TY - JOUR
T1 - How to maintain safety and maximize the efficacy of cardiopulmonary resuscitation in COVID‐19 patients
T2 - Insights from the recent guidelines
AU - Chojecka, Dominika
AU - Pytlos, Jakub
AU - Zawadka, Mateusz
AU - Andruszkiewicz, Paweł
AU - Szarpak, Łukasz
AU - Dzieciątkowski, Tomasz
AU - Jaguszewski, Miłosz Jarosław
AU - Filipiak, Krzysztof Jerzy
AU - Gąsecka, Aleksandra
N1 - Publisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2021/12/1
Y1 - 2021/12/1
N2 - Since December 2019, the novel coronavirus disease 2019 (COVID‐19) caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS‐CoV‐2) has remained a challenge for governments and healthcare systems all around the globe. SARS‐CoV‐2 infection is associated with increased rates of hospital admissions and significant mortality. The pandemic increased the rate of cardiac arrest and the need for cardiopulmonary resuscitation (CPR). COVID‐19, with its pathophysiology and detrimental effects on healthcare, influenced the profile of patients suffering from cardiac arrest, as well as the conditions of performing CPR. To ensure both the safety of medical personnel and the CPR efficacy for patients, resuscitation societies have published modified guidelines addressing the specific reality of the COVID‐19 pandemic. In this review, we briefly describe the transmission and pathophysiology of COVID‐19, present the challenges of CPR in SARS‐CoV‐2‐infected patients, summarize the current recommendations regarding the algorithms of basic life support (BLS), advanced life support (ALS) and pediatric life support, and discuss other aspects of CPR in COVID‐19 patients, which potentially affect the risk‐to‐benefit ratio of medical procedures and therefore should be considered while formulating further recommendations.
AB - Since December 2019, the novel coronavirus disease 2019 (COVID‐19) caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS‐CoV‐2) has remained a challenge for governments and healthcare systems all around the globe. SARS‐CoV‐2 infection is associated with increased rates of hospital admissions and significant mortality. The pandemic increased the rate of cardiac arrest and the need for cardiopulmonary resuscitation (CPR). COVID‐19, with its pathophysiology and detrimental effects on healthcare, influenced the profile of patients suffering from cardiac arrest, as well as the conditions of performing CPR. To ensure both the safety of medical personnel and the CPR efficacy for patients, resuscitation societies have published modified guidelines addressing the specific reality of the COVID‐19 pandemic. In this review, we briefly describe the transmission and pathophysiology of COVID‐19, present the challenges of CPR in SARS‐CoV‐2‐infected patients, summarize the current recommendations regarding the algorithms of basic life support (BLS), advanced life support (ALS) and pediatric life support, and discuss other aspects of CPR in COVID‐19 patients, which potentially affect the risk‐to‐benefit ratio of medical procedures and therefore should be considered while formulating further recommendations.
KW - COVID‐19
KW - CPR
KW - Cardiac arrest
KW - Cardiopulmonary resuscitation
KW - IHCA
KW - OHCA
KW - SARS‐CoV‐2
UR - http://www.scopus.com/inward/record.url?scp=85120055367&partnerID=8YFLogxK
U2 - https://doi.org/10.3390/jcm10235667
DO - https://doi.org/10.3390/jcm10235667
M3 - Review article
C2 - 34884368
SN - 2077-0383
VL - 10
JO - Journal of clinical medicine
JF - Journal of clinical medicine
IS - 23
M1 - 5667
ER -