2020
DOI: 10.1016/j.ajem.2020.08.097
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Cardiopulmonary resuscitation in prone position: A scoping review

Abstract: Introduction: The ongoing pandemic of COVID-19 brought to the fore prone positioning as treatment for patients with acute respiratory failure. With the increasing number of patients in prone position, both spontaneously breathing and mechanically ventilated, cardiac arrest in this position is more likely to occur. This scoping review aimed to summarize the available evidence on cardiopulmonary resuscitation in prone position ('reverse CPR') and knowledge or research gaps to be further evaluated. The protocol o… Show more

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Cited by 28 publications
(39 citation statements)
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“… 5 At the same time, cardiopulmonary resuscitation of a patient with COVID-19 carries inherent risks for healthcare workers as resuscitation procedures may disperse aerosol. 6 , 7 Much public and scientific debate has therefore surrounded the ethics of CPR and do-not-attempt resuscitation (DNAR) orders in patients with COVID-19. 8 At this time, the rates of mortality and other relevant clinical outcomes in patients with COVID-19 after IHCA remain unclear and the data surrounding this topic is fragmented.…”
Section: Introductionmentioning
confidence: 99%
“… 5 At the same time, cardiopulmonary resuscitation of a patient with COVID-19 carries inherent risks for healthcare workers as resuscitation procedures may disperse aerosol. 6 , 7 Much public and scientific debate has therefore surrounded the ethics of CPR and do-not-attempt resuscitation (DNAR) orders in patients with COVID-19. 8 At this time, the rates of mortality and other relevant clinical outcomes in patients with COVID-19 after IHCA remain unclear and the data surrounding this topic is fragmented.…”
Section: Introductionmentioning
confidence: 99%
“…In case of cardiac arrest in a prone position, “reverse cardiopulmonary resuscitation (CPR)” 39 , 40 can and must be started until a team is available to turn the patient back to supine. 41 This team should be identified and always be readily available.…”
Section: Resultsmentioning
confidence: 99%
“…In case of cardiac arrest in a prone position, "reverse cardiopulmonary resuscitation (CPR)" 39,40 can and must be Crash cart (intubation equipment) available and know where to find BP = blood pressure; HR = heart rate; IV = intravenous; RR = respiratory rate; SpO2 = peripheral oxygen saturation. Based on the WHO surgical checklist and Safe prone checklist.…”
Section: Expert Opinionmentioning
confidence: 99%
“…SegĂșn publica Nunnally, del total de las PCR que ocurren en el transoperatorio, el 2,76% ocurren en las cirugĂ­as de columna [2]. Entre las posibles causas de PCR en decĂșbito prono durante la cirugĂ­a de columna encontramos: el embolismo aĂ©reo, compromiso del retorno venoso, hipovolemia e hipoxemia por extubaciĂłn accidental [8]. A dĂ­a de hoy, las maniobras de RCP en prono presentan mucha menor evidencia que las maniobras de RCP convencionales.…”
Section: Discussionunclassified
“…Sin embargo, la maniobra de supinaciĂłn una vez el paciente esta colocado y fijado, ademĂĄs de consumir tiempo y ser tĂ©cnicamente compleja, no estĂĄ exenta de riesgos [8]. Desde el 2005, las guĂ­as americanas recogen la posibilidad de iniciar las maniobras de RCP en prono cuando el paciente no puede ser colocado en decĂșbito supino de forma inmediata [11], [12].…”
Section: Discussionunclassified