The European Resuscitation Council (ERC) 

Mu 2010 the Komiti Yenyika Dzekubatanidza Kudzorera (ILCOR) akacherekedza kuti kunyangwe hazvo kushandiswa kwakanyanya kweadrenaline (epinephrine) uye mamwe vasopressors panguva yekumutsiridzwa kune dzimwe nyika, pakange paine kusavapo kwehupamhi hwehupupuriro hwekuzivisa kurapa kurapa nezve mashandisiro avo. [1] Zvimwe zviongorori zvekutarisa zvakaratidza kuti hapana chinokanganisa kana chinogona kukuvadza mhedzisiro yekurarama kwenguva refu uye mhedzisiro mhedzisiro. [2], [3] ILCOR inodaidzira mitezo-inodzorwa nematanho ekuona kuchengetedzwa uye kushanda kwemishonga iyi muvanhu.

The European Resuscitation Council (ERC) saka anogamuchira bhuku re PARAMEDIC 2 kudzidzira, kuongororwa kwakaitwa nemaitiro eAdrenaline kuenzaniswa ne placebo muVIHNUMX varwere vasina kunze kwechipatara chekusungwa kwemwoyo muUnited States. [8016] Kutongwa kunopa uchapupu hwakanaka hwemigumisiro yeadrenaline pamigumisiro mipfupi uye yenguva refu. Mhedzisiro yekutanga yekudzidza, kuponesa kwemazuva e4, yaiva 30% muboka reAdrenaline rinopesana ne 3.2% muboka re placebo (kusagadziriswa kwehuwandu hwe2.4; 1.390% CI 95 ku 1.062; P = 1.819). Panguva yekufirwa nechipatara, zvakadaro, kuora mwoyo kwakanyanya kwemaurologic kwakaitika kune vakawanda vakapona muboka reAdrenaline kupfuura muboka re placebo (0.017 yevarwere ve39 [126%] vs. 31.0 yevarwere ve16 [90%]).

Kududzirwa kwemigumisiro iyi kunoda kunyatsofungisisa neE ERC Advanced Life Support Science uye Education Committee (ALS SEC). Migumisiro yemutongo wePARAMEDIC 2 ichaongororwawo neI ILOR muhutano hunoenderera mberi huongororwo. Chero kushandurwa kupi kwezvirongwa zvekurapa kwaI ILOR kuchaongororwa zvakanyatsotariswa neE ERC ALS SEC kana nyaya yeE ERC Guidelines ichidiwa. [5]

Purofesa Koen Monsieurs, ERC Vice cheya uye Purofesa weEmergency Medicine pa University of Antwerp Akati:

"Ichi ndicho chiitiko chakakosha pakugadziriswa kunogona kuve kwakakosha zvikuru kuvarwere vazhinji. Chiyero ichifananidza adrenaline ne placebo mune zvinopfuura 8000 kunze kwechipatara chirwere chevasungwa. Zvigumisiro zvinoratidza kuti kushandiswa kweAdrenaline panguva yekudzorerwa kwakaguma kune vakapona vakawanda mumazuva e30 ne adrenaline, asi basa ravo remagetsi raiva rakaipisisa kupfuura vakapona vakawana placebo. Saka zvinoratidzika kuti ne adrenaline tinochengeta mamwe mwoyo asi kwete huropi. Zvinenge zvakakosha zvikuru kuziva kuti vangangodaro vanokonzerwa nekusungwa kwemwoyo (isu tose isu tose) tinonzwa pamusoro peizvi. Migumisiro yechirongwa ichi ikozvino ichaongororwa uye inokurukurwa neI ILOR mumaonero ehupupuriro hwekare. Izvo zvinounza ILCOR kukurudzira zvichafungidzirwa neE ERC, saka tarisa mazano ekuvandudzwa ERC guideline pane adrenaline nokukurumidza! "

Notes:

European Resuscitation Council yakaumbwa mu1989 uye "... chinangwa chekuchengetedza hupenyu hwevanhu kuburikidza nekugadzirisa zvakanakisisa kugadziriswa kunowanikwa kune vose". A network of 33 National Resuscitation Councils (NRCs) inomiririra ERC pachikwata chenyika. Imwe NRC inotarisira kutungamirirwa kwekutungamira, kudzidzirazve kudzidzira nekudzivirira kwehutano munyika yayo.

References: 

1. Deakin CD, Morrison LJ, Morley PT, et al. Chikamu 8: Kubatsirwa kwehupenyu hwepamusoro: 2010 International Consensus pamusoro peCardiopulmonary Resuscitation uye Emergency Cardiovascular Care Science ne Treatment Recommendations. Kudzorera 2010; 81 Suppl 1: e93-e174.
2. Soar J, Callaway CW, Aibiki M, et al. Chikamu 4: Kubatsirwa kwehupenyu hwepamusoro: 2015 International Consensus pamusoro peCardiopulmonary Resuscitation uye Emergency Cardiovascular Care Science ne Treatment Recommendations. Kudzorerwazve 2015; 95: e71-120.
3. Kleinman ME, Perkins GD, Bhanji F, et al. ILCOR Scientific Knowledge Zvirwere uye Kurapa Zvitsvakurudzo Zvinokosha zveKardiopulmonary Resuscitation uye Emergency Cardiovascular Care. A Consensus Statement. Kudzokorora 2018; 127: 132-46.
4. Perkins GD, 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, uye Lall R, nokuda kwePARAMEDIC2 Vashandi * Chiitiko Chisinganzwisisiki cheEpinephrine mune kunze kwechipatara Chirwere cheCardiac. NEJM 2018 E-publication www.nejm.org/doi/full/10.1056/NEJMoa1806842
5. Soar J, Nolan JP, Bottiger BW, et al. European Resuscitation Council Mirayiridzo Yokumutsidzira 2015: Chikamu 3. Mukuru akatsigira hupenyu hwekutsigira. Kudzokorora 2015; 95: 100-47.