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Prone cardiopulmonary resuscitation: A scoping and expanded grey literature review for the COVID-19 pandemic

AIM: To identify and summarize the available science on prone resuscitation. To determine the value of undertaking a systematic review on this topic; and to identify knowledge gaps to aid future research, education and guidelines. METHODS: This review was guided by specific methodological framework...

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Autores principales: Douma, Matthew J., MacKenzie, Ella, Loch, Tess, Tan, Maria C., Anderson, Dustin, Picard, Christopher, Milovanovic, Lazar, O’Dochartaigh, Domhnall, Brindley, Peter G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier B.V. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7373011/
https://www.ncbi.nlm.nih.gov/pubmed/32707142
http://dx.doi.org/10.1016/j.resuscitation.2020.07.010
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author Douma, Matthew J.
MacKenzie, Ella
Loch, Tess
Tan, Maria C.
Anderson, Dustin
Picard, Christopher
Milovanovic, Lazar
O’Dochartaigh, Domhnall
Brindley, Peter G.
author_facet Douma, Matthew J.
MacKenzie, Ella
Loch, Tess
Tan, Maria C.
Anderson, Dustin
Picard, Christopher
Milovanovic, Lazar
O’Dochartaigh, Domhnall
Brindley, Peter G.
author_sort Douma, Matthew J.
collection PubMed
description AIM: To identify and summarize the available science on prone resuscitation. To determine the value of undertaking a systematic review on this topic; and to identify knowledge gaps to aid future research, education and guidelines. METHODS: This review was guided by specific methodological framework and reporting items (PRISMA-ScR). We included studies, cases and grey literature regarding prone position and CPR/cardiac arrest. The databases searched were MEDLINE, Embase, CINAHL, Cochrane CENTRAL, Cochrane Database of Systematic Reviews, Scopus and Google Scholar. Expanded grey literature searching included internet search engine, targeted websites and social media. RESULTS: Of 453 identified studies, 24 (5%) studies met our inclusion criteria. There were four prone resuscitation-relevant studies examining: blood and tidal volumes generated by prone compressions; prone compression quality metrics on a manikin; and chest computed tomography scans for compression landmarking. Twenty case reports/series described the resuscitation of 25 prone patients. Prone compression quality was assessed by invasive blood pressure monitoring, exhaled carbon dioxide and pulse palpation. Recommended compression location was zero-to-two vertebral segments below the scapulae. Twenty of 25 cases (80%) survived prone resuscitation, although few cases reported long term outcome (neurological status at hospital discharge). Seven cases described full neurological recovery. CONCLUSION: This scoping review did not identify sufficient evidence to justify a systematic review or modified resuscitation guidelines. It remains reasonable to initiate resuscitation in the prone position if turning the patient supine would lead to delays or risk to providers or patients. Prone resuscitation quality can be judged using end-tidal CO(2), and arterial pressure tracing, with patients turned supine if insufficient.
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spelling pubmed-73730112020-07-22 Prone cardiopulmonary resuscitation: A scoping and expanded grey literature review for the COVID-19 pandemic Douma, Matthew J. MacKenzie, Ella Loch, Tess Tan, Maria C. Anderson, Dustin Picard, Christopher Milovanovic, Lazar O’Dochartaigh, Domhnall Brindley, Peter G. Resuscitation Review AIM: To identify and summarize the available science on prone resuscitation. To determine the value of undertaking a systematic review on this topic; and to identify knowledge gaps to aid future research, education and guidelines. METHODS: This review was guided by specific methodological framework and reporting items (PRISMA-ScR). We included studies, cases and grey literature regarding prone position and CPR/cardiac arrest. The databases searched were MEDLINE, Embase, CINAHL, Cochrane CENTRAL, Cochrane Database of Systematic Reviews, Scopus and Google Scholar. Expanded grey literature searching included internet search engine, targeted websites and social media. RESULTS: Of 453 identified studies, 24 (5%) studies met our inclusion criteria. There were four prone resuscitation-relevant studies examining: blood and tidal volumes generated by prone compressions; prone compression quality metrics on a manikin; and chest computed tomography scans for compression landmarking. Twenty case reports/series described the resuscitation of 25 prone patients. Prone compression quality was assessed by invasive blood pressure monitoring, exhaled carbon dioxide and pulse palpation. Recommended compression location was zero-to-two vertebral segments below the scapulae. Twenty of 25 cases (80%) survived prone resuscitation, although few cases reported long term outcome (neurological status at hospital discharge). Seven cases described full neurological recovery. CONCLUSION: This scoping review did not identify sufficient evidence to justify a systematic review or modified resuscitation guidelines. It remains reasonable to initiate resuscitation in the prone position if turning the patient supine would lead to delays or risk to providers or patients. Prone resuscitation quality can be judged using end-tidal CO(2), and arterial pressure tracing, with patients turned supine if insufficient. Elsevier B.V. 2020-10 2020-07-21 /pmc/articles/PMC7373011/ /pubmed/32707142 http://dx.doi.org/10.1016/j.resuscitation.2020.07.010 Text en © 2020 Elsevier B.V. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Review
Douma, Matthew J.
MacKenzie, Ella
Loch, Tess
Tan, Maria C.
Anderson, Dustin
Picard, Christopher
Milovanovic, Lazar
O’Dochartaigh, Domhnall
Brindley, Peter G.
Prone cardiopulmonary resuscitation: A scoping and expanded grey literature review for the COVID-19 pandemic
title Prone cardiopulmonary resuscitation: A scoping and expanded grey literature review for the COVID-19 pandemic
title_full Prone cardiopulmonary resuscitation: A scoping and expanded grey literature review for the COVID-19 pandemic
title_fullStr Prone cardiopulmonary resuscitation: A scoping and expanded grey literature review for the COVID-19 pandemic
title_full_unstemmed Prone cardiopulmonary resuscitation: A scoping and expanded grey literature review for the COVID-19 pandemic
title_short Prone cardiopulmonary resuscitation: A scoping and expanded grey literature review for the COVID-19 pandemic
title_sort prone cardiopulmonary resuscitation: a scoping and expanded grey literature review for the covid-19 pandemic
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7373011/
https://www.ncbi.nlm.nih.gov/pubmed/32707142
http://dx.doi.org/10.1016/j.resuscitation.2020.07.010
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