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British Journal of Anaesthesia, 2001, Vol. 87, No. 6 937-938
© 2001 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Successful defibrillation in the prone position

C. C. Miranda* and M. C. Newton

Department of Neuroanaesthesia, National Hospital for Neurology and Neurosurgery, Queen Square, London WC1N 3BG, UK*Corresponding author: Department of Anaesthetics, Chase Farm Hospital, The Ridgeway, Enfield, Middlesex EN2 8JL, UK

Early defibrillation provides the greatest chance of survival after ventricular fibrillation. Conventional cardiopulmonary resuscitation and defibrillation requires the patient to be in the supine position. Electrical treatment of arrhythmias such as atrial fibrillation by means of a defibrillator back paddle in patients receiving prone ventilation in intensive care has been described. We report a case in which electrical defibrillation was successfully performed in the prone position in a patient undergoing complex spinal surgery. We suggest that, if defibrillation were required in ventilated patients positioned prone, defibrillation should be attempted in the prone position, as turning the patient supine would consume valuable minutes and reduce the chances of successful defibrillation.

Br J Anaesth 2001; 87: 937–8


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