Vim li cas transcutaneous pacing contraindicated hauv hypothermia?

Cov txheej txheem:

Vim li cas transcutaneous pacing contraindicated hauv hypothermia?
Vim li cas transcutaneous pacing contraindicated hauv hypothermia?
Anonim

Nyob rau hauv cov neeg mob hypothermia hnyav, mob plawv pacing cardiac pacing Thaum xaus, raug rau qhov siab ntawm 4,000 m saum toj no hiav txwv theemnrog rau qhov tshwm sim hypobaric hypoxemia tsis muaj kev cuam tshuam rau ventricular stimulation qhov pib. Yog li ntawd, hais txog kev nyab xeeb ntawm pacing, cov neeg mob pacemaker tuaj yeem muaj kev nyab xeeb ntawm qhov siab no. https://pubmed.ncbi.nlm.nih.gov › …

Kev cuam tshuam ntawm kev raug mob rau qhov siab siab thiab hypoxemia … - PubMed

yog contraindicated. Hauv cov neeg mob no, bradycardia tuaj yeem yog qhov tshwm sim ntawm lub cev uas tshwm sim los ntawm kev txo qis hauv metabolic. Tsis tas li ntawd, raws li lub cev kub poob, cov ventricles ua rau muaj kev cuam tshuam rau fibrillation thiab tiv taus ntau dua rau defibrillation.

Koj puas tuaj yeem kho tus neeg mob hypothermic?

Kev hloov pauv hauv lub cev yog tsis yog ib txwm ua lossis kev coj ua tau pom zoo hauv cov neeg mob hnyav hnyav nrog hypotension thiab bradycardia. Hauv tsab ntawv ceeb toom no, peb piav qhia txog 2 tus neeg mob uas muaj qhov tsis txaus siab hypothermia, bradycardia, thiab hypotension uas tau teb zoo rau kev hloov pauv hloov pauv.

Koj puas tuaj yeem hloov pauv cov pace asystole?

Transcutaneous pacing zoo nkaus li tsis muaj txiaj ntsig rau cov neeg mob asystolic mob plawv, txawm tias nws tau ua tiav ntxov li sai tau los ntawm EMTs hauv thaj teb.

Koj puas tuaj yeem kov tus neeg mob thaum lub sijhawm hloov pauv?

Nws muaj kev nyab xeeb kovcov neeg mob (piv txwv li ua CPR) thaum lub sijhawm pacing.

Thaum twg yog transcutaneous pacing qhia?

Txawm hais tias kev hloov pauv ntawm lub plawv dhia yog qhia feem ntau raukho bradycardia thiab ntau yam ntawm lub plawv nres, kev sib tshuam overdrive pacing kuj tuaj yeem siv los ua kev kho mob rau ntau yam atrial thiab ventricular. tachycardias (piv txwv li, postoperative atrial flutter thiab monomorphic ventricular…

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