ ; there were significant differences in the percentage of achieving recommended goals for these parameters,P ＜0.01.Conclusions The quality of early goal-directed therapy in the CA patients should be improved,especially in the management of body temperature and partial pressure of carbon dioxide.
