ERC 2018 - Nkwupụta si na Council Resuscitation Council nke European metụtara akwụkwọ nke PARAMEDIC 2 ikpe
Na 2010 na Kọmitii Mmekọrịta Na-ahụ Maka Ntughari (ILCOR) kwuru na n'agbanyeghị ojiji a na-eji adrenaline (epinephrine) na ndị ọzọ vasopressors eme ihe n'oge mgbapụta na mba ụfọdụ, enweghị ezigbo ihe akaebe dị elu iji gwa ndị ndụmọdụ ọgwụgwọ banyere ojiji ha. [1] Fọdụ ọmụmụ ihe ọmụmụ na-atụ aro enweghị mmetụta ọ bụla ma ọ bụ mmetụta nwere ike ịdị na-adị ndụ ogologo oge na nsonaazụ na-adịghị na ya.
The Council of Resuscitation Council (ERC) Ya mere, nabatara akwụkwọ nke PARAMEDIC 2 ọmụmụ, nyocha nke ikpezi nke adrenaline nke a na-ejikarị ejiri ya tụnyere placebo na ndị ọrịa 8016 na-ejide ya na UK. [4] Ikpe ahụ na-enye ihe akaebe dị oke mma gbasara mmetụta nke adrenaline na mkpirikpi na ogologo oge. Ihe kachasị pụta n'ọmụmụ ihe, nlanarị ruo 30 ụbọchị, bụ 3.2% na adrenaline otu na 2.4% na mpaghara placebo (usoro 1.390 siri ike; 95% CI 1.062 na 1.819; P = 0.017). Otú ọ dị, n'oge a na-ekpochapụ ụlọ ọgwụ, ọ dị njọ na nhụjuanya na-adịghị mma nke ọrịa na-emekarị n'ime ọtụtụ ndị na-anwụ n'ime adrenaline karịa na placebo ahụ (39 nke 126 ọrịa [31.0%] vs. 16 nke 90 ọrịa [17.8%]).
Nkọwa nke ihe ndị a ga-achọ nlezianya tụlee nke ERC Advanced Life Support Science and Education Committee (ALS SEC). A ga-atụle ihe nrite nke ikpe PARAMEDIC 2 site na ILCOR na usoro ihe nyocha ọ na-aga n'ihu. Ngbanwe ọ bụla na nchịkọta ọgwụgwọ ILCOR ga-atụle nlezianya site na ERC ALS SEC ma ọ bụrụ na achọrọ mmelite nke ERC Ntuziaka. [5]
Prọfesọ Koen Ndị isi, ERC Vice oche na Prọfesọ nke Ọgwụ Mberede na Mahadum Antwerp kwuru, sị:
"Nke a bụ ikpe mara mma na mgbapụta nke nwere ike dị ezigbo mkpa nye ọtụtụ ndị ọrịa. Ọnwụnwa ahụ jiri adrenaline tụnyere placebo na karịa 8000 si na ndị ọrịa na-ejide obi. Nsonaazụ na-egosi na iji adrenaline n'oge nlọghachi mere ka ọtụtụ ndị lanarịrị na 30 ụbọchị na adrenaline, ma ọrụ nyocha ha dị njọ karịa ndị lanarịrị placebo. Ya mere o yiri ka adrenaline anyi na-azoputa obi karia otutu ụbụrụ. Ọ ga-abụ nnọọ ihe bara uru ịmara otú ndị nwere ọrịa obi ha (nke anyị nile bụ) si eche banyere nke a. A ga-enyocha nyocha nke ikpe a ugbu a ma kwurịta ya site na ILCOR maka echiche niile gara aga. Ihe kpatara ILCOR nkwenye ga-elele anya site na ERC, ya mere chọpụta maka emelitere ERC nduzi na adrenaline n'oge na-adịghị anya! "
Notes:
E guzobere Council Council of Resuscitation na 1989 na "... ihe mgbaru ọsọ iji chekwaa ndụ mmadụ site na ime ka mmadụ niile nwetaghachi ume dị elu". Otu netwọk nke Nchịkọta Nchịkọta Mba nke 33 (NRC) na-anọchi anya ERC na ọkwa mba. Onye NRC ọ bụla na-ahụ maka ịnye ntụziaka, ọzụzụ nkwụghachi azụ na njikwa mma na mba ya.
References:
- Deakin CD, Morrison LJ, Morley PT, et al. Nkebi nke 8: Nkwado ndụ elu: 2010 Nkwenye Mba Nile na Resuscitation Cashiopulmonary na Nchebe Na-ahụ Maka Mberede Na-ahụ Maka Mberede na Nsogbu. 2010 Resuscitation 81 Suppl 1: e93-e174.
- Gaa J, Callaway CW, Aibiki M, et al. Nkebi nke 4: Nkwado ndụ elu: 2015 Nkwenye Mba Nile na Resuscitation Cashiopulmonary na Nchebe Na-ahụ Maka Mberede Na-ahụ Maka Mberede na Nsogbu. 2015 Resuscitation 95: e71-120.
- Kleinman ME, Perkins GD, Bhanji F, et al. ILCOR Scientific Knowledge Gaps na Clinical Research Priorities for Respiratory Cardiopulmonary and Emergency Cardiovascular Care. Nkwupụta Nkwekọrịta. 2018 Resuscitation 127: 132-46.
- Gọọmenti Perkins, Ji C, Deakin CD, Quinn T, Nolan JP, Scomparin C, Regan S, Long J, Slowther A, Pocock H, Black JJM, Moore F, Fothergill RT, Rees N, O'Shea L, Docherty M, Gunson I, Han K, Charlton K, Finn J, Petrou S, Stallard N, Gates S, na Lall R, maka ndị òtù PARAMEDIC2. * A na-achọ ịchọta Epinephrine nke Na-ahụ Maka Ọgwụ Na-ahụ Maka Ọgwụ. NejM 2018 E-akwụkwọ www.nejm.org/doi/full/10.1056/NEJMoa1806842
- Gaa J, Nolan JP, Bottiger BW, et al. Ntuziaka nduzi nke Resuscitation nke Europe maka 2015: Nkebi nke 3. Okenye okenye na-akwado nkwado. 2015 Resuscitation 95: 100-47.