Prone Cardiopulmonary Resuscitation (CPR) Protocol: A Single-Center Experience at Implementation and Review of Literature

McCraw, Cameron; Baber, Caroline; Williamson, Aaron H; Zhang, Yanwei; Sinit, Rachel S; Alway, Ann; Jain, Shailesh; Jain, Nitesh; Trivedi, Kovid

doi:10.7759/cureus.29604

Cited by 5 publications

(3 citation statements)

References 16 publications

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“…During spinal surgery, patients may suffer from cardiac arrest, especially during procedures that require monitoring of multiple instruments, and it is challenging to shift a patient from the prone position to the supine position. Therefore, the concept of "prone cardioversion" was proposed by Western scholars in 1989 [1] . However, few studies have been conducted on this concept, and most of the studies have been conducted through case reports.…”

Section: Introductionmentioning

confidence: 99%

Advances in the Use of Prone Cardiopulmonary Resuscitation During Spinal Surgery in the Prone Position

Zhu,

Chen,

Wang

et al. 2024

JCNR

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Spinal surgery is usually performed in the prone position, which is a longer and more difficult procedure and is prone to complications such as circulatory dysfunction and stress injuries. Among them, stress injury is the main complication of prone spine surgery, but the reasons for stress injury in prone spine surgery are not clear, and whether prone cardiopulmonary resuscitation (CPR) can be used needs to be further verified. Supine cardiopulmonary resuscitation is commonly used in posterior spinal surgery, retroperitoneal surgery, and so on, which can effectively improve the patient’s hypoxemia. Such surgeries require a high level of anesthetic management, and cardiopulmonary resuscitation is necessary if a patient in a prone position experiences cardiac arrest. In the process of cardiopulmonary resuscitation, supine cardiopulmonary resuscitation is often used, especially for some obese patients, if they are immediately changed to the supine position, it takes up more time, there may be wound infection, and there is a possibility of missing the optimal rescue and resuscitation time. Based on this, this paper reviews the use of prone-position cardiopulmonary resuscitation for spinal surgery in the prone position.

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Section: Introductionmentioning

confidence: 99%

Advances in the Use of Prone Cardiopulmonary Resuscitation During Spinal Surgery in the Prone Position

Zhu,

Chen,

Wang

et al. 2024

JCNR

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“…[5][6][7] Quando um paciente sofre uma parada cardiorrespiratória em decúbito ventral, as opções incluem girar o paciente em decúbito dorsal antes de iniciar a ressuscitação cardiopulmonar (RCP) ou iniciar a RCP em decúbito ventral. 8 Na vigência de parada cardiorrespiratória em posição prona, a mudança de decúbito para posição dorsal pode não ser viável ou executável em tempo hábil, ou seja, não é possível virar o paciente com segurança e rapidez. O risco de viés dos relatos de caso foi avaliado mediante aplicação do Critical Appraisal Checklist for Case Reports do Joanna Briggs Institute Reviewer.…”

Section: Introductionunclassified

Reanimação cardiopulmonar em posição prona: uma revisão sistemática de séries/relatos de casos

et al. 2023

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Resumo Introdução A posição prona é um procedimento frequente de cuidados intensivos para pacientes cirúrgicos ou doentes graves. A ocorrência de parada cardiorrespiratória nestes pacientes pode representar um desafio operacional, no qual atrasos relacionados à mobilização para decúbito dorsal implicam em piores desfechos. Objetivo Oferecer um insight clínico a partir da síntese das evidências oriundas de relatos ou séries de casos sobre a utilização de reanimação cardiopulmonar reversa em pacientes cirúrgicos ou em suporte ventilatório invasivo na síndrome do desconforto respiratório agudo grave. Métodos Trata-se de uma revisão sistemática de relatos ou séries de casos condu-zida nas bases de dados PubMed, Scopus, Embase e Google Scholar, além de busca na literatura cinzenta. Foram considerados elegíveis relatos de caso publicados em qualquer idioma, que reportaram pelo menos um caso de reanimação cardiopulmonar em posição prona em pacientes de qualquer idade e em qualquer contexto de atendimento. Resultados Foram recuperados treze estudos que relataram quatorze casos de reanimação reversa bem-sucedidos. Três pacientes faleceram em um intervalo de 30 dias, enquanto os demais sobreviveram sem complicações ou sequelas neurológicas. Conclusão Apesar de evidências limitadas para suportar a tomada de decisão clínica, a reanimação em posição prona parece ser uma alternativa factível em circunstâncias excepcionais, nas quais a mobilização do paciente pode resultar em dano adicional, atrasar ou interromper o suporte avançado de vida (compressões torácicas precoces de alta qualidade e a desfibrilação) ou, ainda, incorrer em riscos ocupacionais à equipe de saúde.

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“…When patients suffer cardiac arrest in the prone position, options include placing them in the supine position before initiating cardiopulmonary resuscitation (CPR) or performing CPR in the prone position. 8 In the event of cardiac arrest in the prone position, changing to the supine position may not be feasible or promptly executable, i.e., it is not possible to safely and quickly turn the patient. 9…”

Section: Introductionmentioning

confidence: 99%

Cardiopulmonary resuscitation in the prone position: a systematic review of case series/reports

et al. 2023

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Introduction The prone position is frequently adopted for surgical or critically ill patients in intensive care. Cardiorespiratory arrest in these patients may pose an operational challenge, in which delays resulting from mobilization to the supine position culminate in worse outcomes. Objective To provide clinical insight based on the synthesis of evidence from reports or case series on reverse cardiopulmonary resuscitation (reverse CPR) in surgical patients or invasive ventilatory support in severe acute respiratory distress syndrome. Methods This is a systematic review of reports or case series in PubMed, Scopus, Embase, and Google Scholar databases, in addition to a search of the gray literature. Case reports published in any language, reporting at least one case of prone cardiopulmonary resuscitation in patients of any age and in any care context, were considered eligible. Results Thirteen studies of fourteen cases of successful reverse resuscitation were retrieved. Three patients died within 30 days, while the others survived without complications or neurological sequelae. Conclusion Despite limited evidence to support clinical decision-making, prone resuscitation appears to be a feasible alternative in exceptional circumstances, where patient mobilization may result in additional harm, delay or interrupt advanced life support (compressions, high-quality early chest surgery, and defibrillation) or incur occupational risks to the health team.

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Prone Cardiopulmonary Resuscitation (CPR) Protocol: A Single-Center Experience at Implementation and Review of Literature

Cited by 5 publications

References 16 publications

Advances in the Use of Prone Cardiopulmonary Resuscitation During Spinal Surgery in the Prone Position

Advances in the Use of Prone Cardiopulmonary Resuscitation During Spinal Surgery in the Prone Position

Reanimação cardiopulmonar em posição prona: uma revisão sistemática de séries/relatos de casos

Cardiopulmonary resuscitation in the prone position: a systematic review of case series/reports

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