Key result
Prone CPR achieves ROSC and full neurological recovery after intraoperative cardiac arrest.
Why the study?
Perioperative hemodynamic management during cervical spine stabilization surgery in elderly patients with multiple comorbidities and prolonged surgical duration presents significant challenges.
Case Report (n=1)
No
Prone-position CPR can be a feasible and life-saving technique for patients who experience intraoperative cardiac arrest during prone spine surgeries.
Prone CPR succeeded in one intraoperative arrest; hypothesis-generating and should not yet change practice without prospective data.
In this report, we present a case of intraoperative cardiac arrest in a 74-year-old male patient undergoing elective two-stage cervical stabilization for C5-C6 fracture (type B3) associated with diffuse idiopathic skeletal hyperostosis (DISH) and an oblique fracture of the C5 spinous process. This case highlights the challenges of perioperative hemodynamic management in elderly patients with multiple comorbidities and an extended surgical duration. The case was successfully managed with immediate resuscitation, multidisciplinary team involvement, and postoperative intensive care support, ultimately leading to a favorable neurological outcome. Tha case report aims is to share a prone-supination cardiac massage procedure that can play a very significant role in the management of patients and who develop cardiac arrest during surgery. Incorporating training routines and protocols for healthcare professionals involved in the surgical room work of prone-supination massage could have a very significant impact on the survival of patients
No takes yet. Share an insight, caveat, or question.
Case et al. (2026) conducted a case report in Intraoperative cardiac arrest (n=1). Prone-position cardiopulmonary resuscitation (CPR) was evaluated on Return of spontaneous circulation (ROSC) and neurological recovery. Immediate prone-position cardiopulmonary resuscitation successfully achieved return of spontaneous circulation and complete neurological recovery in a patient with intraoperative cardiac arrest.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: