Please share your experience with cardiac arrest management for confirmed COVID 19 or PUI. Strategies to minimize personnel in room to prevent exposure. Are you using mechanical compression devices? What are the barriers and challenges that you faced beyond obvious delays due to PPE donning.
Thank you for this forum, I have a question. Our medical director is asking if it is acceptable to leave an intubated COVID patient on the ventilator during CPR. This would minimize the risk of viral spread, instead of disconnecting the patient and using an ambu bag. The plan would be to do a manual inspiration from the vent every 6 seconds on the upstroke of the compressions. Please give us guidance on this. Thank you.
Yes, that is exactly what we are doing. Do not disconnect from the ventilator. Drop the respiratory rate to 10 and PEEP to 0.
Thank you so much for your response. This helped.
I think this is reasonable, one less person needed in the room and contains aerosol.
Our hospital recently began testing all “asymptomatic” (pts not clinically suspected of having COVID-19) hospital admissions with the rapid Abbott POC test. All “symptomatic” patients, and all those with a + POC result are tested with a PCR (TOT around 2 days). One of the hopes was that if a code is called on a patient who was clinically low risk and had a negative POC test, then PPE designed for a COVID pt wold be unnecessary. Several members of my group are uncomfortable with this, and so we are currently using PPE as for a COVID pt for all code blues. Interested in how others are approaching this question.
We answer your question in depth here: