Cardiopulmonary Resuscitation Induced Consciousness - A Case Report in an Elderly Patient

DOI: https://doi.org/10.12890/2020_001409

Keywords

Cardiopulmonary resuscitation, consciousness, cardiac arrest

Abstract

Cardiopulmonary resuscitation-induced consciousness is a rarely described and often misunderstood phenomenon, although it can be encountered. High quality cardiopulmonary resuscitation (CPR) may lead a patient to recover consciousness while in cardiac arrest. The authors present the case of an 89-year-old male patient who received CPR after a cardiac arrest. Spontaneous movements during CPR were noted and prompted several CPR interruptions. These movements immediately stopped during chest compression pauses. Physical restraint was used in order to be able to continue with the CPR algorithm, but sedation may be the best approach. Guidelines on how to identify and manage these cases need to be developed.

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References

  • Meaney PA, Bobrow BJ, Mancini ME, Christenson J, de Caen AR, Bhanji F, et al. Cardiopulmonary resuscitation quality: [corrected] improving cardiac resuscitation outcomes both inside and outside the hospital: a consensus statement from the American Heart Association. Circulation 2013;128417–435.

  • Olaussen A, Shepherd M, Nehme Z, Smith K, Bernard S, Mitra B. Return of consciousness during ongoing cardiopulmonary resuscitation: a systematic review. Resuscitation 2015;86:44–48.

  • Parnia S, Spearpoint K, de Vos G, Fenwick P, Goldberg D, Yang J, et al. AWARE-AWAreness during REsuscitation-a prospective study. Resuscitation 2014;85:1799–1805.

  • Bihari S, Rajajee V. Prolonged retention of awareness during cardiopulmonary resuscitation for asystolic cardiac arrest. Neurocrit Care 2008;9382–386.

  • In’t Veld C, Van Exter P, Rombouts M. Landelijk protocol ambulancezorg. 8th ed. Zwolle: Ambulancezorg Nederland 2014.

    • Published: 2020-01-13

    Issue: Vol 7 No 2 (view)

    Section: Articles

    How to cite:
    1.
    Pinto J, Almeida P, Ribeiro F, Simões R. Cardiopulmonary Resuscitation Induced Consciousness - A Case Report in an Elderly Patient. EJCRIM 2020;7 doi:10.12890/2020_001409.

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