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Perioperative cardiopulmonary resuscitation in a prone position: A case report
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Department of Anesthesiology, Division of Neuroanesthesia, College of Medicine-Philippine General Hospital, University of the Philippines, Manila,
Philippines
Submitted: 9 April 2024 | Accepted: 17 June 2024 | Published: 22 August 2024
© 2024 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract
Post-cardiac arrest brain injury remains a major cause of mortality in perioperative cardiac arrest, although intraoperative events are uncommon due to pre-procedural preparations, risk-benefit anticipation, and a controlled working environment. Herein, we describe the successful cardiopulmonary resuscitation of a 57-year-old male with a C2-C3 schwannoma who experienced intraoperative cardiac arrest due to massive blood loss during a C2-C3 laminectomy and excision of tumor while in a prone position. The intricacies and effectiveness of resuscitation in a prone position, as well as neuroprotective strategies in the perioperative setting to optimize functional outcomes, will be discussed.
Keywords
Post-cardiac arrest brain injury
Intraoperative resuscitation in a prone position
Intraoperative cardiac arrest
Neuroprotection
Intraoperative massive blood loss
Funding
None.
Conflict of interest
The authors declare that they have no competing interests.
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