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Guidance for Cardiopulmonary Resuscitation of Children With Suspected or Confirmed COVID-19.
Morgan, Ryan W; Atkins, Dianne L; Hsu, Antony; Kamath-Rayne, Beena D; Aziz, Khalid; Berg, Robert A; Bhanji, Farhan; Chan, Melissa; Cheng, Adam; Chiotos, Kathleen; de Caen, Allan; Duff, Jonathan P; Fuchs, Susan; Joyner, Benny L; Kleinman, Monica; Lasa, Javier J; Lee, Henry C; Lehotzky, Rebecca E; Levy, Arielle; McBride, Mary E; Meckler, Garth; Nadkarni, Vinay; Raymond, Tia; Roberts, Kathryn; Schexnayder, Stephen M; Sutton, Robert M; Terry, Mark; Walsh, Brian; Zelop, Carolyn M; Sasson, Comilla; Topjian, Alexis.
  • Morgan RW; Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
  • Atkins DL; Stead Family Department of Pediatrics, Carver College of Medicine, University of Iowa, Iowa City, Iowa.
  • Hsu A; Department of Emergency Medicine, St. Joseph Mercy Ann Arbor Hospital, Superior Township, Michigan.
  • Kamath-Rayne BD; Global Newborn and Child Health, American Academy of Pediatrics, Itasca, Illinois.
  • Aziz K; Department of Pediatrics, Division of Newborn Medicine, University of Alberta, Edmonton, Alberta, Canada.
  • Berg RA; Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
  • Bhanji F; Department of Pediatrics, McGill University, Montreal, Quebec, Canada.
  • Chan M; Departments of Pediatrics and Pediatric Emergency Medicine, British Columbia Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
  • Cheng A; Department of Paediatrics, Alberta Children's Hospital, University of Calgary, Calgary, Alberta, Canada.
  • Chiotos K; Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
  • de Caen A; Department of Pediatrics, Division of Critical Care, Stollery Children's Hospital, University of Alberta, Edmonton, Alberta, Canada.
  • Duff JP; Department of Pediatrics, Division of Critical Care, Stollery Children's Hospital, University of Alberta, Edmonton, Alberta, Canada.
  • Fuchs S; Department of Pediatrics.
  • Joyner BL; Departments of Pediatrics, Anesthesiology & Social Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
  • Kleinman M; Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts.
  • Lasa JJ; Cardiovascular ICU, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.
  • Lee HC; Division of Neonatology, Stanford University, Stanford, California.
  • Lehotzky RE; ECC Science & Innovation, American Heart Association, Dallas, Texas.
  • Levy A; Departments of Pediatrics and Pediatric Emergency Medicine, Sainte-Justine Hospital University Center, University of Montreal, Montreal, Quebec, Canada.
  • McBride ME; Cardiology, and Critical Care Medicine, Northwestern University, Ann & Robert H Lurie Children's Hospital of Chicago, Chicago, Illinois.
  • Meckler G; Departments of Pediatrics and Pediatric Emergency Medicine, British Columbia Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
  • Nadkarni V; Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
  • Raymond T; Department of Pediatric Cardiac Critical Care, Medical City Children's Hospital, Dallas, Texas.
  • Roberts K; Center for Nursing Excellence, Education & Innovation, Joe DiMaggio Children's Hospital, Hollywood, Florida.
  • Schexnayder SM; Departments of Critical Care Medicine and Emergency Medicine, Arkansas Children's Hospital, Springdale, Arkansas.
  • Sutton RM; Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
  • Terry M; National Registry of Emergency Medical Technicians, Columbus, Ohio.
  • Walsh B; Respiratory Care, Children's Hospital Colorado, Aurora, Colorado.
  • Zelop CM; Department of Obstetrics and Gynecology, NYU School of Medicine and The Valley Hospital, New York City, New York.
  • Sasson C; ECC Science & Innovation, American Heart Association, Dallas, Texas.
  • Topjian A; Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Pediatrics ; 150(3)2022 09 01.
Article in English | MEDLINE | ID: covidwho-1933416
ABSTRACT
This article aims to provide guidance to health care workers for the provision of basic and advanced life support to children and neonates with suspected or confirmed coronavirus disease 2019 (COVID-19). It aligns with the 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular care while providing strategies for reducing risk of transmission of severe acute respiratory syndrome coronavirus 2 to health care providers. Patients with suspected or confirmed COVID-19 and cardiac arrest should receive chest compressions and defibrillation, when indicated, as soon as possible. Because of the importance of ventilation during pediatric and neonatal resuscitation, oxygenation and ventilation should be prioritized. All CPR events should therefore be considered aerosol-generating procedures. Thus, personal protective equipment (PPE) appropriate for aerosol-generating procedures (including N95 respirators or an equivalent) should be donned before resuscitation, and high-efficiency particulate air filters should be used. Any personnel without appropriate PPE should be immediately excused by providers wearing appropriate PPE. Neonatal resuscitation guidance is unchanged from standard algorithms, except for specific attention to infection prevention and control. In summary, health care personnel should continue to reduce the risk of severe acute respiratory syndrome coronavirus 2 transmission through vaccination and use of appropriate PPE during pediatric resuscitations. Health care organizations should ensure the availability and appropriate use of PPE. Because delays or withheld CPR increases the risk to patients for poor clinical outcomes, children and neonates with suspected or confirmed COVID-19 should receive prompt, high-quality CPR in accordance with evidence-based guidelines.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cardiopulmonary Resuscitation / COVID-19 / Heart Arrest Type of study: Prognostic study Topics: Vaccines Limits: Child / Humans / Infant, Newborn Language: English Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cardiopulmonary Resuscitation / COVID-19 / Heart Arrest Type of study: Prognostic study Topics: Vaccines Limits: Child / Humans / Infant, Newborn Language: English Year: 2022 Document Type: Article