Interim Guidance for Basic and Advanced Life Support in Adults, Children, and Neonates With Suspected or Confirmed COVID-19 From the Emergency Cardiovascular Care Committee and Get With The Guidelines-Resuscitation Adult and Pediatric Task Forces of the American Heart Association
Interim Guidance for Basic and Advanced Life Support in Adults, Children, and Neonates With Suspected or Confirmed COVID-19 From the Emergency Cardiovascular Care Committee and Get With The Guidelines-Resuscitation Adult and Pediatric Task Forces of the American Heart Association
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DOI：
10.1161/circulationaha.120.047463
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发表时间：
2020-06-23
期刊：
影响因子：
37.8
通讯作者：
Topjian, Alexis A.
中科院分区：
文献类型：
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作者：
Edelson, Dana P.;Sasson, Comilla;Topjian, Alexis A.
2020 年 6 月 23 日/30 日流通。 2020； 141：e933–e943。 DOI：10.1161/流通AHA。 120.047463 e934 被附近的人吸入。 11 其次，复苏工作需要众多提供者在彼此和患者附近工作。最后，这些都是高压力的紧急事件，其中需要复苏的患者的直接需求可能会导致感染控制措施的失误。在制定本临时指南时，我们回顾了美国心脏协会在 COVID-19 大流行背景下现有的 CPR 建议，并考虑了以逆转低氧血症为中心目标的 COVID-19 独特的病理生理学。我们力求平衡为患者提供及时、高质量的复苏和同时保护救援人员的相互竞争的利益。除非另有说明，本声明适用于疑似或确诊的 COVID-19 感染患者的所有成人、儿童和新生儿复苏。本文包含的指南基于专家意见，需要根据当前疾病负担和资源可用性进行本地调整。
June 23/30, 2020 Circulation. 2020; 141: e933–e943. DOI: 10.1161/CIRCULATIONAHA. 120.047463 e934 be inhaled by those nearby. 11 Second, resuscitation efforts require numerous providers to work in close proximity to one another and the patient. Finally, these are high-stress emergency events in which the immediate needs of the patient requiring resuscitation may result in lapses in infection-control practices. In arriving at this interim guidance, we reviewed existing American Heart Association CPR recommendations in the context of the COVID-19 pandemic and considered the unique pathophysiology of COVID-19 with reversal of hypoxemia as a central goal. We sought to balance the competing interests of providing timely and high-quality resuscitation to patients and simultaneously protecting rescuers. This statement applies to all adult, pediatric, and neonatal resuscitations in patients with suspected or confirmed COVID-19 infection unless otherwise noted. The guidance contained herein is based on expert opinion and needs to be adapted locally on the basis of current disease burden and resource availability.