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Cardiopulmonary resuscitation in COVID-19 patients

Praveen Chahar1, Donn Marciniak1

  • 1Center of Critical Care and Resuscitation, Anesthesiology Institute, Cleveland Clinic.

Cleveland Clinic Journal of Medicine
|June 5, 2020
PubMed

Insights

Performing cardiopulmonary resuscitation (CPR) during the COVID-19 pandemic poses high risks to healthcare providers due to aerosol-generating procedures. Special considerations are essential to ensure provider safety while delivering critical care.

Area of Science:

  • Emergency Medicine
  • Infectious Diseases
  • Critical Care

Background:

  • COVID-19 is a highly contagious viral illness.
  • Cardiopulmonary resuscitation (CPR) involves aerosol-generating procedures (AGPs).
  • Healthcare providers performing CPR face significant exposure risk.

Purpose of the Study:

  • To outline special considerations for performing CPR in patients with suspected or confirmed COVID-19.
  • To emphasize the importance of healthcare provider safety during resuscitation efforts.
  • To provide an overview of necessary precautions and modifications.

Main Methods:

  • Review of current guidelines and best practices.
  • Identification of key aerosol-generating procedures during CPR.
  • Analysis of risks associated with CPR in the context of COVID-19 transmission.

Main Results:

  • CPR procedures like chest compressions and ventilation can generate infectious aerosols.
  • Stringent personal protective equipment (PPE) is crucial for providers.
  • Minimizing personnel and optimizing techniques are recommended.

Conclusions:

  • Safe performance of CPR in COVID-19 patients requires specific protocols.
  • Protecting healthcare providers is paramount.
  • Adapting CPR techniques can mitigate transmission risks.

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