Universität zu Köln

Malysz, Marek, Dabrowski, Marek, Boettiger, Bernd W., Smereka, Jacek, Kulak, Klaudia, Szarpak, Agnieszka, Jaguszewski, Milosz, Filipiak, Krzysztof J., Ladny, Jerzy R., Ruetzler, Kurt ORCID: 0000-0003-0467-1736 and Szarpak, Lukasz (2020). Resuscitation of the patient with suspected//confirmed COVID-19 when wearing personal protective equipment: A randomized multicenter crossover simulation trial. Cardiol. J., 27 (5). S. 497 - 507. GDANSK: VIA MEDICA. ISSN 1898-018X

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Abstract

Background: The aim of the study was to evaluate various methods of chest compressions in patients with suspected/confirmed SARS-CoV-2 infection conducted by medical students wearing full personal protective equipment (PPE) for aerosol generating procedures (AGP). Methods: This was prospective, randomized, multicenter, single-blinded, crossover simulation trial. Thirty-five medical students after an advanced cardiovascular life support course, which included performing 2-min continuous chest compression scenarios using three methods: (A) manual chest compression (CC), (B) compression with CPRMeter, (C) compression with LifeLine ARM device. During resuscitation they are wearing full personal protective equipment for aerosol generating procedures. Results: The median chest compression depth using manual CC, CPRMeter and LifeLine ARM varied and amounted to 40 (38-45) vs. 45 (40-50) vs. 51 (50-52) mm, respectively (p = 0.002). The median chest compression rate was 109 (IQR; 102-131) compressions per minute (CPM) for manual CC, 107 (105-127) CPM for CPRMeter, and 102 (101-102) CPM for LifeLine ARM (p = 0.027). The percentage of correct chest recoil was the highest for LifeLine ARM - 100% (95-100), 80% (60-90) in CPRMeter group, and the lowest for manual CC - 29% (26-48). Conclusions: According to the results of this simulation trial, automated chest compression devices (ACCD) should be used for chest compression of patients with suspected/confirmed COVID-19. In the absence of ACCD, it seems reasonable to change the cardiopulmonary resuscitation algorithm (in the context of patients with suspected/confirmed COVID-19) by reducing the duration of the cardiopulmonary resuscitation cycle from the current 2-min to 1-min cycles due to a statistically significant reduction in the quality of chest compressions among rescuers wearing PPE AGP.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Malysz, Marek UNSPECIFIED UNSPECIFIED UNSPECIFIED Dabrowski, Marek UNSPECIFIED UNSPECIFIED UNSPECIFIED Boettiger, Bernd W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Smereka, Jacek UNSPECIFIED UNSPECIFIED UNSPECIFIED Kulak, Klaudia UNSPECIFIED UNSPECIFIED UNSPECIFIED Szarpak, Agnieszka UNSPECIFIED UNSPECIFIED UNSPECIFIED Jaguszewski, Milosz UNSPECIFIED UNSPECIFIED UNSPECIFIED Filipiak, Krzysztof J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ladny, Jerzy R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ruetzler, Kurt UNSPECIFIED orcid.org/0000-0003-0467-1736 UNSPECIFIED Szarpak, Lukasz UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-320069
DOI:	10.5603/CJ.a2020.0068
Journal or Publication Title:	Cardiol. J.
Volume:	27
Number:	5
Page Range:	S. 497 - 507
Date:	2020
Publisher:	VIA MEDICA
Place of Publication:	GDANSK
ISSN:	1898-018X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MECHANICAL CHEST COMPRESSION; ASSOCIATION GUIDELINES UPDATE; HOSPITAL CARDIAC-ARREST; CARDIOPULMONARY-RESUSCITATION; LIFE-SUPPORT; CBRN-PPE; INTRAVASCULAR ACCESS; COUNCIL GUIDELINES; STANDARD; CPR Multiple languages Cardiac & Cardiovascular Systems Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/32006