Changing resuscitation strategies during a pandemic: lessons from the consecutive surges in New York and global challenges.
Curr Opin Crit Care
; 27(6): 656-662, 2021 12 01.
Article
in English
| MEDLINE | ID: covidwho-1956614
ABSTRACT
PURPOSE OF REVIEW To provide a framework for resuscitation of COVID-19 critical illness for emergency and intensive care clinicians with the most up to date evidence and recommendations in the care of COVID-19 patients in cardiac arrest or in extremis. RECENT FINDINGS:
Performing cardiopulmonary resuscitation (CPR) on COVID-19 patients requires the clinicians to adopt infection mitigation strategies such as full personal protective equipment, mechanical chest compression devices, and restricting the number of people present during the resuscitation. The time of intubation is a subject of ongoing research and clinicians should use their best judgment for each patient. Clinicians should prepare for CPR in prone position. Particular attention should be given to the psychological well-being of the staff. Point of care ultrasound has proved to be an invaluable diagnostic tool in assessing ventricular dysfunction and parenchymal lung disease. Although novel therapies to supplant the function of diseased lungs have shown promise in select patients the evidence is still being collected. The end-of-life discussions have been negatively impacted by prognostic uncertainty as well as barriers to in person meetings with families.SUMMARY:
The resuscitation of critically ill COVID-19 patients poses new challenges, but the principles remain largely unchanged.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Cardiopulmonary Resuscitation
/
COVID-19
Type of study:
Prognostic study
Limits:
Humans
Country/Region as subject:
North America
Language:
English
Journal:
Curr Opin Crit Care
Journal subject:
Critical Care
Year:
2021
Document Type:
Article
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