未经评估:关于认知活动的报告越来越多,意识,意识和召回与心肺复苏(CPR)和干预措施有关,例如在CPR期间使用镇静和镇痛药物。
UNASSIGNED:本范围审查旨在描述有关CPR相关认知活动的现有证据,意识,意识和召回以及干预措施,如在CPR期间使用镇静和镇痛药物。
未经授权:对Medline进行了文献检索,Embase和CINAHL从成立到2021年10月21日。我们包括案例研究,观察性研究,综述研究和灰色文献。
UASSIGNED:我们确定了8项观察性研究,包括40,317名患者和464名救援人员。26例病例报告,包括33例患者。据报道,CPR引起的意识发生率在复苏尝试的0.23%至0.9%之间,在接受调查的有经验的专业救援人员中,有48-59%估计观察到CPR引起的意识。CPR诱导的意识与专业救助者CPR有关,目击逮捕,令人震惊的节奏,自发循环(ROSC)恢复增加,与没有CPR诱导意识的患者相比,以及从出院到出院的生存率。很少有关于CPR诱导意识的镇静研究。尽管存在治疗CPR诱导意识的局部方案,没有广泛接受的指导。
未经授权:与心肺复苏相关的认知活动,意识,意识和召回并不常见,但越来越多地由专业救援人员报告。可获得的数据本质上是异质的,不适合进展到系统审查过程。尽管存在局部治疗方案来管理CPR诱导的意识,目前尚无广泛接受的治疗指南.需要更多的研究来研究CPR诱导的意识的管理。
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.