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Covid-19 Hastalarında Temel ve İleri Yaşam Desteği Algoritmaları

Year 2020, Volume: 7 Issue: 2, 235 - 242, 30.06.2020
https://doi.org/10.34087/cbusbed.753238

Abstract

Dünya Sağlık Örgütü (DSÖ) tarafından, Çin-Wuhan eyaletinde başlayan pnömoni olgularının İran, İtalya, Güney Kore gibi farklı ülkelerde ve giderek artan sayıda görülmesi ile 11 Mart 2020 tarih Covid-19 pandemisi olarak ilan edildi. Covid-19 semptomları kuru öksürük, ateş, nefes darlığı, yorgunluk ve kas ağrısı olarak tanımlandı. İnsandan insana damlacık yoluyla ve enfeksiyon ajanı ile kirlenmiş objelerden veya yüzeylerden eller aracılığı ile alınarak ağıza, buruna veya göze teması ile bulaştığı gösterilmiştir. Olguların kardiak arrest sebebinin solunum ile ilgili olduğu, durumun ciddiyeti göz önüne alındığında hem hasta hem kurtarıcı ve sağlık çalışanlarının büyük risk altında olduğu görüldü. Tüm bu durumların ışığında Covid-19 olgulara yönelik güncellenen temel ve ileri yaşam desteği rehberlerinde kurtarıcıların güvenliğini ön plana çıkaran çeşitli uygulama farklılıkları önerilmiştir. Bu yazıda kardiyopulmoner resüsitasyon uygulanan Covid-19 olgularda temel ve ileri yaşam desteğine yönelik değişiklikler ele alınmıştır.

References

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Information for Clinicians on Therapeutic Options for COVID-19 Patients. Updated April 7, 2020. (https://www.cdc.gov/coronavirus/2019- ncov/hcp/therapeutic-options.html/. Accessed April 8, 2020.) 8. Virani SS, Alonso A et al. Heart Disease and Stroke Statistics-2020 Update: A Report From the American Heart Association. Circulation. 2020;141:e139-e596 9. van Doremalen N, Bushmaker T, et al. Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1. New England Journal of Medicine. March 17, 2020; 382:1564-1567. 10. Perkins GD, Handley AJ et al. European Resuscitation Council Guidelines for Resuscitation 2015: Section 2. Adult basic life support and automated external defibrillation. Resuscitation. 2015;95:81- 99. 11. Cook TM. Personal protective equipment during the COVID-19 pandemic - a narrative review. Anaesthesia 2020 Jul;75(7):920-927. 12. JP. Nolan European Resuscitation Council COVID-19 Guidelines section 1, 24 April 2020. https://www.erc.edu/sites/5714e77d5e615861f00f7d18/pages/5e9ac62b4c84867335e4d1eb/files/ERC_covid19_pages.pdf?1591110476. (accessed on 13.05.2020) 13. Gralton J, Tovey E, McLaws ML, Rawlinson WD. The role of particle size in aerosolised pathogen transmission: a review. Journal of Infection, 2011; 62:1–13. 14. Deakin CD, O’Neill JF, Tabor T. Does compression-only cardiopulmonary resuscitation generate adequate passive ventilation during cardiac arrest? Resuscitation 2007;75:53-9. 15. Couper K, Taylor-Phillips S, Grove A, et al. COVID-19 in cardiac arrest and infection risk to rescuers: a systematic review. Resuscitation 2020 Jun;151:59-66. 16. Edelson DP, Sasson C, Chan PS, et al, 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((R))- Resuscitation Adult and Pediatric Task Forces of the American Heart Association in Collaboration with the American Academy of Pediatrics, American Association for Respiratory Care, American College of Emergency Physicians, The Society of Critical Care Anesthesiologists, and American Society of Anesthesiologists: Supporting Organizations: American Association of Critical Care Nurses and National EMS Physicians. Circulation. Ahead of print. https://www.ahajournals.org/doi/abs/10.1161/CIRCULATIONAHA.120.047463. (accessed 25.05.2020) 17. Rational use of personal protective equipment (PPE) for coronavirus disease (COVID-19). Interim guidance 19 March 2020. World Health Organization https://apps.who.int/iris/handle/10665/331498. (accessed 23.05.2020.) 18. Kragholm K, Wissenberg M et al, Bystander Efforts and 1-Year Outcomes in Out-of-Hospital Cardiac Arrest. New England Journal of Medicine. 2017;376:1737-1747. 19. Pollack RA, Brown SP et al, Impact of Bystander Automated External Defibrillator Use on Survival and Functional Outcomes in Shockable Observed Public Cardiac Arrests. Circulation. 2018;137:2104-2113. 20. CARES: Cardiac Arrest Registry to Enhance Survival. 2018 Annual Report. https://mycares.net/sitepages/uploads/2019/2018_flipbook/index.html?page=16. (accessed 14.05.2020) 21. T. Olasveengen, M. Castrén, et al, Basic Life Support in Adults. European Resuscitation Council Covid19 Guidelines section2. https://www.erc.edu/sites/5714e77d5e615861f00f7d18/pages/5e9ac62b4c84867335e4d1eb/files/ERC_covid19_pages.pdf?1591110476. (accessed 17.05.2020) 22. Covid-19 için uyarlanmış temel yaşam desteği ve otomatik eksternal defibrilatör(OED) http://resusitasyon.org/tr/etkinlikler-haberler/304-covid-19-icin-uyarlanmis-temel-yasam-destegi-ve-otomatik-eksternal-defibrilator-oed.html. (accessed 09.06.2020) 23. J. Soar, C. Lott, BW et al Advanced Life Support in Adults. European Resuscitation Council Covid19 Guidelines section3. https://www.erc.edu/sites/5714e77d5e615861f00f7d18/pages/5e9ac62b4c84867335e4d1eb/files/ERC_covid19_pages.pdf?1591110476. (accessed 17.05.2020) 24. Elisabeth Mahase, Zosia Kmietowicz Covid-19: Doctors are told not to perform CPR on patients in cardiac arrest British Medical Journal 2020;368:m1282
Year 2020, Volume: 7 Issue: 2, 235 - 242, 30.06.2020
https://doi.org/10.34087/cbusbed.753238

Abstract

References

  • 1. Guan WJ, Ni ZY et al, Clinical Characteristics of Coronavirus Disease 2019 in China, .New England Journal of Medicine, 2020; 382:1708-1720 2. Huang C, Wang Y et al, Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020 Feb 15;395(10223):497-506. 3. Shao F, Xu S et al. In-hospital cardiac arrest outcomes among patients with COVID-19 pneumonia in Wuhan, China. Resuscitation 2020;151:18-23 4. Wang D, Hu B et al. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus–Infected Pneumonia in Wuhan, China. Jama. 2020;323:1061-1069 5. Bhatraju PK, Ghassemieh BJ et al. Covid-19 in Critically Ill Patients in the Seattle Region — Case Series. New England Journal of Medicine. 2020 May 21;382(21):2012-2022. 6. Guo T, Fan Y et al. Cardiovascular Implications of Fatal Outcomes of Patients With Coronavirus Disease 2019 (COVID-19). JAMA Cardiology. March 27, 2020;e201017. 7. Centers for Disease Control and Prevention. Information for Clinicians on Therapeutic Options for COVID-19 Patients. Updated April 7, 2020. (https://www.cdc.gov/coronavirus/2019- ncov/hcp/therapeutic-options.html/. Accessed April 8, 2020.) 8. Virani SS, Alonso A et al. Heart Disease and Stroke Statistics-2020 Update: A Report From the American Heart Association. Circulation. 2020;141:e139-e596 9. van Doremalen N, Bushmaker T, et al. Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1. New England Journal of Medicine. March 17, 2020; 382:1564-1567. 10. Perkins GD, Handley AJ et al. European Resuscitation Council Guidelines for Resuscitation 2015: Section 2. Adult basic life support and automated external defibrillation. Resuscitation. 2015;95:81- 99. 11. Cook TM. Personal protective equipment during the COVID-19 pandemic - a narrative review. Anaesthesia 2020 Jul;75(7):920-927. 12. JP. Nolan European Resuscitation Council COVID-19 Guidelines section 1, 24 April 2020. https://www.erc.edu/sites/5714e77d5e615861f00f7d18/pages/5e9ac62b4c84867335e4d1eb/files/ERC_covid19_pages.pdf?1591110476. (accessed on 13.05.2020) 13. Gralton J, Tovey E, McLaws ML, Rawlinson WD. The role of particle size in aerosolised pathogen transmission: a review. Journal of Infection, 2011; 62:1–13. 14. Deakin CD, O’Neill JF, Tabor T. Does compression-only cardiopulmonary resuscitation generate adequate passive ventilation during cardiac arrest? Resuscitation 2007;75:53-9. 15. Couper K, Taylor-Phillips S, Grove A, et al. COVID-19 in cardiac arrest and infection risk to rescuers: a systematic review. Resuscitation 2020 Jun;151:59-66. 16. Edelson DP, Sasson C, Chan PS, et al, 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((R))- Resuscitation Adult and Pediatric Task Forces of the American Heart Association in Collaboration with the American Academy of Pediatrics, American Association for Respiratory Care, American College of Emergency Physicians, The Society of Critical Care Anesthesiologists, and American Society of Anesthesiologists: Supporting Organizations: American Association of Critical Care Nurses and National EMS Physicians. Circulation. Ahead of print. https://www.ahajournals.org/doi/abs/10.1161/CIRCULATIONAHA.120.047463. (accessed 25.05.2020) 17. Rational use of personal protective equipment (PPE) for coronavirus disease (COVID-19). Interim guidance 19 March 2020. World Health Organization https://apps.who.int/iris/handle/10665/331498. (accessed 23.05.2020.) 18. Kragholm K, Wissenberg M et al, Bystander Efforts and 1-Year Outcomes in Out-of-Hospital Cardiac Arrest. New England Journal of Medicine. 2017;376:1737-1747. 19. Pollack RA, Brown SP et al, Impact of Bystander Automated External Defibrillator Use on Survival and Functional Outcomes in Shockable Observed Public Cardiac Arrests. Circulation. 2018;137:2104-2113. 20. CARES: Cardiac Arrest Registry to Enhance Survival. 2018 Annual Report. https://mycares.net/sitepages/uploads/2019/2018_flipbook/index.html?page=16. (accessed 14.05.2020) 21. T. Olasveengen, M. Castrén, et al, Basic Life Support in Adults. European Resuscitation Council Covid19 Guidelines section2. https://www.erc.edu/sites/5714e77d5e615861f00f7d18/pages/5e9ac62b4c84867335e4d1eb/files/ERC_covid19_pages.pdf?1591110476. (accessed 17.05.2020) 22. Covid-19 için uyarlanmış temel yaşam desteği ve otomatik eksternal defibrilatör(OED) http://resusitasyon.org/tr/etkinlikler-haberler/304-covid-19-icin-uyarlanmis-temel-yasam-destegi-ve-otomatik-eksternal-defibrilator-oed.html. (accessed 09.06.2020) 23. J. Soar, C. Lott, BW et al Advanced Life Support in Adults. European Resuscitation Council Covid19 Guidelines section3. https://www.erc.edu/sites/5714e77d5e615861f00f7d18/pages/5e9ac62b4c84867335e4d1eb/files/ERC_covid19_pages.pdf?1591110476. (accessed 17.05.2020) 24. Elisabeth Mahase, Zosia Kmietowicz Covid-19: Doctors are told not to perform CPR on patients in cardiac arrest British Medical Journal 2020;368:m1282
There are 1 citations in total.

Details

Primary Language Turkish
Subjects Anaesthesiology
Journal Section Derleme
Authors

Gönül Tezcan Keleş 0000-0002-6879-5124

Onur Kumcu This is me

Publication Date June 30, 2020
Published in Issue Year 2020 Volume: 7 Issue: 2

Cite

APA Tezcan Keleş, G., & Kumcu, O. (2020). Covid-19 Hastalarında Temel ve İleri Yaşam Desteği Algoritmaları. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 7(2), 235-242. https://doi.org/10.34087/cbusbed.753238
AMA Tezcan Keleş G, Kumcu O. Covid-19 Hastalarında Temel ve İleri Yaşam Desteği Algoritmaları. CBU-SBED: Celal Bayar University-Health Sciences Institute Journal. June 2020;7(2):235-242. doi:10.34087/cbusbed.753238
Chicago Tezcan Keleş, Gönül, and Onur Kumcu. “Covid-19 Hastalarında Temel Ve İleri Yaşam Desteği Algoritmaları”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 7, no. 2 (June 2020): 235-42. https://doi.org/10.34087/cbusbed.753238.
EndNote Tezcan Keleş G, Kumcu O (June 1, 2020) Covid-19 Hastalarında Temel ve İleri Yaşam Desteği Algoritmaları. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 7 2 235–242.
IEEE G. Tezcan Keleş and O. Kumcu, “Covid-19 Hastalarında Temel ve İleri Yaşam Desteği Algoritmaları”, CBU-SBED: Celal Bayar University-Health Sciences Institute Journal, vol. 7, no. 2, pp. 235–242, 2020, doi: 10.34087/cbusbed.753238.
ISNAD Tezcan Keleş, Gönül - Kumcu, Onur. “Covid-19 Hastalarında Temel Ve İleri Yaşam Desteği Algoritmaları”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 7/2 (June 2020), 235-242. https://doi.org/10.34087/cbusbed.753238.
JAMA Tezcan Keleş G, Kumcu O. Covid-19 Hastalarında Temel ve İleri Yaşam Desteği Algoritmaları. CBU-SBED: Celal Bayar University-Health Sciences Institute Journal. 2020;7:235–242.
MLA Tezcan Keleş, Gönül and Onur Kumcu. “Covid-19 Hastalarında Temel Ve İleri Yaşam Desteği Algoritmaları”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, vol. 7, no. 2, 2020, pp. 235-42, doi:10.34087/cbusbed.753238.
Vancouver Tezcan Keleş G, Kumcu O. Covid-19 Hastalarında Temel ve İleri Yaşam Desteği Algoritmaları. CBU-SBED: Celal Bayar University-Health Sciences Institute Journal. 2020;7(2):235-42.