Unsuccessful Cardiopulmonary Resuscitation during Neurosurgery: Is the Supine Position Always Optimal?

摘要

NEUROSURGICAL procedures are often performed in the prone, sitting, or lateral position for improved surgical access. Cardiopulmonary arrest while in such a position creates a challenge for both the anesthesiologist and surgeon. We present two cases of cardiopulmonary arrest and unsuccessful attempts at resuscitation after repositioning supine. In both cases, the surgical site of bleeding became inaccessible with repositioning, leading to the question of whether prone resuscitation would have provided a better alternative#