2016
DOI: 10.1016/j.resuscitation.2016.02.013
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CPR induced consciousness: It's time for sedation protocols for this growing population

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Cited by 23 publications
(20 citation statements)
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“…Previous studies reported 10%–20% of cardiac arrest survivors as being able to recall specific details of their resuscitation from the time of the cardiac arrest. 12 - 15 On the other hand, 2% of the cardiac arrest survivors were alert during the discussions among the resuscitating team members. 12 The patients who recall their resuscitation details may be at increased risk of short and long term psychological sequelae.…”
Section: Discussionmentioning
confidence: 99%
“…Previous studies reported 10%–20% of cardiac arrest survivors as being able to recall specific details of their resuscitation from the time of the cardiac arrest. 12 - 15 On the other hand, 2% of the cardiac arrest survivors were alert during the discussions among the resuscitating team members. 12 The patients who recall their resuscitation details may be at increased risk of short and long term psychological sequelae.…”
Section: Discussionmentioning
confidence: 99%
“…Whilst there is currently no international consensus or guidance for the management of a patient presenting with CPR-IC, calls have been made for sedation protocols for this group of patients. In their 2016 Letter in Resuscitation Journal, Rice, Nudell, Habrat, Smith & Ernest (2016) argued the need for sedation in what they perceive to be a growing population, but also recognised the need for further research, education and training for prehospital providers. Prehospital sedation protocols have been implemented in some areas such as Nebraska (Rice et al, 2016) and the Netherlands (Landelijk Protocol Ambulancezorg, 2014) but concern exists as to whether the use of consciousness-altering medication is appropriate.…”
Section: Discussionmentioning
confidence: 99%
“…In their 2016 Letter in Resuscitation Journal, Rice, Nudell, Habrat, Smith & Ernest (2016) argued the need for sedation in what they perceive to be a growing population, but also recognised the need for further research, education and training for prehospital providers. Prehospital sedation protocols have been implemented in some areas such as Nebraska (Rice et al, 2016) and the Netherlands (Landelijk Protocol Ambulancezorg, 2014) but concern exists as to whether the use of consciousness-altering medication is appropriate. Work by Olaussen et al (2017) found that CPR-IC was independently associated with an increased odds of survival to hospital discharge in unwitnessed/bystander witnessed events (OR 2.09, 95% CI: 1.14, 3.81; p = 0.02), but this was specifically in patients who were not given consciousness-altering medication such as midazolam, opiates and muscle relaxants.…”
Section: Discussionmentioning
confidence: 99%
“…In 2014, the Netherlands implemented a guideline recommending fentanyl and midazolam for the management of agitation and/or pain during (mechanical) CPR . The state of Nebraska (the United States) implemented, in 2016, ketamine with the addition of midazolam if required for CPR‐induced consciousness . Nevertheless, these guidelines and the use of pharmacological agents for CPR‐induced consciousness are currently not supported by high quality evidence regarding the safety and efficacy of these treatments.…”
Section: Discussionmentioning
confidence: 99%