Aliaño Piña María, Ruiz Villén Concha, Galán Serrano Josefina, Monedero Rodríguez Pablo
Clínica Universidad de Navarra, Madrid, España.
Rev Esp Anestesiol Reanim. 2021 Oct;68(8):437-442. doi: 10.1016/j.redar.2020.11.008. Epub 2020 Dec 16.
The disease COVID-19 produces serious complications that can lead to cardiorespiratory arrest. Quality cardiopulmonary resuscitation (CPR) can improve patient prognosis. The objective of this study was to evaluate the performance of the specialty of Anaesthesiology in the management of CPR during the pandemic.
A survey was carried out with Google Forms consisting of 19 questions. The access link to the questionnaire was sent by email by the Spanish Society of Anesthesia (SEDAR) to all its members.
225 responses were obtained. The regions with the highest participation were: Madrid, Catalonia, Valencia and Andalusia. 68.6%% of the participants work in public hospitals. 32% of the participants habitually work in intensive care units (ICU), however, 62.1% have attended critical COVID-19 in the ICU and 72.6% have anesthetized them in the operating room. 26.3% have attended some cardiac arrest, 16.8% of the participants admitted to lead the manoeuvres, 16.8% didn't participate in the CPR, and 66.2% was part of the team, but did not lead the assistance. Most of the CPR was performed in supine, only 5% was done in prone position. 54.6% of participants had not taken any course of Advance Life Support (ALS) in the last 2 years. 97.7% of respondents think that Anaesthesia should lead the in-hospital CPR.
The specialty of Anesthesiology has actively participated in the care of the critically ill patient and in the management of CPR during the COVID-19 pandemic. However, training and/or updating in ALS is required.
新冠病毒疾病(COVID-19)会引发严重并发症,可导致心肺骤停。高质量的心肺复苏(CPR)能够改善患者预后。本研究的目的是评估麻醉科在疫情期间心肺复苏管理中的表现。
通过谷歌表单进行了一项包含19个问题的调查。调查问卷的访问链接由西班牙麻醉学会(SEDAR)通过电子邮件发送给其所有成员。
共获得225份回复。参与度最高的地区为:马德里、加泰罗尼亚、巴伦西亚和安达卢西亚。68.6%的参与者在公立医院工作。32%的参与者通常在重症监护病房(ICU)工作,然而,62.1%的人在ICU照料过重症COVID-19患者,72.6%的人在手术室为他们实施过麻醉。26.3%的人参与过一些心脏骤停的抢救,16.8%的参与者承认主导操作,16.8%的人未参与心肺复苏,66.2%的人是团队成员但未主导救援。大多数心肺复苏是在仰卧位进行的,只有5%是在俯卧位进行的。54.6%的参与者在过去两年中未参加过任何高级生命支持(ALS)课程。97.7%的受访者认为麻醉科应主导院内心肺复苏。
在COVID-19大流行期间,麻醉科积极参与了重症患者的护理和心肺复苏的管理。然而,需要进行ALS方面的培训和/或更新。