Evidence map›Paper›PMID 32707142›Full record

ArticleResuscitation2020

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

Matthew J Douma, Ella MacKenzie, Tess Loch, Maria C Tan, Dustin Anderson, Christopher Picard, Lazar Milovanovic, Domhnall O'Dochartaigh, Peter G Brindley

Abstract readScoping Review
In one paragraph

Article in Resuscitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Prone cardiopulmonary resuscitation: Relevance in current times.Journal of anaesthesiology, clinical pharmacology · 2022
    Review
  11. Review
  12. Review
  13. Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Matthew J DoumaDepartment of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, Canada; Alberta Health Services, Canada. Electronic address: douma@ualberta.ca.
Ella MacKenzieRescueScience, Edmonton, Alberta, Canada.
Tess LochCumming School of Medicine, University of Calgary, Canada.
Maria C TanJohn W Scott Health Sciences Library, University of Alberta, Canada.
Dustin AndersonDepartment of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, Canada.
Christopher PicardUniversity of Alberta, Faculty of Nursing & Covenant Health, Canada.
Lazar MilovanovicDepartment of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, Canada.
Domhnall O'DochartaighEdmonton Zone Emergency Departments, Alberta Health Services, Shock Trauma Air Rescue Society, Edmonton, Alberta, Canada.
Peter G BrindleyDepartment of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo 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.

methodsThis 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.

resultsOf 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.

conclusionThis 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

Indexed as

Cardiopulmonary ResuscitationCoronavirus InfectionsHeart ArrestPandemicsPatient PositioningPneumonia, ViralAdultAgedCause of DeathCOVID-19FemaleGlobal HealthGray LiteratureHumansMaleMiddle AgedCardiopulmonary resuscitationCOVID-19CPRProneResuscitationSARS-CoV-2Scoping review

Identifiers

PMID32707142
PMCPMC7373011

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.