Key result
A 61-year-old female patient survived a markedly prolonged 50-minute resuscitation following intraoperative cardiac arrest immediately after supination during cervical arthrodesis.
Why the study?
Intraoperative cardiac arrest is a feared surgical event with multiple potential causes, requiring consideration of key differential diagnoses such as pulmonary embolism, gas embolism, and acute myocardial infarction.
Case Report (n=1)
This case highlights the differential diagnosis (pulmonary embolism, gas embolism, acute myocardial infarction) and successful management of intraoperative cardiac arrest following spine surgery in the prone position despite prolonged resuscitation.
Prolonged intraoperative resuscitation may succeed; leaves open optimal duration and selection criteria for aggressive efforts in cervical procedures.
Intraoperative cardiac arrest is one of the most feared events by anesthesiologists and surgeons. Although there are many possible causes, three differential diagnoses stand out in the presented scenario: pulmonary embolism, gas embolism, and acute myocardial infarction. A 61-year-old female patient was admitted in the hospital to C2-C5 arthrodesis. Despite no major bleeding during surgery, immediately after supination the patient developed refractory hypotension, a decrease in end tidal CO 2 , progressive bradycardia that ultimately led to pulseless electrical activity. Resuscitation maneuvers were promptly performed, sustained return of spontaneous circulation was attained after 50 minutes, and the patient was transferred to the ICU. This paper discusses the main causes for an episode of cardiac arrest in the context of cervical arthrodesis, with a markedly prolonged resuscitation time, in which the patient survived.
No takes yet. Share an insight, caveat, or question.
Khouri et al. (2022) conducted a case report in Intraoperative cardiac arrest (n=1). Resuscitation maneuvers was evaluated on Return of spontaneous circulation and survival. A 61-year-old female patient survived a markedly prolonged 50-minute resuscitation following intraoperative cardiac arrest immediately after supination during cervical arthrodesis.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: