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Revista Mexicana de Anestesiología

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ISSN 0484-7903 (Print)
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2020, Number 2

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Rev Mex Anest 2020; 43 (2)

Cardiopulmonary resuscitation in patients with COVID-19 in the hospital environment

Monares-Zepeda E, Rodríguez-Guillén JE, Herrera-Elizalde RE, Ugarte-Ubiergo S, Garza-de la Maza A
Full text How to cite this article 10.35366/92874

DOI

DOI: 10.35366/92874
URL: https://dx.doi.org/10.35366/92874

Language: Spanish
References: 11
Page: 145-150
PDF size: 295.56 Kb.


Key words:

COVID-19, cardiac arrest, cardiopulmonary resuscitation, prone, defibrillation, ventilation, prolonged QT, personal protective equipment, arrhythmias.

ABSTRACT

The COVID-19 pandemic has forced us to rethink the way we practice some aspects of medicine. Cardiopulmonary resuscitation is a practice that generates aerosol particles from the airway, which increases the risk of SARS-CoV-2 infection. In this review, the international recommendations on the subject are consulted, high-risk moments are defined and recommendations are established on compressions, ventilation, electrical therapy and even pharmacology in patients with cardiac arrest and with a diagnosis of COVID-19, seeking not only the well-being of the patient, but also the safety of health personnel.


REFERENCES

  1. AHA. Heart. Interim guidance to reduce COVID-19 transmission during resuscitation care [press release]. 19 March 2020. Available in: https://newsroom.heart.org/news/interim-guidance-to-reduce-covid-19-transmission-during-resuscitation-care. 1 April 2020.

  2. UK Resuscitation Council Guidance. Resuscitation Council (UK). Statement on COVID-19 (coronavirus) CPR and Resuscitation. March 2020. Available in: https://www.resus.org.uk/media/statements/resuscitation-council-uk-statements-on-covid-19-coronavirus-cpr-and-resuscitation/. 1 April 2020.

  3. CDC. Centers for Disease Control and Prevention. Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings. 19 Marzo 2020. Available in: https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control-recommendations.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fhcp%2Finfection-control.html#take_precautions. 1 April 2020.

  4. Xuelian Liao, Bo Wang, Yan Kang. Novel coronavirus infection during the 2019-2020 epidemic: preparing Intensive Care Units-the experience in Sichuan Province, China. Intensive Care Med. 2020;46:357-360.

  5. Kleinman ME. Part 5: Adult Basic Life Support and Cardiopulmonary Resuscitation Quality, 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015;132:S414-S435.

  6. WHO Int. World Health Organization. Clinical management of severe acute respiratory infection (‎‎SARI)‎‎ when COVID-19 disease is suspected interim. 2020. Available in: https://www.who.int/docs/default-source/coronaviruse/clinical-management-of-novel-cov.pdf?sfvrsn=bc7da517_10&download. 1 April 2020.

  7. Brewster DJ. Med J Aust. Consensus statement: Safe Airway Society principles of airway management and tracheal intubation specific to the COVID-19 adult patient group. 16 March 2020. Available in: https://www.mja.com.au/journal/2020/consensus-statement-safe-airway-society-principles-airway-management-and-tracheal. 1 April 2020.

  8. Bhatnagar V. Cardiopulmonary resuscitation: unusual techniques for unusual situations. J Emerg Trauma Shock. 2018;11:31-37.

  9. Nanjangud P. Cardiopulmonary resuscitation in adult patients in prone position. Indian J Respir Care. 2017;6:791-792.

  10. Dunning J. Resuscitation of patients who arrest after cardiac surgery. Ann Thorac Surg. 2017;103:1005-1020.

  11. Ten Broeke R, Mestrom E, Woo L, Kreeftenberg H. Early treatment with intravenous lipid emulsion in a potentially lethal hydroxychloroquine intoxication. Neth J Med. 2016;74:210-214




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Rev Mex Anest. 2020;43