A survey of cardiopulmonary resuscitation in COVID-19 patients

Background and Aims: The novel coronavirus 2 (SARS-CoV-2) pandemic has placed severe resource constraints on hospitals. High mortality rates of the COVID-19 have overwhelmed the resuscitation services. The constant fear of virus infection during cardiopulmonary resuscitation (CPR) has placed severe...

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Main Authors: Mukul C Kapoor, S SC Chakra Rao, Rasesh Dewan, Bernd W Böttiger
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Journal of Anaesthesiology Clinical Pharmacology
Subjects:
Online Access:http://www.joacp.org/article.asp?issn=0970-9185;year=2021;volume=37;issue=1;spage=47;epage=50;aulast=Kapoor
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author Mukul C Kapoor
S SC Chakra Rao
Rasesh Dewan
Bernd W Böttiger
author_facet Mukul C Kapoor
S SC Chakra Rao
Rasesh Dewan
Bernd W Böttiger
author_sort Mukul C Kapoor
collection DOAJ
description Background and Aims: The novel coronavirus 2 (SARS-CoV-2) pandemic has placed severe resource constraints on hospitals. High mortality rates of the COVID-19 have overwhelmed the resuscitation services. The constant fear of virus infection during cardiopulmonary resuscitation (CPR) has placed severe restrictions on the resuscitation services. Reports of poor outcomes after CPR further dampened the spirits of CPR providers. Hence we surveyed CPR practices for COVID -19 patients across hospitals in India by health care providers. Material and Methods: An online survey using Google Forms was initiated to collect data on performance of CPR in diagnosed cases of COVID-19 after in-hospital cardiac arrest. The survey's web-link was publicized using social media, and participation sought of all personnel involved in CPR delivery in COVID-19 patients. The responses received were analyzed. The main outcome measured were determination of the percentage of COVID-19 patients discharged home who were administered CPR. Results: There were 248 responses from different parts of India. At the time of cardiac arrest, 194 victims had diffuse lung infiltrates, 22 had mild lung disease, while 32 had no documented lung lesion. Twenty-five victims had evidence of pulmonary embolism, 39 had cardiac involvement, and 3 had brain involvement. Return of spontaneous circulation (ROSC) was achieved in 59.27% of cases but ROSC sustained in only 22.59%. 7.25% of patients, who received CPR, could be discharged home. Conclusion: The survey has shown reasonable survival rates after CPR administration in COVID-19 patients suffering from IHCA. We should not ignore the need to maximize live outcomes after CPR, even in COVID-19 patients.
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spelling doaj.art-6138de847c5e404e91e23c22cabb1cf12022-12-21T23:45:39ZengWolters Kluwer Medknow PublicationsJournal of Anaesthesiology Clinical Pharmacology0970-91852021-01-01371475010.4103/joacp.JOACP_36_21A survey of cardiopulmonary resuscitation in COVID-19 patientsMukul C KapoorS SC Chakra RaoRasesh DewanBernd W BöttigerBackground and Aims: The novel coronavirus 2 (SARS-CoV-2) pandemic has placed severe resource constraints on hospitals. High mortality rates of the COVID-19 have overwhelmed the resuscitation services. The constant fear of virus infection during cardiopulmonary resuscitation (CPR) has placed severe restrictions on the resuscitation services. Reports of poor outcomes after CPR further dampened the spirits of CPR providers. Hence we surveyed CPR practices for COVID -19 patients across hospitals in India by health care providers. Material and Methods: An online survey using Google Forms was initiated to collect data on performance of CPR in diagnosed cases of COVID-19 after in-hospital cardiac arrest. The survey's web-link was publicized using social media, and participation sought of all personnel involved in CPR delivery in COVID-19 patients. The responses received were analyzed. The main outcome measured were determination of the percentage of COVID-19 patients discharged home who were administered CPR. Results: There were 248 responses from different parts of India. At the time of cardiac arrest, 194 victims had diffuse lung infiltrates, 22 had mild lung disease, while 32 had no documented lung lesion. Twenty-five victims had evidence of pulmonary embolism, 39 had cardiac involvement, and 3 had brain involvement. Return of spontaneous circulation (ROSC) was achieved in 59.27% of cases but ROSC sustained in only 22.59%. 7.25% of patients, who received CPR, could be discharged home. Conclusion: The survey has shown reasonable survival rates after CPR administration in COVID-19 patients suffering from IHCA. We should not ignore the need to maximize live outcomes after CPR, even in COVID-19 patients.http://www.joacp.org/article.asp?issn=0970-9185;year=2021;volume=37;issue=1;spage=47;epage=50;aulast=Kapoorcardiopulmonary resuscitationcoronavirus-19 diseasepersonal protective equipmentreturn of spontaneous circulation
spellingShingle Mukul C Kapoor
S SC Chakra Rao
Rasesh Dewan
Bernd W Böttiger
A survey of cardiopulmonary resuscitation in COVID-19 patients
Journal of Anaesthesiology Clinical Pharmacology
cardiopulmonary resuscitation
coronavirus-19 disease
personal protective equipment
return of spontaneous circulation
title A survey of cardiopulmonary resuscitation in COVID-19 patients
title_full A survey of cardiopulmonary resuscitation in COVID-19 patients
title_fullStr A survey of cardiopulmonary resuscitation in COVID-19 patients
title_full_unstemmed A survey of cardiopulmonary resuscitation in COVID-19 patients
title_short A survey of cardiopulmonary resuscitation in COVID-19 patients
title_sort survey of cardiopulmonary resuscitation in covid 19 patients
topic cardiopulmonary resuscitation
coronavirus-19 disease
personal protective equipment
return of spontaneous circulation
url http://www.joacp.org/article.asp?issn=0970-9185;year=2021;volume=37;issue=1;spage=47;epage=50;aulast=Kapoor
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