Document Detail


Return of consciousness during ongoing Cardiopulmonary Resuscitation: A systematic review.
MedLine Citation:
PMID:  25447435     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVES: Cardio-pulmonary resuscitation (CPR) may generate sufficient cerebral perfusion pressure to make the patient conscious. The incidence and management of this phenomenon is not well described. This systematic review aims to identifying cases where CPR-induced consciousness is mentioned in the literature and explore its management options.
METHODS: The databases Medline, PubMed, EMBASE, Cinahl and the Cochrane Library were searched from their commencement to the 8(th) of July 2014. We also searched Google (scholar) for grey literature. We combined MeSH terms and text words for consciousness and CPR, and included studies of all types.
RESULTS: The search yielded 1997 unique records, of which 50 abstracts were reviewed. Nine reports, describing 10 patients, were relevant. Six of the patients had CPR performed by mechanical devices, three of these patients were sedated. Four patients arrested in the out-of-hospital setting and six arrested in hospital. There were four survivors. Varying levels of consciousness were described in all reports, including purposeful arm movements, verbal communication, and resuscitation interference. Management strategies directed at consciousness were offered to six patients and included both physical and chemical restraints.
CONCLUSION: CPR-induced consciousness was infrequently reported in the medical literature, and varied in management. Given the increasing use of mechanical CPR, guidelines to identify and manage consciousness during CPR are required.
Authors:
Alexander Olaussen; Matthew Shepherd; Ziad Nehme; Karen Smith; Stephen Bernard; Biswadev Mitra
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Publication Detail:
Type:  REVIEW     Date:  2014-11-4
Journal Detail:
Title:  Resuscitation     Volume:  86C     ISSN:  1873-1570     ISO Abbreviation:  Resuscitation     Publication Date:  2014 Nov 
Date Detail:
Created Date:  2014-12-2     Completed Date:  -     Revised Date:  2014-12-3    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  -    
Other Details:
Languages:  ENG     Pagination:  44-48     Citation Subset:  -    
Copyright Information:
Copyright © 2014. Published by Elsevier Ireland Ltd.
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