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IAP ALS Update on Resuscitation Guidelines During COVID-19 Pandemic.

Lokesh Tiwari1,2, L N Taneja3,4, Shalu Gupta5

  • 1Pediatric Intensive Care Unit, Department of Pediatrics, All India Institute of Medical Sciences, Patna, Bihar, India. lokeshdoc@yahoo.com.

Indian Journal of Pediatrics
|September 27, 2020
PubMed
Summary

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Healthcare workers face risks during COVID-19 resuscitation. Modified Indian Academy of Pediatrics guidelines address aerosol-generating procedures to minimize coronavirus spread during advanced and basic life support.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Emergency Medicine

Background:

  • The COVID-19 pandemic presents significant occupational health risks for healthcare workers.
  • Cardiopulmonary resuscitation (CPR) procedures, particularly aerosol-generating ones, increase the risk of viral transmission.
  • Existing resuscitation guidelines required updates to address the unique challenges posed by the pandemic.

Purpose of the Study:

  • To modify existing resuscitation guidelines in response to the COVID-19 pandemic.
  • To provide evidence-based recommendations for safe CPR during the pandemic.
  • To protect healthcare workers from SARS-CoV-2 infection during resuscitation efforts.

Main Methods:

  • A guideline update team was formed by the Indian Academy of Pediatrics Advanced Life Support Basic Life Support (IAP ALS BLS) group.
Keywords:
COVID-19IAP ALS BLSResuscitation

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  • The GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach was employed.
  • Recommendations were developed for specific clinical practice questions related to resuscitation during the COVID-19 pandemic.

    • Main Results:

    • Modified guidelines were developed to incorporate safety measures for CPR during the COVID-19 pandemic.
    • The recommendations address aerosol-generating procedures and infection control during resuscitation.
    • The guidelines aim to balance effective resuscitation with the protection of healthcare providers.

    Conclusions:

    • Updated resuscitation guidelines are crucial for healthcare workers managing patients during the COVID-19 pandemic.
    • Implementing modified protocols can mitigate the risk of coronavirus transmission during CPR.
    • These evidence-based modifications support safe and effective patient care in a pandemic setting.