| Prolonged retention of awareness during cardiopulmonary resuscitation for asystolic cardiac arrest. | |
| | |
MedLine Citation:
|
PMID: 18483881 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To describe high level of awareness in a patient undergoing cardiopulmonary resuscitation for an asystolic cardiac arrest and review the literature regarding this phenomenon. METHODS: This is a case report of a patient admitted to the Intensive Care Unit who suffered an asystolic cardiac arrest. We reviewed MEDLINE using the terms "awareness," "consciousness," "cerebral perfusion," "sedation," "analgesia," "termination," "cessation," and "cardiopulmonary resuscitation." RESULTS: A 57-year-old man with renal failure suffered asystolic cardiac arrest. He was awake and alert during cardiopulmonary resuscitation (CPR). Cardiac arrest was confirmed by echocardiogram and invasive arterial monitoring. He briskly localized and consistently followed simple commands while chest compressions were in progress before becoming unresponsive and dying after a 3-h resuscitative effort. No sedation/analgesia was used. There are few reports in the literature describing similar events. CONCLUSION: It is possible to retain a high level of awareness following cardiac arrest, particularly with effective CPR. Recognition of this situation when it occurs allows appropriate decisions to be made regarding the use of sedation and the length of resuscitative efforts. |
| | |
Authors:
|
Shailesh Bihari; Venkatakrishna Rajajee |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Neurocritical care Volume: 9 ISSN: 1541-6933 ISO Abbreviation: Neurocrit Care Publication Date: 2008 |
Date Detail:
|
Created Date: 2008-10-31 Completed Date: 2009-01-27 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101156086 Medline TA: Neurocrit Care Country: United States |
Other Details:
|
Languages: eng Pagination: 382-6 Citation Subset: IM |
Affiliation:
|
Critical Care Unit, Apollo Hospitals, No. 21, Greams Lane, Chennai, 600 006, Tamilnadu, India. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Awareness* Cardiopulmonary Resuscitation* Consciousness* Heart Arrest / diagnosis, psychology*, therapy* Humans Male Middle Aged Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Neurologic outcomes from high risk descending thoracic and thoracoabdominal aortic operations in the...
Next Document: High-fat diet-induced changes in body mass and hypothalamic gene expression in wild-type and leptin-...