CASE REPORT
Year : 2020  |  Volume : 14  |  Issue : 1  |  Page : 123-126

Prone cardiopulmonary resuscitation in elderly undergoing posterior spinal fusion with laminectomy


Department of Anesthesia, King Abdulaziz Medical City, Riyadh, Saudi Arabia

Correspondence Address:
Dr. Mohammed K Al Harbi
Department of Anesthesia, King Abdulaziz Medical City, Riyadh
Saudi Arabia
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sja.SJA_165_19

Rights and Permissions

An 80-year-old male patient presented with 2 weeks history of low back pain undergoing posterior spinal fusion with laminectomy in the prone position. The patient was induced with fentanyl, propofol, and rocuronium, and then he was positioned in the prone position. After 6 h of starting the surgery, the patient started to be hypotension and bradycardia followed by pulseless electrical activity (PEA). Code blue was activated intraoperatively with immediate initiation of cardiopulmonary resuscitation (CPR) in the prone position and multiple epinephrine boluses. Fortunately, the patient had return of spontaneous circulation. After stabilization, he was taken for computed tomography scan which showed massive pulmonary embolization and management was continued in the intensive care unit. CPR in the prone position has shown to be effective for return of spontaneous circulation after PEA.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1657    
    Printed24    
    Emailed0    
    PDF Downloaded112    
    Comments [Add]    

Recommend this journal