Universität zu Köln

West, Rebecca L., Otto, Quentin ORCID: 0000-0002-4577-9850, Drennan, Ian R., Rudd, Sarah ORCID: 0000-0003-0352-665X, Bottiger, Bernd W., Parnia, Sam and Soar, Jasmeet ORCID: 0000-0001-5970-6073 (2022). CPR-related cognitive activity, consciousness, awareness and recall, and its management: A scoping review. Resusc. Plus, 10. AMSTERDAM: ELSEVIER. ISSN 2666-5204

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Abstract

Background: There are increasing numbers of reports of cognitive activity, consciousness, awareness and recall related to cardiopulmonary resuscitation (CPR) and interventions such as the use of sedative and analgesic drugs during CPR. Objectives: This scoping review aims to describe the available evidence concerning CPR-related cognitive activity, consciousness, awareness and recall and interventions such as the use of sedative and analgesic drugs during CPR. Methods: A literature search was conducted of Medline, Embase and CINAHL from inception to 21 October 2021. We included case studies, observational studies, review studies and grey literature. Results: We identified 8 observational studies including 40,317 patients and 464 rescuers, and 26 case reports including 33 patients. The reported prevalence of CPR-induced consciousness was between 0.23% to 0.9% of resuscitation attempts, with 48-59% of experienced professional rescuers surveyed estimated to have observed CPR-induced consciousness. CPR-induced consciousness is associated with professional rescuer CPR, witnessed arrest, a shockable rhythm, increased return of spontaneous circulation (ROSC), and survival to hospital discharge when compared to patients without CPR-induced consciousness. Few studies of sedation for CPR-induced consciousness were identified. Although local protocols for treating CPR-induced consciousness exist, there is no widely accepted guidance. Conclusions: CPR-related cognitive activity, consciousness, awareness and recall is uncommon but increasingly reported by professional rescuers. The data available was heterogeneous in nature and not suitable for progression to a systematic review process. Although local treatment protocols exist for management of CPR-induced consciousness, there are no widely accepted treatment guidelines. More studies are required to investigate the management of CPR-induced consciousness.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code West, Rebecca L. UNSPECIFIED UNSPECIFIED UNSPECIFIED Otto, Quentin UNSPECIFIED orcid.org/0000-0002-4577-9850 UNSPECIFIED Drennan, Ian R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Rudd, Sarah UNSPECIFIED orcid.org/0000-0003-0352-665X UNSPECIFIED Bottiger, Bernd W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Parnia, Sam UNSPECIFIED UNSPECIFIED UNSPECIFIED Soar, Jasmeet UNSPECIFIED orcid.org/0000-0001-5970-6073 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-685829
DOI:	10.1016/j.resplu.2022.100241
Journal or Publication Title:	Resusc. Plus
Volume:	10
Date:	2022
Publisher:	ELSEVIER
Place of Publication:	AMSTERDAM
ISSN:	2666-5204
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CARDIOVASCULAR CARE SCIENCE; CARDIOPULMONARY-RESUSCITATION; CARDIAC-ARREST; VENTRICULAR-FIBRILLATION; INTERNATIONAL CONSENSUS; DEATH; LIFE; SEDATION Multiple languages Critical Care Medicine; Emergency Medicine Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/68582