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ACLS in adults with COVID-19 patientUpToDate Literature review current through:?Oct 2020.?|?This topic last updated:?Sep 17, 2020.RESUSCITATION OF PATIENTS WITH COVID-19Interim guidelines for the performance of cardiopulmonary resuscitation (CPR) in patients with COVID 19-related illness have been published by the American Heart Association (AHA) in collaboration with several other major medical organizations. These guidelines and associated algorithms for basic life support (BLS) and advanced cardiac life support (ACLS) can be accessed using the following link and graphic:?AHA interim guidelines for COVID-19 pts?(see algorithm below). Tasks and modifications for clinicians emphasized in the guidelines include the following:Don personal PPE according to guidelines and availability before beginning CPR.Minimize the number of clinicians performing resuscitation Use a negative-pressure room whenever possible keep the door to the resuscitation room closed if possible.May use a mechanical device, if resources and expertise are available, to perform chest compressions on pts who meet minimum height and weight requirements.Use a high-efficiency particulate air (HEPA) filter for bag-mask ventilation (BMV) and mechanical ventilation.Emphasize early intubation performed by the provider most likely to achieve first-pass success (table 1); use video laryngoscopy if resources and expertise available; stop chest compressions while intubation is performed.Use a supraglottic airway (or B-V-mask with tight seal, 2-person thenar T.) if intubation is delayed; avoid excessive ventilation rate or pressure (ie, squeeze the bag gently).Avoid prolonged resuscitation efforts: consider the extremely high mortality of adult COVID-19 patients in cardiac arrest and consider lapses in infection control and associated risks during high-stress medical emergencies. ................
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