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- Title
Cardiopulmonary resuscitation in the prone position: a systematic review of case series/reports.
- Authors
Dalmedico, Michel Marcos; Ioshii, Sergio Ossamu; Hembecker, Paula Karina; Silva Ávila, Juliana Londero
- Abstract
Introduction: The prone position is frequently adopted for surgical or critically ill patients in intensive care. Cardiorespiratory arrest in these patients may pose an operational challenge, in which delays resulting from mobilization to the supine position culminate in worse outcomes. Objective: To provide clinical insight based on the synthesis of evidence from reports or case series on reverse cardiopulmonary resuscitation (reverse CPR) in surgical patients or invasive ventilatory support in severe acute respiratory distress syndrome. Methods: This is a systematic review of reports or case series in PubMed, Scopus, Embase, and Google Scholar databases, in addition to a search of the gray literature. Case reports published in any language, reporting at least one case of prone cardiopulmonary resuscitation in patients of any age and in any care context, were considered eligible. Results: Thirteen studies of fourteen cases of successful reverse resuscitation were retrieved. Three patients died within 30 days, while the others survived without complications or neurological sequelae. Conclusion: Despite limited evidence to support clinical decisionmaking, prone resuscitation appears to be a feasible alternative in exceptional circumstances, where patient mobilization may result in additional harm, delay or interrupt advanced life support (compressions, highquality early chest surgery, and defibrillation) or incur occupational risks to the health team.
- Subjects
ADULT respiratory distress syndrome treatment; CARDIOPULMONARY resuscitation; ONLINE information services; MEDICAL information storage &; retrieval systems; RETURN of spontaneous circulation; OPERATIVE surgery; SYSTEMATIC reviews; ADVANCED cardiac life support; SURGERY; PATIENTS; ARTIFICIAL respiration; ADULT respiratory distress syndrome; CASE studies; MEDLINE; DECISION making in clinical medicine; LYING down position; GREY literature
- Publication
Fisioterapia em Movimento, 2023, Vol 36, p1
- ISSN
0103-5150
- Publication type
Article
- DOI
10.1590/fm.2023.36203