IAP ALS Update on Resuscitation Guidelines During COVID-19 Pandemic
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CLINICAL BRIEF
IAP ALS Update on Resuscitation Guidelines During COVID-19 Pandemic Lokesh Tiwari 1,2
&
L N Taneja 2,3 & Shalu Gupta 4 & Other Expert Committee Members
Received: 31 May 2020 / Accepted: 24 August 2020 # Dr. K C Chaudhuri Foundation 2020
Abstract Corona virus disease 2019 (COVID-19) pandemic has posed significant risk for health care workers. Various steps of cardiopulmonary resuscitation involve aerosol-generating procedures and have significant risk of spread of corona virus. Indian Academy of Pediatrics Advanced Life Support Basic Life Support (IAP ALS BLS) group had constituted a guideline update team to suggest modifications in existing resuscitation guidelines in view of COVID-19 pandemic. The GRADE approach was used to develop recommendations on shortlisted clinical practice questions on resuscitation during COVID pandemic as modifications. Keywords Resuscitation . IAP ALS BLS . COVID-19
Introduction Corona virus disease 2019 (COVID 19) pandemic has posed significant risk and new challenges for health care workers (HCWs) due to highly contagious nature of the virus. Steps of cardiopulmonary resuscitation (CPR) may further expose the Expert Committee Members: Lokesh Tiwari, Department of Pediatrics, All India Institute of Medical Sciences, Patna, Bihar, India; National Coordinator IAP BLS Group; L N Taneja, Department of Pediatrics, Max Super Specialty Hospital, IP Extension, Delhi, India; Chairperson IAP BLS Group; Shalu Gupta, Department of Pediatrics, Lady Hardinge Medical College and Kalawati Saran Children Hospital, New Delhi, India; A K Sharma, National Convenor IAP ALS Group; Narendra Nanivadekar, Joint National Convenor IAP ALS Group; Sudhakar Gajjala, Department of Pediatrics, KIMS Hospitals Kurnool, India; Vice President (Central Zone) CIAP; Janani Sankar, Kanchi Kamkoti Child Trust Hospital, Chennai, India; Maninder Singh Dhaliwal, Pediatric Critical Care Unit, Department of Pediatrics, Medanta, The Medicity Gurugram, India; Santanu Deb, Department of Pediatrics, Nazareth Hospital, Shillong, India * Lokesh Tiwari [email protected] 1
Pediatric Intensive Care Unit, Department of Pediatrics, All India Institute of Medical Sciences, Patna, Bihar, India
2
IAP BLS Group, New Delhi, India
3
Department of Pediatrics, Max Super Specialty Hospital, IP Extension, Delhi, India
4
Department of Pediatrics, Lady Hardinge Medical College and Kalawati Saran Children Hospital, New Delhi, India
HCWs to infection due to aerosol generation [1, 2]. Understanding the urgent need of modifications in existing resuscitation guidelines [3, 4], Indian Academy of Pediatrics Advanced Life Support Basic Life Support (IAP ALS BLS) group has formulated ten recommendations on the general principles for resuscitation to be followed during COVID-19 pandemic. Recommendations are formulated considering various measures for better protection of HCWs, prioritizing oxygenation and ventilation methods with lower risk of aerosolization, addition of magnesium sulphate in crash cart and early start of vasoactive
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