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Title: Cardiopulmonary Resuscitation in the Prone Position in the Operating Room or in the Intensive Care Unit: A Systematic Review
Authors: Anez, Cristobal
Becerra Bolaños, Ángel 
Vives-Lopez, Ariadna
Rodríguez Pérez, Aurelio Eduardo 
UNESCO Clasification: 32 Ciencias médicas
3201 Ciencias clínicas
3205 Medicina interna
Keywords: Cardiopulmonary resuscitation
Prone position
Intensive Care Unit
Issue Date: 2021
Journal: Anesthesia and analgesia 
Abstract: The prone position is commonly used in certain surgical procedures and to improve oxygenation in mechanically ventilated patients with acute respiratory distress syndrome (ARDS). Cardiorespiratory arrest (CRA) in this position may be more challenging to treat because care providers trained in conventional cardiopulmonary resuscitation (CPR) may not be familiar with CPR in the prone position. The aim of this systematic review is to provide an overview of current evidence regarding the methodology, efficacy, and experience of CPR in the prone position, in patients with the airway already secured. The search strategy included PubMed, Scopus, and Google Scholar. All studies published up to April 2020 including CRA or CPR in the prone position were included. Of the 268 articles located, 52 articles were included: 5 review articles, 8 clinical guidelines in which prone CPR was mentioned, 4 originals, 27 case reports, and 8 editorials or correspondences. Data from reviewed clinical studies confirm that CPR in the prone position is a reasonable alternative to supine CPR when the latter cannot be immediately implemented, and the airway is already secured. Defibrillation in the prone position is also possible. Familiarizing clinicians with CPR and defibrillation in the prone position may improve CPR performance in the prone position.
ISSN: 1526-7598
DOI: 10.1213/ANE.0000000000005289
Source: Anesthesia and analgesia [EISSN 1526-7598],v. 132 (2), p. 285-292, (Febrero 2021)
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