Intraoperative cardiopulmonary resuscitation in the prone position
Cardiopulmonary resuscitation (CPR) occasionally is necessary in the operating-room setting. In such instances, it may be difficult to perform CPR if the patients is in the prone position. Although the supine position is opitmal for CPR, it may not be feasible because of the risks of damage to crani...
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| Veröffentlicht in: | Journal of pediatric surgery 1994-12, Vol.29 (12), p.1537-1538 |
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| container_issue | 12 |
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| container_title | Journal of pediatric surgery |
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| creator | Tobias, Joseph D. Mencio, Gregory A. Atwood, Robert Gurwitz, Gregg S. |
| description | Cardiopulmonary resuscitation (CPR) occasionally is necessary in the operating-room setting. In such instances, it may be difficult to perform CPR if the patients is in the prone position. Although the supine position is opitmal for CPR, it may not be feasible because of the risks of damage to craniospinal structures. The authors present the case of a 12-year-old boy who had cardiac arrest during spinal fusion. Successful CPR was performed with the patient in the prone position, with the use of “reversed precordial compressions”, and the patient was resuscitated despite 7 minutes of asystole. Effective cardiac output was maintained and was confirmed by systolic blood pressure readings of 80 to 90 mm Hg on both the arterial catheter waveform and the noninvasive blood pressure cuff, by a waveform and the reading on the pulse oximeter, and by the presence of end-tidal carbon dioxide. |
| doi_str_mv | 10.1016/0022-3468(94)90208-9 |
| format | Article |
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In such instances, it may be difficult to perform CPR if the patients is in the prone position. Although the supine position is opitmal for CPR, it may not be feasible because of the risks of damage to craniospinal structures. The authors present the case of a 12-year-old boy who had cardiac arrest during spinal fusion. Successful CPR was performed with the patient in the prone position, with the use of “reversed precordial compressions”, and the patient was resuscitated despite 7 minutes of asystole. Effective cardiac output was maintained and was confirmed by systolic blood pressure readings of 80 to 90 mm Hg on both the arterial catheter waveform and the noninvasive blood pressure cuff, by a waveform and the reading on the pulse oximeter, and by the presence of end-tidal carbon dioxide.</description><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Cardiopulmonary Resuscitation - methods</subject><subject>Child</subject><subject>Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care</subject><subject>Heart Arrest - therapy</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Intraoperative Care</subject><subject>Intraoperative Complications - therapy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Prone Position</subject><subject>Spinal Fusion</subject><issn>0022-3468</issn><issn>1531-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1PwyAYx4nRzDn9Bpr0YIweqkBpgYuJLr4sWeJFz4TSh4jpyoR2id9e6pYdvQB5_i_AD6Fzgm8JJtUdxpTmBavEtWQ3ElMscnmApqQsSF7igh-i6d5yjE5i_MI4jTGZoAkXnKfEFD0uuj5ov4age7eBzOjQOL8e2pXvdPjJAsQhGtcn1XeZ67L-E7J18F1afXTj9BQdWd1GONvtM_Tx_PQ-f82Xby-L-cMyN4Wo-rzGklGQWAA3pE5HLjmnxlJdgtBUkBo3mtSltZhbThgj0hrWNAXU3IoKihm62vam678HiL1auWigbXUHfoiKc16WjNJkZFujCT7GAFatg1ul3yiC1YhOjVzUyEVJpv7QKZliF7v-oV5Bsw_tWCX9cqfraHRrg-6Mi3tbUVS0FGPN_dYGicXGQVCJH3QGGhfA9Krx7v93_AI1hIsY</recordid><startdate>19941201</startdate><enddate>19941201</enddate><creator>Tobias, Joseph D.</creator><creator>Mencio, Gregory A.</creator><creator>Atwood, Robert</creator><creator>Gurwitz, Gregg S.</creator><general>Elsevier Inc</general><general>Elsevier</general><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>7X8</scope></search><sort><creationdate>19941201</creationdate><title>Intraoperative cardiopulmonary resuscitation in the prone position</title><author>Tobias, Joseph D. ; Mencio, Gregory A. ; Atwood, Robert ; Gurwitz, Gregg S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-b0942e908e7c1b42e79772cf2a5e8a281b0da1b5ff07f714419fc4dd3eb7f86e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Cardiopulmonary Resuscitation - methods</topic><topic>Child</topic><topic>Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care</topic><topic>Heart Arrest - therapy</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Intraoperative Care</topic><topic>Intraoperative Complications - therapy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Prone Position</topic><topic>Spinal Fusion</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tobias, Joseph D.</creatorcontrib><creatorcontrib>Mencio, Gregory A.</creatorcontrib><creatorcontrib>Atwood, Robert</creatorcontrib><creatorcontrib>Gurwitz, Gregg S.</creatorcontrib><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>MEDLINE - Academic</collection><jtitle>Journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tobias, Joseph D.</au><au>Mencio, Gregory A.</au><au>Atwood, Robert</au><au>Gurwitz, Gregg S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intraoperative cardiopulmonary resuscitation in the prone position</atitle><jtitle>Journal of pediatric surgery</jtitle><addtitle>J Pediatr Surg</addtitle><date>1994-12-01</date><risdate>1994</risdate><volume>29</volume><issue>12</issue><spage>1537</spage><epage>1538</epage><pages>1537-1538</pages><issn>0022-3468</issn><eissn>1531-5037</eissn><coden>JPDSA3</coden><abstract>Cardiopulmonary resuscitation (CPR) occasionally is necessary in the operating-room setting. In such instances, it may be difficult to perform CPR if the patients is in the prone position. Although the supine position is opitmal for CPR, it may not be feasible because of the risks of damage to craniospinal structures. The authors present the case of a 12-year-old boy who had cardiac arrest during spinal fusion. Successful CPR was performed with the patient in the prone position, with the use of “reversed precordial compressions”, and the patient was resuscitated despite 7 minutes of asystole. Effective cardiac output was maintained and was confirmed by systolic blood pressure readings of 80 to 90 mm Hg on both the arterial catheter waveform and the noninvasive blood pressure cuff, by a waveform and the reading on the pulse oximeter, and by the presence of end-tidal carbon dioxide.</abstract><cop>Philadelphia, PA</cop><pub>Elsevier Inc</pub><pmid>7877020</pmid><doi>10.1016/0022-3468(94)90208-9</doi><tpages>2</tpages></addata></record> |
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| ispartof | Journal of pediatric surgery, 1994-12, Vol.29 (12), p.1537-1538 |
| issn | 0022-3468 1531-5037 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Cardiopulmonary Resuscitation - methods Child Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care Heart Arrest - therapy Humans Intensive care medicine Intraoperative Care Intraoperative Complications - therapy Male Medical sciences Prone Position Spinal Fusion |
| title | Intraoperative cardiopulmonary resuscitation in the prone position |
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