%0 Journal Article
%T Cardiopulmonary Resuscitation in the Prone Position
%A Daiana de Souza Gomes
%A Carlos Darcy Alves Bersot
%J Open Journal of Anesthesiology
%P 199-201
%@ 2164-5558
%D 2012
%I Scientific Research Publishing
%R 10.4236/ojanes.2012.25045
%X 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.
%K Cardiopulmonary Resuscitation
%K Prone Position
%K Cardiac Arrest
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=24796