Department of Anesthesiology, Nykøbing Falster Sygehus, Nykøbing Falster, Denmark.
Emerg Med J. 2019 Apr;36(4):249-250. doi: 10.1136/emermed-2019-208599.2.
A shortcut review was carried out to establish whether pin management or sedation is indicated to improve outcome in patients who show signs of awareness during cardiopulmonary resuscitation (CPR). Seven papers presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. It is concluded that awareness during CPR or CPR-induced consciousness is rare but increasingly reported. Further research is needed before definite guidance can be given. Local advice should be followed.
进行了快速复习，以确定在心肺复苏 (CPR) 过程中出现意识迹象的患者中，是采用针固定还是镇静来改善预后。有 7 篇论文提供了最佳证据来回答临床问题。作者、日期和出版国家、研究的患者群体、研究类型、相关结局、这些论文的结果和研究局限性均列于表中。结论是，CPR 过程中出现意识或 CPR 诱导的意识虽然罕见，但报道越来越多。在给出明确指导之前，还需要进一步研究。应遵循当地建议。
