Case Reports: Cardiopulmonary Resuscitation in the Lateral Position: Is It Feasible during Pediatric Intracranial Surgery?

Abraham, Mary M.D., D.N.B.*; Wadhawan, Manju M.D.†; Gupta, Vikas M.S., M.C.H.‡; Singh, Anil K. M.S., M.C.H.§

Anesthesiology 2009; 110:1185–6

INTRAOPERATIVE cardiac arrest during neurosurgical operations can occur after massive blood loss in adults and in children.1,2,3,4 Many of these procedures are performed in positions other than supine, and this could pose a major hurdle in successful resuscitation.3

The practice of turning the patient supine for cardiopulmonary resuscitation (CPR) during neurosurgical operations has recently been questioned.5

Although successful resuscitation has been reported in the prone position, there are no studies available on the feasibility of CPR in the lateral position. This is a case report of cardiac arrest due to massive blood loss in a child undergoing excision of a large brain tumor in the lateral position followed by successful resuscitation in the same position.

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