CPR-related cognitive activity, consciousness, awareness and recall, and its management: A scoping review

West, Robin; Otto, Quentin; Drennan, Ian R.; Rudd, Sarah; Böttiger, Bernd W.; Parnia, Sam; Soar, Jasmeet

doi:10.1016/j.resplu.2022.100241

Cited by 14 publications

(18 citation statements)

References 43 publications

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“…The incidence of chest injuries during CRP is high and these are usually multiple injuries [ 25 , 27 , 29 , 33 , 34 , 36 , 42 , 45 ]. Thoracic wall injuries are associated with poorer hospital outcomes, such as fewer ventilator-free days and higher mortality [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

“…Thoracic wall injuries are associated with poorer hospital outcomes, such as fewer ventilator-free days and higher mortality [ 43 ]. Additionally, it has been noted that rib fractures caused by successful resuscitation are associated with an increased incidence of pneumonia [ 45 ]. Fractures of the ribs or sternum lead to difficulty breathing, shallow breathing and the presence of pain.…”

Section: Discussionmentioning

confidence: 99%

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Analgesic Use in Patients during Cardio-Pulmonary Resuscitation

Dąbrowski

Lange

Basiński

2023

IJERPH

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Introduction: Cardiopulmonary resuscitation-induced consciousness is a newly recognized phenomenon with an increasing incidence. A return of consciousness during cardiopulmonary resuscitation affects up to 0.9% of cases. Patients may also experience physical pain associated with chest compressions, as most victims of cardiac arrest who are subjected to resuscitative efforts sustain ribs or sternum fractures. Methods: A rapid review was carried out from August 2021 to December 2022. Results: Thirty-two articles were included in the rapid review. Of these, eleven studies focused on the return of consciousness during CPR, and twenty-one on CPR-induced chest injuries. Conclusion: A small number of studies that have dealt with the return of consciousness associated with cardiopulmonary resuscitation made it hard to clearly determine how often this occurs. There were more studies that dealt with chest trauma during resuscitation, but no study considered the use of analgesics. Of note, there was no standardized therapeutic approach as far as the use of analgesics and/or sedatives was considered. This is probably due to the lack of guidelines for analgesic management during cardiopulmonary resuscitation and peri-resuscitative period.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Analgesic Use in Patients during Cardio-Pulmonary Resuscitation

Dąbrowski

Lange

Basiński

2023

IJERPH

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“…CPRIC is increasing in occurrence. 1 , 3 , 37 Prehospital systems around the world continue to strive for more efficient ways to manage cardiac arrest. This results in higher quality CPR, improved prehospital services and earlier implementation of the chain of survival.…”

Section: Discussionmentioning

confidence: 99%

“…Community CPR responder programs, increased focus on high-quality CPR, and earlier implementation of the chain of survival are some of the contributors to this increasing rate. 1 , 2 , 3 As our prehospital systems and community responder programs become more efficient, the incidence of CPRIC continues to rise. 3 , 4 One study found a 0.6% rise in CPRIC incidence over 6 years.…”

Section: Introductionmentioning

confidence: 99%

“…Management strategies in the prehospital setting for CPRIC remain unclear. 1 There are considerations about ethically treating patients who appear in pain but also not wanting to negatively affect perfusion during arrest or post Return of Spontaneous Circulation (ROSC). 13 , 14 , 15 It is unknown which drug dose or interval is optimal for managing CPRIC.…”

Section: Introductionmentioning

confidence: 99%

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Pre-hospital guidelines for CPR-Induced Consciousness (CPRIC): A scoping review

Howard¹,

Lipscombe²,

Beovich³

et al. 2022

Resuscitation Plus

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Near-death experiences after cardiac arrest: a scoping review

Kovoor,

Santhosh,

Stretton

et al. 2024

Discov Ment Health

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Background This scoping review aimed to characterise near-death experiences in the setting of cardiac arrest, a phenomenon that is poorly understood and may have clinical consequences. Method PubMed/MEDLINE was searched to 23 July 2023 for prospective studies describing near-death experiences in cardiac arrest. PRISMA-ScR guidelines were adhered to. Qualitative and quantitative data were synthesised. Meta-analysis was precluded due to data heterogeneity. Results 60 records were identified, of which 11 studies involving interviews were included from various countries. Sample size ranged from 28–344, and proportion of female patients (when reported) was 0–50%, with mean age (when reported) ranging 54–64 years. Comorbidities and reasons for cardiac arrest were heterogeneously reported. Incidence of near-death experiences in the included studies varied from 6.3% to 39.3%; with variation between in-hospital (6.3–39.3%) versus out-of-hospital (18.9–21.2%) cardiac arrest. Individual variables regarding patient characteristics demonstrated statistically significant association with propensity for near-death experiences. Reported content of near-death experiences tended to reflect the language of the questionnaires used, rather than the true language used by individual study participants. Three studies conducted follow-up, and all suggested a positive life attitude change, however one found significantly higher 30-day all-cause mortality in patients with near-death experiences versus those without, in non-controlled analysis. Conclusions From prospective studies that have investigated the phenomenon, near-death experiences may occur in as frequent as over one-third of patients with cardiac arrest. Lasting effects may follow these events, however these could also be confounded by clinical characteristics.

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CPR-related cognitive activity, consciousness, awareness and recall, and its management: A scoping review

Cited by 14 publications

References 43 publications

Analgesic Use in Patients during Cardio-Pulmonary Resuscitation

Analgesic Use in Patients during Cardio-Pulmonary Resuscitation

Pre-hospital guidelines for CPR-Induced Consciousness (CPRIC): A scoping review

Near-death experiences after cardiac arrest: a scoping review

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