Guias rcp 2010

Part 8: Advanced Life Support: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations Laurie J. Morrison, Charles D. Deakin, Peter T. Morley, Clifton W. Callaway, Richard E. Kerber, Steven L. Kronick, Eric J. Lavonas, Mark S. Link, Robert W. Neumar, Charles W. Otto, Michael Parr, Michael Shuster, Kjetil Sunde, MaryAnn Peberdy, Wanchun Tang, Terry L. Vanden Hoek, Bernd W. Böttiger, Saul Drajer, Swee Han Lim, Jerry P. Nolan and Advanced Life Support Chapter Collaborators Circulation 2010;122;S345-S421 DOI: 10.1161/CIRCULATIONAHA.110.971051
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Part 8: Advanced Life Support
2010 International Consensus onCardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations
Laurie J. Morrison, Co-Chair*; Charles D. Deakin, Co-Chair*; Peter T. Morley; Clifton W. Callaway; Richard E. Kerber; Steven L. Kronick; Eric J. Lavonas; Mark S. Link; Robert W. Neumar; Charles W. Otto; Michael Parr; Michael Shuster; Kjetil Sunde; Mary Ann Peberdy; Wanchun Tang; Terry L. VandenHoek; Bernd W. Böttiger; Saul Drajer; Swee Han Lim; Jerry P. Nolan; on behalf of the Advanced Life Support Chapter Collaborators
Note From the Writing Group: Throughout this article, the reader will notice combinations of superscripted letters and numbers (eg, “Cricoid PressureALS-CPR&A-007B”). These callouts are hyperlinked to evidence-based worksheets, which were used in the development of thisarticle. An appendix of worksheets, applicable to this article, is located at the end of the text. The worksheets are available in PDF format and are open access. The topics reviewed by the International Liaison Committee on Resuscitation (ILCOR) Advanced Life Support Task Force are grouped as follows: (1) airway and ventilation, (2) supporting the circulation during cardiac arrest, (3) periarrestarrhythmias, (4) cardiac arrest in special circumstances, (5) identifying reversible causes, (6) postresuscitation care, (7) prognostication, and (8) organ donation. Defibrillation topics are discussed in Part 6. he most important developments and recommendations in advanced life support (ALS) since the 2005 ILCOR review are as follows:
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recommend a specific approach toprognosticating poor outcome in post– cardiac arrest patients treated with therapeutic hypothermia. The recognition that adults who progress to brain death after resuscitation from out-of-hospital cardiac arrest should be considered for organ donation. The recommendation that implementation of a comprehensive, structured treatment protocol may improve survival after cardiac arrest.

Airway and VentilationConsensus conference topics related to the management of airway and ventilation are categorized as (1) basic airway devices, (2) cricoid pressure, (3) advanced airway devices, (4) confirmation of advanced airway placement, (5) oxygenation, and (6) strategies for ventilation.

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Basic Airway Devices
Oropharyngeal and Nasopharyngeal AirwaysALS/BLS-CPR&A-080B Consensus on Science Despite...