Case Eleonora, Luca Corina Elena, Maino Paolo, Speroni Claudio, Pezzoli Giovanna, Gianinazzi Matteo, Bonetti Loris
Department of Nursing, Regional Hospital of Lugano, Ente Ospedaliero Cantonale (EOC), 6900 Lugano, Switzerland.
Department of Anaesthesiology, Intensive Care and Emergency Medicine, Regional Hospital of Lugano, Ente Ospedaliero Cantonale (EOC), 6900 Lugano, Switzerland.
J Clin Med. 2025 Mar 17;14(6):2044. doi: 10.3390/jcm14062044.
Cardiopulmonary resuscitation (CPR) in the prone position (P-CPR) is described in international guidelines for specific contexts but is not commonly included in operating room algorithms. This review aims to map P-CPR interventions in adult and pediatric patients experiencing cardiac arrest in the operating room while in the prone position. A scoping review was conducted following the "PRISMA Extension for Scoping Reviews" protocol. The databases searched included PubMed, CINAHL, ScienceDirect/Elsevier, Scopus, Web of Science, and Cochrane. Eligibility criteria included studies involving adult and pediatric populations, documented cardiac arrest (with presenting rhythm and cause), P-CPR interventions, and short-term outcomes (return of spontaneous circulation) as well as long-term outcomes when available. Twenty international case reports were analyzed, indicating that P-CPR is effective in the operating room setting and has a positive impact on both short-term and long-term outcomes. This scoping review suggests that P-CPR yields comparable outcomes to supine CPR while saving time by eliminating the need for patient repositioning. However, due to limited evidence, further research is needed. Additionally, logistical, organizational, and educational considerations must be addressed before adopting P-CPR as routine practice.
俯卧位心肺复苏（P-CPR）在国际指南中有针对特定情况的描述，但通常未被纳入手术室操作流程。本综述旨在梳理手术室中处于俯卧位的成年和儿科心脏骤停患者的P-CPR干预措施。按照“PRISMA扩展综述”方案进行了一项范围综述。检索的数据库包括PubMed、CINAHL、ScienceDirect/爱思唯尔、Scopus、科学网和考科蓝。纳入标准包括涉及成人和儿科人群的研究、记录的心脏骤停（包括出现的心律和病因）、P-CPR干预措施以及短期结局（自主循环恢复），如有可用数据还包括长期结局。分析了20篇国际病例报告，表明P-CPR在手术室环境中有效，对短期和长期结局均有积极影响。这项范围综述表明，P-CPR与仰卧位心肺复苏效果相当，同时通过无需重新摆放患者体位节省了时间。然而，由于证据有限，仍需进一步研究。此外，在将P-CPR作为常规操作采用之前，必须解决后勤、组织和教育方面的问题。
