6生儿窒息复苏的热点理念和进展201111北.ppt

The following are a few highlights of the changes:  The 2010 International Liaison Committee on Resuscitation (ILCOR) Consensus on Science and Treatment Recommendations (CoSTR) and the American Heart Associations Guidelines for Emergency Cardiovascular Care (ECC) are available! Detailed information can be found in: Kattwinkel J,et al. Pediatrics,2010,126:e1400-1413. Kattwinkel J,et al. NeoReviews,2010,e673-e680. The following are a few highlights of the changes:  Use of pulse oximetry This may be considered one of the biggest changes in the NRP 6th Edition. By January 1, 2012, the availability of pulse oximeters will be expected in every delivery room and highly recommended for use whenever supplemental oxygen, positive pressure ventilation or continuous positive airway pressure are considered necessary.  The following are a few highlights of the changes:  Use of a manometer. By January 1, 2012, all self – inflating bag and masks will be required to have a manometer to monitor PPV and oxygenation levels to help ensure adequate ventilation. NRP algorithm. The NRP 6th Edition algorithm has been simplified and emphasizes the importance of PPV using a pulse oximeter. The algorithm also places a greater focus on assuring adequate PPV before starting chest compressions.  The following are a few highlights of the changes:  MRSOPA grid. A mnemonic grid was developed to help aid in remembering the six steps for improving efficacy of PPV. This acronym represents: M – Adjust Mask to assure good s eal on the faceR – Reposition airway by adjusting head to sniffing“ positionS – Suction mouth and nose of secretions, if presentO – Open mouth slightly and move jaw forwardP – Increase Pressure to achieve chest riseA – Consider Airway alternative ( endotracheal intubation or laryngeal mask airway)