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WITHDRAWN: Recommendations for Cardiopulmonary Resuscitation (CPR) of patients
with suspected or confirmed COVID-19
#MMPMID32836520
Timerman S
; Guimarães HP
; Rodrigues RDR
; Corrêa TD
; Schubert DUC
; Freitas AP
; Neto ÁR
; Polastri TF
; Vane MF
; Couto TB
; Brandão ACA
; Giannetti NS
; Carmona MJC
; Timerman T
; Hajjar LA
; Bacal F
; Queiroga M
Braz J Anesthesiol
2020[Jun]; ? (?): ? PMID32836520
show ga
The care for patients suffering from cardiopulmonary arrest in a context of a
COVID-19 pandemic has particularities that should be highlighted. The following
recommendations from the Brazilian Association of Emergency Medicine (ABRAMEDE),
the Brazilian Society of Cardiology (SBC) and the Brazilian Association of
Intensive Medicine (AMIB) and the Brazilian Society of Anesthesiology (SBA),
associations and societies official representatives of specialties affiliated to
the Brazilian Medical Association (AMB), aim to guide the various assistant
teams, in a context of little solid evidence, maximizing the protection of teams
and patients. It is essential to wear full Personal Protective Equipment (PPE)
for aerosols during the care of Cardiopulmonary Resuscitation (CPR) and it is
imperative to consider and treat the potential causes in these patients,
especially hypoxia and arrhythmias caused by changes in the QT interval or
myocarditis. The installation of an advanced invasive airway must be obtained
early and the use of High Efficiency Particulate Arrestance (HEPA) filters at the
interface with the valve bag is mandatory; situations of occurrence of CPR during
mechanical ventilation and in a prone position demand peculiarities that are
different from the conventional CPR pattern. Faced with the care of a patient
diagnosed or suspected of COVID-19, the care follows the national and
international protocols and guidelines 2015 ILCOR (International Alliance of
Resuscitation Committees), AHA 2019 Guidelines (American Heart Association) and
the Update of the Cardiopulmonary Resuscitation and Emergency Care Directive of
the Brazilian Society of Cardiology 2019.
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