• Arq. Bras. Cardiol. · Jun 2020

    Position Statement: Cardiopulmonary Resuscitation of Patients with Confirmed or Suspected COVID-19 - 2020.

    • Hélio Penna Guimarães, Sérgio Timerman, Roseny Dos Reis Rodrigues, Thiago Domingos Corrêa, Schubert Daniel Ujakow Correa DUC Hospital Estadual Getúlio Vargas, Rio de Janeiro, RJ, Brasil., Ana Paula Freitas, Álvaro Rea Neto, Thatiane Facholi Polastri, Matheus Fachini Vane, Thomaz Bittencourt Couto, Brandão Antonio Carlos Aguiar ACA Hospital Israelita Albert Einstein, São Paulo, SP, Brasil., Natali Schiavo Giannetti, Thiago Timerman, Ludhmila Abrahão Hajjar, Fernando Bacal, and Marcelo Antônio Cartaxo Queiroga Lopes.
    • Hospital Israelita Albert Einstein, São Paulo, SP, Brasil.
    • Arq. Bras. Cardiol. 2020 Jun 1; 114 (6): 1078-1087.

    AbstractCare for patients with cardiac arrest in the context of the coronavirus disease 2019 (COVID-19) pandemic has several unique aspects that warrant particular attention. This joint position statement by the Brazilian Association of Emergency Medicine (ABRAMEDE), Brazilian Society of Cardiology (SBC), Brazilian Association of Intensive Care Medicine (AMIB), and Brazilian Society of Anesthesiology (SBA), all official societies representing the corresponding medical specialties affiliated with the Brazilian Medical Association (AMB), provides recommendations to guide health care workers in the current context of limited robust evidence, aiming to maximize the protection of staff and patients alike. It is essential that full aerosol precautions, which include wearing appropriate personal protective equipment, be followed during resuscitation. It is also imperative that potential causes of cardiac arrest of particular interest in this patient population, especially hypoxia, cardiac arrhythmias associated with QT prolongation, and myocarditis, be considered and addressed. An advanced invasive airway device should be placed early. Use of HEPA filters at the bag-valve interface is mandatory. Management of cardiac arrest occurring during mechanical ventilation or during prone positioning demands particular ventilator settings and rescuer positioning for chest compressions which deviate from standard cardiopulmonary resuscitation techniques. Apart from these logistical issues, care should otherwise follow national and international protocols and guidelines, namely the 2015 International Liaison Committee on Resuscitation (ILCOR) and 2019 American Heart Association (AHA) guidelines and the 2019 Update to the Brazilian Society of Cardiology Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Guideline.

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