Cardiopulmonary resuscitation in the prone position: Kouwenhoven revisited

Dequin, Pierre‐François; Hazouard, E.; Legras, Annick; Lanotte, R.; Perrotin, D.

doi:10.1007/bf01709349

Cited by 35 publications

(46 citation statements)

References 5 publications

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“…Although the prone position is not the standard position for inducing anaesthesia, it is a position in which central venous cannulation, cardiopulmonary resuscitation and semi awake fiberoptic intubation have been done [8][9][10]. The success of the technique requires not only skill that comes from practice but also confidence and knowledge that at any time it may be necessary to turn the patient supine for emergency management of any problem.…”

Section: Discussionmentioning

confidence: 99%

Anaesthetic management of a patient in prone position-advantage of proseal laryngeal mask airway along with review of literature

Saini¹,

Bansal²

2013

CMJ

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General anaesthesia for surgical procedures requiring prone position consists of induction and tracheal intubation in supine position on a trolley and then the patient is turned prone on the operation table and positioned carefully. Even though this approach is familiar to anaesthesiologists, it is time consuming and requires shift of manpower from other tasks to properly position the patient. Alternative to this technique is to ask the patient to position him/ herself in the prone position on the operating table and then inducing anaesthesia with laryngeal mask airway. The major advantages of laryngeal mask airway in prone position are easy reinsertion, a clear airway provided during the recovery phase from anaesthesia and less sequelae as compared to that commonly accompanying tracheal intubation and accidental tracheal extubation. Keywords: Anaesthetic management, prone position, proseal laryngeal mask airway ÖzetYüzüstü pozisyon gerektiren cerrahi işlemlerin yapılmasında genel anestezi için, hasta taşıma sedyesinde sırtüstü pozisyonda indüksiyon ve trakeal entübasyonun uygulandıktan sonraameliyat masasına hastanın yüzüstü çevrilerek uygun pozisyona getirilmesi gereklidir. Her ne kadar anestezistler bu yaklaşıma aşina olsalar da, vakit kaybına neden olması ve başka görevde bulunan çalışanların hastanın uygun pozisyona getirilebilmesi için insan gücü kullanımı gerektirmektedir. Bu tekniğin alternatifi ise hastadan ameliyat masasına yüzüstü yatmasını isteyip, laringeal maske havayolunu kullanarak anestezinin indüklenmesidir.Yüzüstü pozisyondaki laringeal maske havayolunun en önemli avantajları kolaylıkla yeniden yerleştirilebilmesi, anesteziden ayılma sırasında temiz bir havayolu sağlaması ve trakeal entübasyon ile kazara trakeal ekstübasyona eşlik eden sekellerin az görülmesidir.Anahtar sözcükler: Anestezik yönetim, yüzüstü pozisyon, proseal laringeal maske havayolu Geliş tarihi

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Section: Discussionmentioning

confidence: 99%

Anaesthetic management of a patient in prone position-advantage of proseal laryngeal mask airway along with review of literature

Saini¹,

Bansal²

2013

CMJ

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“…1) The effectiveness of chest compression may be reduced in patients on the Wilson frame or Montreal frame because of the limited access for counter pressure. 31,32 Defibrillation pads or paddles can be placed in the anterior-posterior position; however, the impact on impedance or the effectiveness of defibrillation (or cardioversion) is not fully known. For patients at risk of intraoperative cardiac dysrhythmias, such as a history of ventricular arrhythmia, defibrillation pads should be placed in the usual sternal and apical positions prior to positioning.…”

Section: Resuscitation In the Prone Positionmentioning

confidence: 99%

“…A SGA such as a laryngeal mask would appear to be the predominant choice in airway rescue based on reports of its relative ease of insertion in the prone position and high success rates. 32 However, SGA insertion may be difficult in the obese patient, and successful placement may be hindered by limited lateral rotation of the head and neck in the prone position. In a review of 12 studies in which elective insertion of a SGA was undertaken in patients already in the prone position, the successful insertion rate was 88-100% for the first attempt and 100% with second attempt in all studies.…”

Section: Accidental Extubationmentioning

confidence: 99%

“…Ce choix se fonde sur des comptes rendus relatant sa facilité relative d'insertion en position ventrale et les taux élevés de réussite de l'intubation. 32 Toutefois, l'insertion d'un dispositif supraglottique peut s'avérer complexe chez un patient obèse, et la réussite du positionnement peut être mise à mal par une rotation latérale limitée de la tête et du cou en position ventrale. Dans un compte rendu de 12 études dans lesquelles on a entrepris l'insertion non urgente d'un dispositif supraglottique chez des patients déjà placés en position ventrale, le taux de réussite de l'insertion était de 88-100 % lors de la première tentative et de 100 % avec une seconde tentative et ce, dans toutes les études.…”

Section: Les Complications Au Niveau Des Voies Aériennesunclassified

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An update on the prone position: Continuing Professional Development

Chui

Craen

2016

Can J Anesth/J Can Anesth

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Purpose The purpose of this Continuing Professional Development module is to provide information needed to prepare for and clinically manage a patient in the prone position. Principal findings Prone positioning is required for surgical procedures that involve the posterior aspect of a patient. We searched MEDLINE Ò and EMBASE TM from January 2000 to January 2015 for literature related to the prone position and retrieved only original articles in English. We reviewed the advantages and disadvantages of various equipment used in prone positioning, the physiological changes associated with prone positioning, and the complications that can occur. We also reviewed strategies for the safe conduct and management of position-related complications. Conclusion Increased age, elevated body mass index, the presence of comorbidities, and long duration of surgery appear to be the most important risk factors for complications associated with prone positioning. We recommend a structured team approach and careful selection of equipment tailored to the patient and surgery. The systematic use of checklists is recommended to guide operating room teams and to reduce prone position-related complications. Anesthesiologists should be prepared to manage major intraoperative emergencies (e.g., accidental extubation) and anticipate postoperative complications (e.g., airway edema and visual loss).

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“…However, no guidelines are available for cases of life-threatening events occurring with the patient in this position. Recently, some reports have been published concerning cardiopulmonary resuscitation in the prone position, using both closed [2] and open techniques [3]. Several reasons were stressed why acutely changing the position in ARDS patients is undesirable.…”

mentioning

confidence: 99%