Vaughan Bertram Author

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Cardiac Resuscitation in the Lateral Position and the Potential Role of Intraoperative Simulation: A Case Repor

Author(s):

Yasutaka Konishi and Vaughan Bertram

Background

Intraoperative resuscitation of patients in positions other than supine is inherently difficult. Rapidly returning patients supine requires a coordinated effort and is seldom rehearsed by theatre teams.

Case presentation

A 77-year-old female with severe pulmonary hypertension was scheduled to undergo a hemiarthroplasty repair for a fractured neck of femur. Under general anesthesia in the left lateral decubitus position, a massive embolus provoked during cement pressurization of the femur caused cardiovascular collapse and irretrievable right heart failure. Cardiac compressions were performed in the lateral position for approximately 8 minutes before the patient was turned supine. Intraoperative death was declared... view more»

DOI: 10.4172/2324-903X.1000165

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