Successful defibrillation in the prone position
Early defibrillation provides the greatest chance of survival after ventricular fibrillation. Conventional cardiopulmonary resuscitation and defibrillation requires the patient to be in the supine position. Electrical treatment of arrhythmias such as atrial fibrillation by means of a defibrillator b...
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| Veröffentlicht in: | British journal of anaesthesia : BJA 2001-12, Vol.87 (6), p.937-938 |
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| container_end_page | 938 |
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| container_title | British journal of anaesthesia : BJA |
| container_volume | 87 |
| creator | Miranda, C.C. Newton, M.C. |
| description | Early defibrillation provides the greatest chance of survival after ventricular fibrillation. Conventional cardiopulmonary resuscitation and defibrillation requires the patient to be in the supine position. Electrical treatment of arrhythmias such as atrial fibrillation by means of a defibrillator back paddle in patients receiving prone ventilation in intensive care has been described. We report a case in which electrical defibrillation was successfully performed in the prone position in a patient undergoing complex spinal surgery. We suggest that, if defibrillation were required in ventilated patients positioned prone, defibrillation should be attempted in the prone position, as turning the patient supine would consume valuable minutes and reduce the chances of successful defibrillation. |
| doi_str_mv | 10.1093/bja/87.6.937 |
| format | Article |
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Conventional cardiopulmonary resuscitation and defibrillation requires the patient to be in the supine position. Electrical treatment of arrhythmias such as atrial fibrillation by means of a defibrillator back paddle in patients receiving prone ventilation in intensive care has been described. We report a case in which electrical defibrillation was successfully performed in the prone position in a patient undergoing complex spinal surgery. We suggest that, if defibrillation were required in ventilated patients positioned prone, defibrillation should be attempted in the prone position, as turning the patient supine would consume valuable minutes and reduce the chances of successful defibrillation.</description><identifier>ISSN: 0007-0912</identifier><identifier>EISSN: 1471-6771</identifier><identifier>DOI: 10.1093/bja/87.6.937</identifier><identifier>PMID: 11878701</identifier><identifier>CODEN: BJANAD</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adult ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Electric Countershock - methods ; Emergency and intensive cardiocirculatory care. Cardiogenic shock. 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J. Anaesth</addtitle><addtitle>Br J Anaesth</addtitle><description>Early defibrillation provides the greatest chance of survival after ventricular fibrillation. Conventional cardiopulmonary resuscitation and defibrillation requires the patient to be in the supine position. Electrical treatment of arrhythmias such as atrial fibrillation by means of a defibrillator back paddle in patients receiving prone ventilation in intensive care has been described. We report a case in which electrical defibrillation was successfully performed in the prone position in a patient undergoing complex spinal surgery. We suggest that, if defibrillation were required in ventilated patients positioned prone, defibrillation should be attempted in the prone position, as turning the patient supine would consume valuable minutes and reduce the chances of successful defibrillation.</description><subject>Adult</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Electric Countershock - methods</subject><subject>Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care</subject><subject>Female</subject><subject>heart, defibrillation, early</subject><subject>heart, ventricular fibrillation</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Intraoperative Complications - therapy</subject><subject>Medical sciences</subject><subject>position, prone</subject><subject>Prone Position</subject><subject>Spine - surgery</subject><subject>surgery, spinal</subject><subject>Ventricular Fibrillation - therapy</subject><issn>0007-0912</issn><issn>1471-6771</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkM1LwzAYh4Mobk5vnmUI6sVuedssH0cZfsHAg3oOSZpgRtfOpBX8781oYSCCl4S8PHl_Px6EzgHPAItirtdqztmMzkTBDtAYCIOMMgaHaIwxZhkWkI_QSYxrjIHlYnGMRgCccYZhjOavnTE2RtdV09I6r4OvKtX6pp76etp-2Ok2NHU6m-h301N05FQV7dlwT9D7w_3b8ilbvTw-L-9WmSEU2kypUuTUGaMJB6JKI7jJCRDOabEogRhB0ktrYEQ4ponCqY92eEG51iVxxQRd93tT_GdnYys3PhqbutW26aJkkFORs0UCL3-B66YLdeomQTCOOStIgm57yIQmxmCd3Aa_UeFbApY7izJZlJxJKpPFhF8MOzu9seUeHrQl4GoAVDSqckHVxsc9RwBjIXa5Nz3XdNv_ImlP2iT1y9sgo_G2Nrb0wZpWlo3_--MP6j2YGA</recordid><startdate>20011201</startdate><enddate>20011201</enddate><creator>Miranda, C.C.</creator><creator>Newton, M.C.</creator><general>Elsevier Ltd</general><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20011201</creationdate><title>Successful defibrillation in the prone position</title><author>Miranda, C.C. ; Newton, M.C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c461t-aad926fccb4814adc98c241488635d14c94414bb1749f7b4a0787bf0568bbd4f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Electric Countershock - methods</topic><topic>Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care</topic><topic>Female</topic><topic>heart, defibrillation, early</topic><topic>heart, ventricular fibrillation</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Intraoperative Complications - therapy</topic><topic>Medical sciences</topic><topic>position, prone</topic><topic>Prone Position</topic><topic>Spine - surgery</topic><topic>surgery, spinal</topic><topic>Ventricular Fibrillation - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Miranda, C.C.</creatorcontrib><creatorcontrib>Newton, M.C.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of anaesthesia : BJA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Miranda, C.C.</au><au>Newton, M.C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Successful defibrillation in the prone position</atitle><jtitle>British journal of anaesthesia : BJA</jtitle><stitle>Br. J. Anaesth</stitle><addtitle>Br J Anaesth</addtitle><date>2001-12-01</date><risdate>2001</risdate><volume>87</volume><issue>6</issue><spage>937</spage><epage>938</epage><pages>937-938</pages><issn>0007-0912</issn><eissn>1471-6771</eissn><coden>BJANAD</coden><abstract>Early defibrillation provides the greatest chance of survival after ventricular fibrillation. Conventional cardiopulmonary resuscitation and defibrillation requires the patient to be in the supine position. Electrical treatment of arrhythmias such as atrial fibrillation by means of a defibrillator back paddle in patients receiving prone ventilation in intensive care has been described. We report a case in which electrical defibrillation was successfully performed in the prone position in a patient undergoing complex spinal surgery. 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| ispartof | British journal of anaesthesia : BJA, 2001-12, Vol.87 (6), p.937-938 |
| issn | 0007-0912 1471-6771 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Adult Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Electric Countershock - methods Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care Female heart, defibrillation, early heart, ventricular fibrillation Humans Intensive care medicine Intraoperative Complications - therapy Medical sciences position, prone Prone Position Spine - surgery surgery, spinal Ventricular Fibrillation - therapy |
| title | Successful defibrillation in the prone position |
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