Cardiopulmonary Resuscitation in the Prone Position

DOI: 10.4236/ojanes.2012.25045   PDF   HTML   XML   7,720 Downloads   12,875 Views   Citations

Abstract

Cardiac arrest in unusual positions represents an additional challenge for anesthesiologists. This paper reports a successful cardiopulmonary resuscitation during neurosurgical procedure in which high-quality chest compressions was performed in the prone position. The aim of this report is disclose the knowledge of resuscitation maneuvers in a position other than supine. A 77-year-old female patient presented for excision of parietal-occipital meningioma in the prone position with the head fixed on a Mayfield head-holder. During the surgical procedure the sagittal sinus was disrupted. The patient presented an abrupt hemorrhagic shock leading to a cardiac arrest by hypovolemia despite vigorous volume replacement. Cardiac massage was promptly initiated in the prone position. After two minutes, there was a return of spontaneous circulation. The patient was discharged without sequelae. We concluded that high-quality chest compressions in the prone position were able to generate sufficient cardiac output.

Share and Cite:

D. Gomes and C. Bersot, "Cardiopulmonary Resuscitation in the Prone Position," Open Journal of Anesthesiology, Vol. 2 No. 5, 2012, pp. 199-201. doi: 10.4236/ojanes.2012.25045.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] W. B. Kuowenhoven, J. R. Jude and G. G. Knickerbocker, “Closed Chest Cardiac Massage”, Journal of the American Medical Association, Vol. 173, No. 10, 1960, pp. 1064-1067. doi:10.1001/jama.1960.03020280004002
[2] J. A. Stewart, “Resuscitating an Idea: Prone PCR”, Resuscitation, Vol. 54, No. 3, 2002, pp. 231-234. doi:10.1016/S0300-9572(02)00145-4
[3] S. P. Mazer et al., “Reverse CPR: A Pilot Study of CPR in the Prone Position”, Resuscitation, Vol. 57, No. 3, 2003, pp. 279-285. doi:10.1016/S0300-9572(03)00037-6
[4] J. Wei, “Cardiopulmonary Resuscitation in the Prone Position: A Simplified Method of Outpatients”, Resuscitation, Vol. 62, No. 1, 2004, pp. 120-121. doi:10.1016/j.resuscitation.2004.03.007
[5] W. Z. Sun et al., “Successful Cardiopulmonary Resuscitation of Two Patients in the Prone Position Using Reversed Precordial Compression”, Anesthesiology, Vol. 77, No. 1, 1992, pp. 202-204. doi:10.1097/00000542-199207000-00027
[6] J. Brown, J. Rogers and J. Soar, “Cardiac Arrest during Surgery and Ventilation in the Prone Position: A Case Report and Systematic Review”, Resuscitation, Vol. 50, No. 2, 2001, pp. 233-238. doi:10.1016/S0300-9572(01)00362-8
[7] N. M. Dooney, “Prone CPR for Transient Asystole during Lumbosacral Spinal Surgery”, Anaesthesia and Intensive Care, Vol. 38, No. 1, 2010, pp. 212-213.
[8] E. Haffner, A. M. Sostarich and T. F?sel, “Successful Cardiopulmonary Resuscitation in Prone Position”, Der Anaesthesist, Vol. 59, No. 12, 2010, pp. 1099-1101. doi:10.1007/s00101-010-1785-8
[9] S. L. Beltran and G. A. Mashour, “Unsuccessful Cardiopulmonary Resuscitation in Neurosurgery: Is the Supine Position Always Optimal?” Anesthesiology, Vol. 108, No. 1, 2008, pp. 163-164. doi:10.1097/01.anes.0000296716.56374.49
[10] C. C. Miranda and D. C. Newton, “Successful Defibrillation in the Prone Position”, British Journal of Anaesthesia, Vol. 87, No. 6, 2000, pp. 937-938. doi:10.1093/bja/87.6.937
[11] ECC Committee, Subcommittees and Task Forces of the American Heart Association, “2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care,” Circulation, Vol. 112, No. 24, 2005, p. 27.
[12] American Heart Association, “2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care,” Circulation, Vol. 122, No. 18, 2010, p. 721.

  
comments powered by Disqus

Copyright © 2020 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.