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Updated: Jun 8, 2026
07:16
An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
Published on: November 30, 2022
[Successful cardiopulmonary resuscitation in prone position]
E Haffner1, A M Sostarich, T Fösel
1Ortenauklinikum Lahr-Ettenheim, Klostenstr. 19, 77933, Lahr, Deutschland. ehaffner@gmx.de
Der Anaesthesist
|September 21, 2010
Summary
Cardiopulmonary resuscitation (CPR) can be effectively initiated in the prone position during emergencies, especially when patient repositioning is difficult. This approach minimized no-flow time, leading to successful return of spontaneous circulation (ROSC) comparable to standard supine CPR.
Area of Science:
- Emergency Medicine
- Cardiology
- Neurosurgery
Background:
- Standard cardiopulmonary resuscitation (CPR) is challenging in specific surgical positions.
- Repositioning patients to a supine position can prolong no-flow time, negatively impacting outcomes.
- Cerebellar hematoma evacuation may necessitate non-standard patient positioning.
Observation:
- A case report details CPR initiated in the prone position during an emergency cerebellar hematoma evacuation.
- The prone CPR was implemented to mitigate prolonged no-flow time.
- Return of spontaneous circulation (ROSC) was achieved prior to patient repositioning.
Findings:
- Initiating CPR in the prone position was highly effective in this emergency scenario.
- Prone CPR demonstrated comparable effectiveness to traditional supine CPR.
- Minimized no-flow time was a key factor in the successful resuscitation.
Implications:
- Prone CPR is a viable alternative in emergent situations where supine positioning is impractical.
- This technique can improve patient outcomes by reducing critical delays in resuscitation.
- Further research into prone CPR protocols may be warranted for specific surgical contexts.
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