妊産婦の蘇生 - japanresuscitationcouncil.org

1 JRC 2020 Maternal Cardiopulmonaty resuscitation JRC 2020 Maternal Maternal ILCOR SR Mentee Maternal Maternal Maternal JRC 2020 HITO Maternal 2 JRC 2020

2 Maternal JRC 2020 3 1 .. 4 1..4 2. JRC ..4 2 2020 1 2 .. 5 3 .. 8 1..8 2..13 3..14 4..16 5..17 Maternal 4 JRC 2020 Maternal 1 1. CPR Japan resuscitation Council JRC JRC 2010 2 7 2 1 JRC 2015 international Liaison Committee On resuscitation ILCOR Clinical Question CQ international consensus Conference on cardiopulmonary resuscitation and emergency cardiovascular care Science With Treatment Recommendations.

3 CoSTR 2 2010 2015 JRC ILCOR American Heart Association: AHA CoSTR 3 10 40 50 / 4 CPR SysRev 2. JRC CPR JRC 3 Grading of Recommendations, Assessment, Development and Evaluation GRADE JRC Basic life support (BLS Advanced life support (ALS))

4 AHA 2010 3 2015 5 JRC SysRev EvUp ScopRev Maternal JRC 2020 5 ScopRev ScopRev 2 2 SysRev EvUp ILCOR ScopRev BLS ALS SysRev ScopRev EvUp JRC 2020 EtD ScopRev EvUp JRC URL 2 2020 ( 1, 2)

5 BLS ALS JRC 2015 BLS ALS JRC 2020 BLS 1 *a ADDIN 3,5 CPR *b ALS 2 *a *b *c CPR: * Maternal 6 JRC 2020 1.

6 Maternal JRC 2020 7 2. Maternal 8 JRC 2020 3 1 CQ: SysRev P: I: CPR C: CPR O: 3 ROSC 3 S: RCT RCT T.

7 2019 11 CPR Grade 2D Medline Embase CENTRAL 1,579 1,305 99 5 RCT Laerdal Resusci Anne PC Skill Reporting System Maternal JRC 2020 9 GRADE Carryover effects

8 1 RCT6 pregnancy bump (50 60mm) (recoil) 1 JRC 2015 40 44mm 25 57 27 30 4 RCT7-10 3 82

9 MD [95 CI: ] 3 1 119 123 JRC 2015 3. Maternal 10 JRC 2020 89 3 RCT7-9 MD [95 CI: ] 4 4. 109 4 RCT7-10 19 MD [95 CI: ] 5 5. Maternal JRC 2020 11 3 RCT7,8,10 9 MD [95 CI: ] 6 6.

10 Recoil 4 RCT7-10 100 EtD URL CQ SysRev SysRev11 Maternal 12 JRC 2020 JRC 2015