Cardiopulmonary resuscitation in patients diagnosed with or suspected of COVID-19: A narrative review of the literature

Naiade Moreira de Oliveira, Viviane Costa Matos, Jonatas Crispim Magalhães de Oliveira, Diélig Teixeira, Meick Farias Negrão, Priscila de Figueiredo Viana, Dáwilla Ruanny de Almeida Palheta dos Santos, Danielly Guerra de Aguiar, Susi dos Santos Barreto de Souza, Sheyla Cristina Ferreira de Magalhães, Antônio Lourenço da Costa Neto, Marcieli Borba do Nascimento, Gilvana Rodrigues de Oliveira, Jessica Dias Ribeiro, Jaciara da Silva Barroso Martins, Bruna Luiza de Souza Costa, Leudilane Reis da Silva, Milena Oliveira Saldanha Pacífico, Vera Lúcia Queiroz Correa Vieira, Erika Renata Castilho Carvalho Sarraff, Bruna Carolina da Trindade Monteiro da Silva, Tamires De Cassia Silva da Cruz, Rafael Pilad Barata Mussio, Dermison Leão Pereira, Lorena Costa Londres, Lucas Garcia Rodrigues, Mayco Tadeu Vaz Silva, Laydiane Martins Pinto, Fabiana Nascimento Silva, Marcio Almeida Lins, Amanda do Socorro Furtado Silva, Eimar Neri de Oliveira Junior, Simone Batista da Silva dos Santos, Rosilene Ferreira de Sousa, Elen Priscila Garcia Assunção de Castro, Vanessa de Nazaré Mendes Favacho, Sandra Sueli de Medeiros Nunes dos Santos, Dienid Campos Azevedo, Dhyrlee Dennara Magalhães Silva, Samanntha Lara da Silva Anaisse, Gleyce Pinto Girard, Thamyris Abreu Marinho, Danielle Oliveira Maciel, Tatyellen Natasha da Costa Oliveira, Anderson Lineu Siqueta dos Santos, Larissa Pereira de Barros Borges, Emerson Glauber Abreu dos Santos, Elias Costa Monteiro, Rafaela Martins Dourado Gonçalves, Shirley Iara Martins Dourado, Enderson Vasconcelos de Lima, Michelly Lima Braga, Odilene Silva Costa, Vera Lucia Silva de Sousa, Lívia Sayonara de Sousa Nascimento, Glauber Marcelo Dantas Seixas, Raquel Fernandes Costa, Denise Karla de Abreu Silva, Paulo Alaércio Beata, Marcelo Williams Oliveira de Souza, Luana da Silva Rodrigues, Tobias do Rosário Serrão, Zaíne Melo de Oliveira, Iranete Pereira Ribeiro, Patrick Roberto Gomes Abdoral, Larissa Siqueira Rodrigues, Elisângela Claudia de Medeiros Moreira, Elcilane Gomes Silva, Ruan Rodrigues Felicidade, Nádia Maria Machado da Costa, Luís Edilson de Azevedo Ferreira, Ana Sheyla Falcão Modesto, Giovane José de Magalhães Duarte, Wanda Carla Conde Rodrigues, Maguida Patrícia Lacerda Cordeiro Oliveira, Simone Aguiar da Silva Figueira, Jaqueline Cardoso Marcena, Maicon de Araujo Nogueira*, Djenanne Simonsen Augusto de Carvalho Caetano, Camilo Carvalho Gomes, Anne Caroline Gonçalves Lima, Diego João de Lima Arrais, Elyade Nelly Pires Rocha Camacho, Antonia Margareth Moita Sá

Heart arrest. Reanimação cardiopulmonar. Assistência individualizada de saúde. Coronavírus. Equipamentos de proteção. Pandemias.

Objective: to map the production of knowledge and make considerations about the main updates and recommendations for the management of patients in cardiac arrest, diagnosed or suspected of having COVID-19. Method: narrative literature review. The source of information consisted of relevant publications in the literature carried out in June 2021, based on the narrative synthesis of evidence on the updates contained in the main guidelines and official recommendations published by bodies linked to the Brazilian and international health area: World Organization of Health, International Alliance of Resuscitation Committees, American Heart Association Guidelines (AHA 2020), European Council on Resuscitation, American College of Surgeons Committee on Trauma, National Association of Emergency Medical Technicians, Brazilian Association of Emergency Medicine, the Brazilian Society of Cardiology, Brazilian Association of Intensive Medicine, Brazilian Society of Anesthesiology and official associations and societies representing specialties affiliated with the Brazilian Medical Association, which recommend following practices specifically designed to care for patients diagnosed or suspected of having COVID-19. Results: there is a consensus that it is essential to completely dress the team with Personal Protective Equipment for respiratory isolation of aerosols during the service of cardiopulmonary arrest in this context, even if this delays the cardiopulmonary resuscitation maneuvers. Conclusion: health professionals from the multidisciplinary team involved in CPA care in the context of caring for patients suspected of or with a confirmed diagnosis of COVID-19 are exposed to numerous risks, and a range of challenges, and must follow the established protocol with scientific rigor. in health services, to maximize the effectiveness of CPR maneuvers, without losing sight of the objective of these actions, which is to increase survival, without giving up on preserving the health and integrity of the team and minimizing the risk of contagion by the virus and its spread.

Received:25 Jun 2021; Received in revised form: 20 Jul 2021; Accepted: 28 Jul 2021; Available online: 07 Aug 2021

10.22161/ijaers.88.2