Haffner E, Sostarich A M, Fösel T
Ortenauklinikum Lahr-Ettenheim, Klostenstr. 19, 77933, Lahr, Deutschland.
Anaesthesist. 2010 Dec;59(12):1099-101. doi: 10.1007/s00101-010-1785-8. Epub 2010 Sep 19.
In certain surgical positions standard cardiopulmonary resuscitation (CPR) cannot be carried out. It is sometimes impossible or time-consuming to establish a supine position without increasing the no-flow-time and therefore creating a negative outcome of the patient. The case of CPR in a prone position during an emergency evacuation of a cerebellar hematoma is reported. The resuscitation was initiated in the prone position to decrease the no-flow-time. This was very effective because the return of spontaneous circulation (ROSC) started before turning the patient to the supine position. Resuscitation in the prone position in this case was equally as effective as in the traditional supine position.
在某些手术体位下无法进行标准的心肺复苏(CPR)。有时,在不增加无血流时间从而给患者造成不良后果的情况下,很难或耗时较长才能使患者处于仰卧位。本文报告了在紧急撤离小脑血肿患者过程中进行俯卧位心肺复苏的病例。为了减少无血流时间,在俯卧位开始进行复苏。这非常有效,因为在将患者转为仰卧位之前就开始出现自主循环恢复(ROSC)。该病例中俯卧位复苏与传统仰卧位复苏同样有效。