The Council Resuscitation Council (ERC) 

In 2010 ee Guddiga Xidhiidhka Caalamiga ah ee Dib-u-dejinta (ILCOR) Xusay in inkasta oo si baahsan loo isticmaalay adrenaline (epinephrine) iyo vasopressors kale inta lagu gudajiray dib u soo nooleynta wadamada qaar, hadana maqnaanshaha cadeymo tayo sare leh oo lagu wargalinayo talooyinka daaweynta ee ku saabsan isticmaalkooda. [1] Qaar ka mid ah daraasadaha indha-indheynta ayaa soo jeediyay midkoodna wax saameyn ah ama saameyn waxyeello leh u leh badbaadada muddada-dheer iyo natiijada neerfaha. [2], [3] ILCOR waxay ku baaqday tijaabooyin xakameynaya xakamaynta placebo si loo go'aamiyo badbaadada iyo waxtarka daawooyinkan dadka.

The Council Resuscitation Council (ERC) Sidaa darteed soo dhaweynayaa daabacaadda PARAMEDIC 2 baaritaan lagu sameeyay, tijaabo la xakameynayo oo loo yaqaan 'adrenaline' marka la barbardhigo bukaanka xNUMX ee ku jira xabsiga wadnaha ee wadnaha ee UK. [8016] Baaritaanku wuxuu bixiyaa caddayn tayo sare leh oo ku saabsan saameynta adrenaline ee natiijooyinka gaaban iyo mudada dheer. Natiijada ugu muhiimsan ee daraasadda, badbaadinta 4 maalmaha, wuxuu ahaa 30% ee kooxda adrenaline ee ka soo horjeeda 3.2% ee kooxda xakameynaya (xaddiga aan kala go'a lahayn ee 2.4; 1.390% CI 95 ee 1.062; P = 1.819). Hase yeeshee, waqtiga isgoysyada isbitaalka, waxqabadka daran ee neerfaha ayaa ku dhacay inta badan kuwa ka badbaaday kooxda adrenaline marka la barbar dhigo kooxda xuubka loo yaqaan '0.017 ee bukaanada 39 [126%] iyo 31.0 ee bukaannada 16 [90%]).

Fasiraadda natiijooyinkaan waxay u baahan doonaan tixgelin taxadar leh oo ay siiyaan Guddiga Sare ee Waxbarashada Sayniska iyo Waxbarashada Sare ee ERC (ALS SEC). Natiijooyinka ka mid ah tijaabada PARAMEDIC 2 ayaa sidoo kale waxaa loo tixgelin doonaa ILCOR habka qiimeynta caddaynta ee joogtada ah. Isbedel kasta ee talooyinka daaweynta ILCOR ayaa si taxadar leh loo tixgelin doonaa ERC ALS SEC haddii ay dhacdo in cusbooneysiin loo baahan yahay Xeerarka ERC ayaa loo baahan yahay [5]

Professor Koen Monsieurs, ERC xigeenka kursi iyo Professor Daryeelka Caafimaadka Degdega ah Jaamacadda Antwerp wuxuu yiri:

"Tani waa maxkamad taariikhi ah oo dib-u-nooleyn ah oo laga yaabo in ay muhiim u tahay bukaanno badan. Maxkamad ayaa la barbardhigtay adrenaline oo la socotay xero ka tirsan 8000 oo ka baxsan dadka bukaanka ah ee wadnaha. Natiijooyinka waxay muujinayaan in isticmaalka adrenaline inta lagu guda jiro dib u soo noqoshada ay sababtay in ka badan kuwa ka badbaaday maalmaha 30 ee adrenaline, laakiin howlahooda neerfaha ayaa ka xun kuwa ka badbaaday kuwaas oo heley placebo. Sidaa daraadeed waxay u muuqataa in adrenaline aan badbaadin karno quluub badan, laakiin ma aha maskax badan. Waxay noqon doontaa mid aad u qiimo badan oo lagu ogaanayo sida dhibbanayaasha looga hortago wadnaha (oo dhammaanteena nala ah) waxay dareemayaan arrintan. Natiijooyinka imtixaankan hadda waxaa lagu falanqeyn doonaa oo looga doodayaa ILCOR si loo eego dhamaan caddaynta hore. Soo-jeedinta ILCOR ee la soo jeedin doono waxaa loo tixgelin doonaa ERC, markaa fiiri xeerka cusub ee ERC ee ku saabsan adrenaline isla markiiba! "

Notes:

Golaha Dib-u-ceshiga Yurub waxaa lagu sameeyay 1989 iyo "... ujeeddadeedu waa in la ilaaliyo nafta bini'aadamka iyada oo la sameynaayo dib-u-habeyn tayo sare leh oo loo hayo dhammaan". Shabakada 33 Golaha Dib-u-dejinta Qaranka (NRCs) waxay mataleysaa ERC heer qaran. Mid kasta oo ka mid ah NRC wuxuu kormeeraa bixinta tilmaamaha, tababarka dib-u-dejinta iyo xakamaynta tayada dalkiisa.

Tixraacyo: 

1. Deakin CD, Morrison LJ, Morley PT, et al. Qeybta 8: Taageero nololeed oo horumarsan: 2010 Consensus International Resuscitation Resuscitation and Sick Care Cudurka Daaweynta Cardiovascular Advice Advice. Dib-u-soo-kabashada 2010; 81 Cuntada 1: e93-e174.
2. Soar J, Callaway CW, Aibiki M, iyo al. Qeybta 4: Taageero nololeed oo horumarsan: 2015 Consensus International Resuscitation Resuscitation and Sick Care Cudurka Daaweynta Cardiovascular Advice Advice. Dib-u-soo-kabashada 2015; 95: e71-120.
3. Kleinman ME, Perkins GD, Bhanji F, et al. ILCOR Aqoonta Cilmi-baarista iyo Saadaalinta Cilmi-baarista Caafimaadka ee Daaweynta Nabdoonaanta Wadnaha iyo Daryeelka Gargaarka Daacuunka. Qoraalka Consensus. Dib u soo noqoshada 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, Gunn I, Han K, Charlton K, Finn J, Petrou S, Stallard N, Gates S, iyo Lall R, Isku-duullayaasha PARAMEDIC2 * Maxkamadeynta Haboonaanta ee Epinephrine ee Ka-baxsan Isbitaalada Wadnaha. NEJM 2018 E-daabacaadda www.nejm.org/doi/full/10.1056/NEJMoa1806842
5. Soar J, Nolan JP, Bottiger BW, et al. Tilmaamaha Golaha Dib-u-habeynta Cudurka Yurub ee loogu talagalay Dib-u-dejinta 2015: Qeybta 3. Taageerada nololeed ee dadka waaweyn. Dib u soo noqoshada 2015; 95: 100-47.