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SPECIAL ARTICLE
Year : 2020  |  Volume : 64  |  Issue : 14  |  Page : 91-96

Indian resuscitation council (IRC) suggested guidelines for comprehensive cardiopulmonary life support (CCLS) for suspected or confirmed coronavirus disease (COVID-19) patient


1 Department of Anaesthesiology and Critical Care, Faculty of Medicine and Health Sciences, SGT University, Gurugram, Haryana, India
2 Department of Onco-Anaesthesia and Palliative Medicine, Dr BRAIRCH, AIIMS, New Delhi, India
3 Indian Resuscitation Council, Kakinada, Andhra Pradesh, India
4 Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Mumbai, Maharashtra, India
5 Department of Emergency Medicine, SRMC, Porur, Chennai, Tamil Nadu, India
6 Department of Anaesthesiology and Critical Care, JN Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
7 Department of Anaesthesiology and Critical Care, Narmada Trauma Center, Bhopal, Madhya Pradesh, India
8 Chief Anaesthesiologist, Viranchi Hospital, Hyderabad, Telangana, India
9 Department of Anaesthesiology, Pain and Critical Care, PGIMS, Rohtak, Haryana, India
10 Department of Anaesthesiology, Gian Sagar Medical College, Patiala, Punjab, India

Correspondence Address:
Dr. Rakesh Garg
Room No 139, Fist Floor, Department of Onco-Anaesthesia and Palliative Medicine, Dr BRAIRCH, All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ija.IJA_481_20

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Management of the recent outbreak of the novel coronavirus disease (COVID-19) caused by the severe acute respiratory syndrome coronavirus 2(SARS-CoV-2) remains challenging. The challenges are not only limited to its preventive strategies, but also extend to curative treatment, and are amplified during the management of critically ill patients with COVID-19. Older persons with comorbidities like diabetes mellitus, cardiac diseases, hepatic impairment, renal disorders and respiratory pathologies or immune impairing conditions are more vulnerable and have a higher mortality from COVID-19. Earlier, the Indian Resuscitation Council (IRC) had proposed the Comprehensive Cardiopulmonary Life Support (CCLS) for management of cardiac arrest victims in the hospital setting. However, in patients with COVID-19, the guidelines need to be modified,due to various concerns like differing etiology of cardiac arrest, virulence of the virus, risk of its transmission to rescuers, and the need to avoid or minimize aerosolization from the patient due to various interventions. There is limited evidence in these patients, as the SARS-CoV-2 is a novel infection and not much literature is available with high-level evidence related to CPR in patients of COVID-19. These suggested guidelines are a continuum of CCLS guidelines by IRC with an emphasis on the various challenges and concerns being faced during the resuscitative management of COVID-19 patients with cardiopulmonary arrest.


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