TY - JOUR AU - Rajajee, Venkatakrishna AB - Neurocrit Care (2008) 9:382–386 DOI 10.1007/s12028-008-9099-2 PRACTICAL P EARL Prolonged Retention of Awareness During Cardiopulmonary Resuscitation for Asystolic Cardiac Arrest Shailesh Bihari Æ Venkatakrishna Rajajee Published online: 16 May 2008 Humana Press Inc. 2008 Abstract monitoring. He briskly localized and consistently followed Objective To describe high level of awareness in a patient simple commands while chest compressions were in pro- undergoing cardiopulmonary resuscitation for an asystolic gress before becoming unresponsive and dying after a 3-h cardiac arrest and review the literature regarding this resuscitative effort. No sedation/analgesia was used. There phenomenon. are few reports in the literature describing similar events. Methods This is a case report of a patient admitted to the Conclusion It is possible to retain a high level of Intensive Care Unit who suffered an asystolic cardiac awareness following cardiac arrest, particularly with arrest. We reviewed MEDLINE using the terms ‘‘aware- effective CPR. Recognition of this situation when it occurs ness,’’ ‘‘consciousness,’’ ‘‘cerebral perfusion,’’ ‘‘sedation,’’ allows appropriate decisions to be made regarding the use ‘‘analgesia,’’ ‘‘termination,’’ ‘‘cessation,’’ and ‘‘cardiopul- of sedation and the length of resuscitative efforts. monary resuscitation.’’ Results A 57-year-old man with renal failure suffered Keywords Cardiopulmonary resuscitation asystolic cardiac arrest. He was awake TI - Prolonged Retention of Awareness During Cardiopulmonary Resuscitation for Asystolic Cardiac Arrest JF - Neurocritical Care DO - 10.1007/s12028-008-9099-2 DA - 2008-05-16 UR - https://www.deepdyve.com/lp/springer-journals/prolonged-retention-of-awareness-during-cardiopulmonary-resuscitation-R5vt7iTrLk SP - 382 EP - 386 VL - 9 IS - 3 DP - DeepDyve ER -