[Cardiopulmonary resuscitation-induced consciousness (CPRIC) : Consciousness in cardiopulmonary resuscitation: intra-arrest sedation and immediate extubation with spontaneous circulation].

The term cardiopulmonary resuscitation-induced consciousness (CPRIC) describes the presence of "awareness" or "consciousness" during CPR, i.e. the at least partially conscious (co)experience of one's own resuscitation measures. Depending on the circumstances surrounding the resuscitation, including the medication administered, this may or may not be accompanied by a later memory of the event (= awareness of CPR). In the literature it is unanimously criticized that this is a little-noticed phenomenon and that there are as yet no generally accepted guidelines for dealing with it with or without medication. The problems of recognizing CPRIC based on the possible clinical signs and the importance for patients and personnel are presented. In addition, proposals for action, including analgosedative drug treatment, for the management of CPRIC both during and immediately after CPR are presented: intra-arrest or post-arrest sedation. The case report describes an out-of-hospital CPR with underlying pulseless electrical activity (PEA). During the resuscitation measures, the patient showed clinical signs of consciousness and was analgosedated while resuscitation was ongoing. Nevertheless, he was extubated without complications at the scene of the emergency approximately 5 min after regaining spontaneous circulation, increasingly conscious (Glasgow coma scale, GCS 14) and with stable vital signs.