Department of Medical Rescue, Faculty of Health Sciences with the Institute of Maritime and Tropical Medicine, Medical University of Gdańsk, Dębinki 7, 80-211 Gdańsk, Poland.
Department of Internal and Pediatric Nursing, Medical University of Gdańsk, Dębinki 7, 80-211 Gdańsk, Poland.
Int J Environ Res Public Health. 2023 Feb 18;20(4):3654. doi: 10.3390/ijerph20043654.
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.
A rapid review was carried out from August 2021 to December 2022.
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.
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.
心肺复苏诱导意识是一种新出现的现象，发病率越来越高。心肺复苏过程中意识的恢复高达 0.9%。患者还可能会因胸部按压而感到身体疼痛，因为大多数接受复苏努力的心脏骤停患者会遭受肋骨或胸骨骨折。
快速审查于 2021 年 8 月至 2022 年 12 月进行。
快速审查中纳入了 32 篇文章。其中，11 项研究侧重于心肺复苏过程中意识的恢复，21 项研究侧重于心肺复苏引起的胸部损伤。
少数涉及心肺复苏相关意识恢复的研究很难明确确定这种情况发生的频率。有更多的研究涉及复苏期间的胸部创伤，但没有研究考虑使用镇痛药。值得注意的是，就镇痛剂和/或镇静剂的使用而言，没有标准化的治疗方法。这可能是由于心肺复苏和复苏前期间镇痛管理缺乏指南所致。
