The Intraoperative cardiac arrest in the prone position in neurosurgery: A reel challenge for the anesthesiologist

Authors

  • Masad Ilyass Department of Anesthesiology and Intensive Care, Military Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco, Morocco https://orcid.org/0000-0002-8865-1814
  • Abouelalaa Khalil Department of Anesthesiology and Intensive Care, Military Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco, Morocco
  • Jaafari Abdelahamid Department of Anesthesiology and Intensive Care, Military Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco, Morocco
  • Mezyane Mohamed Department of Anesthesiology and Intensive Care, Military Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco, Morocco
  • Doghmi Naoufal Department of Anesthesiology and Intensive Care, Military Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco, Morocco
  • Elwali Abderrahmane Department of Anesthesiology and Intensive Care, Military Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco, Morocco
  • Baite Abdelouahed Department of Anesthesiology and Intensive Care, Military Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco, Morocco
  • Bensghir Mustapha Department of Anesthesiology And Intensive Care, head of anesthesiology of The Mohamed V Military Training Hospital, Faculty of Medicine And Pharmacy of Rabat, Mohammed V University, Rabat, Morocco, Morocco
Vol. 10 No. 12 (2022)
Medical Sciences and Pharmacy
December 24, 2022

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The Cardiac Arrest in Elective Neurosurgery, is complex and different from other types, as it’s influenced by the patient’s position, the surgical procedure, and the equipment used to fix the skull;

we report a case of a patient  admitted for  lumbar spine surgery in prone position who presented an  intraoperative cardiac arrest.

chest compressions can be started immediately for prone patients; some studies confirmed the efficacy of back compressions but patients should be turned supine if possible.

When defibrillation were necessary in patients ventilated in the prone position, defibrillation should be attempted, as placing the patient in the supine position would take precious minutes and would reduce the chances of successful defibrillation.

Evidence is rare when dealing with neurosurgical patients, and more efforts are needed in understanding the etiologies, mechanisms and the specificities of its management.