Cardiopulmonary Resuscitation in the Prone Position英文文献资料.docVIP

Open Journal of Anesthesiology, 2012, 2, 199-201 199 /10.4236/ojanes.2012.25045 Published Online November 2012 (http://www.SciRP.org/journal/ojanes) Cardiopulmonary Resuscitation in the Prone Position Daiana de Souza Gomes, Carlos Darcy Alves Bersot Department of Anesthesia at the Lagoa Federal Hospital, Rio de Janeiro, Brazil. Email: cet.lagoa@ Received August 10 , 2012; revised September 15 , 2012; accepted September 30 , 2012 th th th 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. Keywords: Cardiopulmonary Resuscitation; Prone Position; Cardiac Arrest 1. Introduction were placed under the trunk and the head was fixed on a Mayfield head-holder with pins inserted into the skull. Five hours later, there was accidental rupture of sagittal sinus which led to an abrupt hemorrhagic shock.