在心房动期间心肺复苏引起的意识:案例报告和文献综述
1Emergency Department Shengjing Hospital of China Medical University, Shenyang, Liaoning, China.
Emergency medicine international
|October 7, 2024
概括
心肺复苏期间的意识 (CPRIC) 涉及患者表现出意识的迹象,如打开眼睛或说话. 需要进一步的研究来明确这个现象的定义和管理协议.
科学领域:
- 心脏病学 心脏病学
- 紧急医疗 紧急医疗
- 神经科学是一个神经科学.
背景情况:
- 许多研究表明,在心肺复苏过程中 (CPRIC) 有一种被称为意识的现象.
- 在CPRIC中,患者在复苏过程中表现出意识的迹象.
- 尽管进行了广泛的讨论,但CPRIC的许多方面仍然不太了解.
研究的目的:
- 综合关于CPRIC的现有文献.
- 突出了对CPRIC标准化定义和管理策略的需要.
- 要区分CPRIC与自发循环的回归 (ROSC).
主要方法:
- 在PubMed和Web of Science上进行了全面的文献搜索.
- 包括与CPRIC相关的原始研究和案例报告.
- 用叙事方法提取和合成数据.
主要成果:
- 包括32篇文章,包括18个案例报告,9个横截面调查和5个队列研究.
- 观察到的CPRIC表现包括眼睛打开,说话和运动.
- 包括的研究探讨了与CPRIC相关的意识,发病率,患者结果和救援人员效应.
结论:
- 迫切需要一个全球公认的CPRIC定义.
- 开发明确的算法来识别和管理CPRIC至关重要.
- 区分CPRIC和ROSC对于避免CPR中断至关重要.
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