Optimizing Patient Access During an Emergency While Using Intraoperative Computed Tomography

Bustillo, Ma Ángeles; Lien, Cynthia A.; Mack, Patricia Fogarty; Kopman, David J.; Safavynia, Seyed A.; Rubin, L F; Stein, David F.; Härtl, Roger; Stieg, Philip E.; Hernandez, R. Nick; Goldstein, Peter A.

doi:10.1016/j.wneu.2018.09.134

Cited by 6 publications

(8 citation statements)

References 10 publications

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Section: Advanced Life Supportmentioning

confidence: 99%

“…Two simulation studies reported that the time to supinate to start chest compressions was 50±34 seconds 148 to 110 seconds. 121 Time to start of chest compressions (in supine position) of 77±31 seconds was reported in 1 simulation study of cardiac arrest in the prone position. 148 For the important outcome of time to defibrillation, 1 simulation study reported a time to prone defibrillation of 22 seconds (1 group) compared with an average time (13 groups) of 108±61 seconds when the patient was supinated before defibrillation.…”

Section: Consensus On Sciencementioning

confidence: 99%

“…Of 20 adult case reports, 12 patients had chest compressions started in the prone position, [119][120][121][122][123][124][125][126][127][128][129][130] and 8 were supinated before chest compressions were started. [131][132][133][134][135][136][137] Of the 12 pediatric case reports, 11 children had chest compressions started while prone, 114,[124][125][126][127][129][130][131][132]136 whereas 1 was supinated first.…”

Section: Consensus On Sciencementioning

confidence: 99%

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2021 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Neonatal Life Support; Education, Implementation, and Teams; First Aid Task Forces; and the COVID-19 Working Group

Wyckoff¹,

Singletary²,

Soar³

et al. 2022

Circulation

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The International Liaison Committee on Resuscitation initiated a continuous review of new, peer-reviewed published cardiopulmonary resuscitation science. This is the fifth annual summary of the International Liaison Committee on Resuscitation International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations; a more comprehensive review was done in 2020. This latest summary addresses the most recently published resuscitation evidence reviewed by International Liaison Committee on Resuscitation task force science experts. Topics covered by systematic reviews in this summary include resuscitation topics of video-based dispatch systems; head-up cardiopulmonary resuscitation; early coronary angiography after return of spontaneous circulation; cardiopulmonary resuscitation in the prone patient; cord management at birth for preterm and term infants; devices for administering positive-pressure ventilation at birth; family presence during neonatal resuscitation; self-directed, digitally based basic life support education and training in adults and children; coronavirus disease 2019 infection risk to rescuers from patients in cardiac arrest; and first aid topics, including cooling with water for thermal burns, oral rehydration for exertional dehydration, pediatric tourniquet use, and methods of tick removal. Members from 6 International Liaison Committee on Resuscitation task forces have assessed, discussed, and debated the quality of the evidence, according to the Grading of Recommendations Assessment, Development, and Evaluation criteria, and their statements include consensus treatment recommendations or good practice statements. Insights into the deliberations of the task forces are provided in Justification and Evidence-to-Decision Framework Highlights sections. In addition, the task forces listed priority knowledge gaps for further research.

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Section: Advanced Life Supportmentioning

confidence: 99%

Section: Consensus On Sciencementioning

confidence: 99%

Section: Consensus On Sciencementioning

confidence: 99%

See 1 more Smart Citation

2021 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Neonatal Life Support; Education, Implementation, and Teams; First Aid Task Forces; and the COVID-19 Working Group

Wyckoff¹,

Singletary²,

Soar³

et al. 2022

Circulation

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“…One adult case reported CPR ‘immediately’ after supination 32 and one adult case reported CPR commenced after supination 6 min following cardiac arrest. 35 Two simulation studies reported that the time to supinate the patient was 50 ± 34 s 48 and 110 s. 21 The mean time to start chest compressions in supine position was 77 ± 31 s in one simulation study. 48 …”

Section: Resultsmentioning

confidence: 98%

“…Survival to hospital discharge with favourable neurological outcome was not explicitly reported in any adult or paediatric case. There were implicit reports of survival to hospital discharge with favourable neurological outcome in eight adult cases (‘without neurologic deficit’ 21 ; ‘no cerebral injury’ 20 ; ‘recovered uneventfully’ 23 ; ‘without deficits’ 33 ; ‘awake and well oriented at 7 days’ 22 ; ‘without sequelae’ 24 ; ‘could carry out simple tasks’ 25 ; and ‘discharged from hospital in a stable neurological condition’ 30 ) and seven paediatric cases (‘no evidence of significant cerebral dysfunction’ 38 ; ‘returned to baseline over two weeks’ 39 ; ‘recovered without sequelae’ 40 ; ‘no adverse neurological sequelae’ 41 ; ‘in good condition’ 47 ; ‘made an uneventful recovery’ 29 ; and ‘unchanged from preoperative status’ 42 ).…”

Section: Resultsmentioning

confidence: 99%

Cardiopulmonary resuscitation and defibrillation for cardiac arrest when patients are in the prone position: A systematic review

et al. 2021

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Aim To perform a systematic review of cardiopulmonary resuscitation (CPR) and/or defibrillation in the prone position compared to turning the patient supine prior to starting CPR and/or defibrillation. Methods The search included PubMed, Embase, Web of Science, Cochrane, CINAHL Plus, and medRxiv on December 9, 2020. The population included adults and children in any setting with cardiac arrest while in the prone position. The outcomes included arterial blood pressure and end-tidal capnography during CPR, time to start CPR and defibrillation, return of spontaneous circulation, survival and survival with favorable neurologic outcome to discharge, 30 days or longer. ROBINS-I was performed to assess risk of bias for observational studies. Results The systematic review identified 29 case reports (32 individual cases), two prospective observational studies, and two simulation studies. The observational studies enrolled 17 patients who were declared dead in the supine position and reported higher mean systolic blood pressure from CPR in prone position (72 mmHg vs 48 mmHg, p < 0.005; 79 ± 20 mmHg vs 55 ± 20 mmHg, p = 0.028). One simulation study reported a faster time to defibrillation in the prone position. Return of spontaneous circulation, survival to discharge or 30 days were reported in adult and paediatric case reports. Critical risk of bias limited our ability to perform pooled analyses. Conclusions We identified a limited number of observational studies and case reports comparing prone versus supine CPR and/or defibrillation. Prone CPR may be a reasonable option if immediate supination is difficult or poses unacceptable risks to the patient.

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2021 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Wyckoff¹,

Singletary²,

Soar³

et al. 2021

Resuscitation

View full text Add to dashboard Cite

Optimizing Patient Access During an Emergency While Using Intraoperative Computed Tomography

Cited by 6 publications

References 10 publications

Cardiopulmonary resuscitation and defibrillation for cardiac arrest when patients are in the prone position: A systematic review

2021 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

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