md-medicaldata

Authors

 

Sandro Kopilović^1,2, Ivana Minaković^3,4, Jelena Zvekić-Svorcan<sup>3,5

1</sup>Institute for Emergency Medicine, Novi Sad, Serbia
²Department of Scientific Research, Education and International Cooperation, Novi Sad, Serbia
³University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia
⁴Health Center Novi Sad, Novi Sad, Serbia
⁵Special Hospital for Rheumatic Diseases, Novi Sad, Serbia

 

616.12-008.315-083.98
616.98:578.834]:615.816/.817

The paper was received / Rad primljen: 18.03.2021.

Accepted / Rad prihvaćen: 23.03.2021.

 

Correspondence to:

Ivana Minaković,
University of Novi Sad,
Faculty of Medicine,
Hajduk Veljkova 3,
Hajduk Veljkova 3,
e-mail: ivana.minakovic@uns.ac.rs

 

 

Abstract

 

 

The SARS−COV−2 pandemic has created a need for changes in usual cardiopulmonary resuscitation protocols.Тhe aim of this work was to review the available CPR recommendation in COVID−19 suspected patients. Recommendations for cardiopulmonary resuscitation of these patients require changes in terms of exposure reduction of provider,utilization ofoxygenation and ventilation techniques with lower aerosolization risk, as well as utilization of priority model based on considering the appropriateness of initiating and continuing resuscitation.All healthcare workers should use full personal protective equipment and have advanced life support training. Clear guidelines for ensuring timely and effective management of the patients with cardiac arrest with adequate protection of healthcare professionals are crucial in the COVID−19 era.In that way, it is possible to contribute to the preservation of the health care system while providing optimal health care for patients.

 

 

 

Keywords:

Cardiopulmonaryresuscitation; COVID−19; Guidelines; Cardiac arrest;

 

 

 

Sažetak

Pandemija izazvana SARS−COV−2 stvorila je potrebu za promenama u uobičajenim protokolima za kardiopulmonalnu reanimaciju. Cilj ovog rada bio je pregled dostupnih CPR smernica za COVID−19 suspektne pacijente. Preporuke za kardiopulmonalnu reanimaciju ovih pacijenata zahtevaju promene u pogledu smanjenja ekspozicije zdravstvenog osoblja, korišćenje tehnika oksigenacije i ventilacije sa nižim rizikom aerosolizacije kao i korišćenje modela prioriteta na osnovu razmatranja prikladnosti započinjanja i nastavka reanimacije. Svi zdravstveni radnici treba da koriste kompletnu ličnu zaštitnu opremu i da imaju obuku za napredno održavanje života. U eri COVID−19 pandemije, neophodne su jasne smernice za obezbeđivanje pravovremenog i efikasnog tretmana pacijenata sa srčanim zastojem, a uz adekvatnu zaštitu zdravstvenih radnika. Na taj način je moguće doprineti očuvanju zdravstvenog sistema uz pružanje optimalne zdravstvene zaštite pacijentima.

 

 

Ključne reči:

Kardiopulmonalnareanimacija; COVID−19; Smernice; Srčani zastoj

 

 

 

 

References:

1. Nolan JP, Monsieurs KG, Bossaert L, Böttiger BW, Greif R, Lott C, et. al. European Resuscitation Council COVID-19 Guidelines Executive Summary. Resuscitation. 2020;153:45−55.
2. Institut za javno zdravlje Srbije ”Milan Jovanović Batut” [Internet]. Korona virus: COVID-19 [cited 2020 Mar 15]. Available from: https://covid19.rs
3. World Health Organization [Internet]. WHO Coronavirus (COVID-19) Dashboard [cited 2020 Mar 15]. Available from: https://covid19.who.int/
4. 4.Rodríguez Yago MA, Alcalde Mayayo I, Gómez López R, Parias Ángel MN, Pérez Miranda A, Canals Aracil M, et al. Recommendations on cardiopulmonary resuscitation in patients with suspected or confirmed SARS-CoV-2 infection (COVID-19). Executive summary. Med Intensiva. 2020;44(9):566−76.
5. Kapoor I, Prabhakar H, Mahajan C. Cardiopulmonary resuscitation in COVID-19 patients – To do or not to? J Clin Anesth. 2020;65:109879.
6. DeFilippis EM, Ranard LS, Berg DD. Cardiopulmonary Resuscitation During the COVID-19 Pandemic: A View from Trainees on the Frontline. Circulation. 2020;141(23):1833−5.
7. Edelson DP, Sasson C, Chan PS, Atkins DL, Aziz K, Becker LB, et al. Interim Guidance for Basic and Advanced Life Support in Adults, Children, and Neonates with Suspected or Confirmed COVID-19: From the Emergency Cardiovascular Care Committee and Get with the Guidelines-Resuscitation Adult and Pediatric Task Forces of the American Heart Association. Circulation. 2020;E933−E943.
8. Guo T, Fan Y, Chen M, Wu X, Zhang L, He T, et al. Cardiovascular Implications of Fatal Outcomes of Patients with Coronavirus Disease 2019 (COVID-19). JAMA Cardiol. 2020;5(7): 811−8.
9. Li L, Hill J, Spratt JC, Jin Z, et al. Myocardial injury in severe COVID-19: Identification and management. Resuscitation. 2021;160:16−7.
10. DeFilippis EM, Reza N, Donald E, Givertz MM, Lindenfeld J, Jessup M.Considerations for Heart Failure Care During the COVID-19 Pandemic.JACC Heart Fail. 2020;8(8):681−91.
11. Tersalvi G, Vicenzi M, Calabretta D, Biasco L, Pedrazzini G, Winterton D, et al.Elevated Troponin in Patients With Coronavirus Disease 2019: Possible Mechanisms.J Card Fail. 2020;26(6):470−5.
12. Clerkin KJ, Fried JA, Raikhelkar J, Sayer G, Griffin JM, Masoumi A, et al. COVID-19 and Cardiovascular Disease.Circulation. 2020;1648−55.
13. Jung H, Lee MJ, Cho JW, Lee SH, Lee SH, MunYH, et al.External validation of multimodal termination of resuscitation rules for out-of-hospital cardiac arrest patients in the COVID-19 era.Scand J Trauma Resusc Emerg Med. 2021;29(1):19.
14. Savary D, Morin F, Fadel M, Metton P, Richard J, Descatha A.Considering the challenge of the Covid-19 pandemic, is there a need to adapt the guidelines for basic life support resuscitation? Resuscitation. 2020;152:50−1.
15. O’Connell F, Sweetser P, Quan T, Pourmand A. Application of termination of resuscitation rules during the COVID-19 pandemic by emergency medical service. Am J Emerg Med. 2020;Article in Press.
16. Lim WY, Wong P, Teo LM,Ho VK.Resuscitation during the COVID-19 pandemic: Lessons learnt from high-fidelity simulation.Resuscitation. 2020;152:89−90.
17. Craig S, Cubitt M, Jaison A, Troupakis S, Hood N, Fong C, et al. Management of adult cardiac arrest in the COVID ‐19 era: consensus statement from the Australasian College for Emergency Medicine. Med J Aust. 2020;213(3):126−33.
18. Sher T, Burger CD, DeMartino ES, de Moraes AG, Sharp RR.Resuscitation and COVID-19: Recalibrating Patient and Family Expectations During a Pandemic.Mayo Clin Proc. 2020;95(9):1848−51.
19. Holland M, Zaloga DJ, Friderici CS. COVID-19 Personal Protective Equipment (PPE) for the emergency physician.Vis J Emerg Med.2020;19:100740.
20. Alhazzani W, Møller MH, Arabi YM, Loeb M, Gong MN, Fan E, et al. Surviving Sepsis Campaign: guidelines on the management of critically ill adults with Coronavirus Disease 2019 (COVID-19). Intensive Care Med. 2020;46(5):854−87.
21. Somri M, Gaitini L, Gat M, Sonallah M, Paz A, Gómez-Ríos MÁ.Cardiopulmonary Resuscitation during the COVID-19 pandemic. Do supraglottic airways protect against aerosol-generation? Resuscitation. 2020;157:123–5.
22. Wu Z,McGoogan JM.Characteristics of and Important Lessons from the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72314 Cases from the Chinese Center for Disease Control and Prevention. JAMA.2020;323(13):1239–4.
23. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet.395(10223);497–506.
24. Timerman S, Guimarães HP, Rodrigues R dos R, Corrêa TD, Schubert DUC, Freitas AP, et al. Recommendations for Cardiopulmonary Resuscitation (CPR) of patients with suspected or confirmed COVID-19. Braz J Anesthesiol. 2020;Article in Press.
25. Kandori K, Narumiya H, Iizuka R.Extracorporeal cardiopulmonary resuscitation should not be performed on confirmed or suspected COVID-19 patients. Resuscitation. 2020;153;6–7.
    

PDF07-MD-Vol 13 No 1 2021_Kopilović et al.