Soni Lipika, Maitra Souvik, Ray Bikash R, Anand Rahul K, Subramaniam Rajeshwari, Baidya Dalim K
Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, Delhi, India.
Indian J Crit Care Med. 2021 Aug;25(8):920-922. doi: 10.5005/jp-journals-10071-23924.
Cardiopulmonary resuscitation (CPR) is considered an aerosol-generating procedure. The aim of this study was to identify the risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among healthcare providers (HCPs) involved in CPR in coronavirus 2019 (COVID-19) patients. An online and offline anonymous survey with a preformed questionnaire was conducted among the HCPs involved in the care of COVID-19 patients. HCPs who developed reverse transcription-polymerase chain reaction-positive confirmed COVID-19 and/or symptomatic influenza-like illness (ILI) within 14 days of their involvement in CPR of a confirmed COVID-19 patient were identified. Activities performed during CPR, the cumulative number of CPR performed, any breach in personal protective equipment (PPE), type of the mask used, use of any pharmacological prophylaxis, and any psychological impact among HCPs were also identified. A total of 393 HCPs participated in the survey; out of them, 197 HCPs participated in CPR at least once (CPR group) and the rest 196 did not (control group). Ten in the control group and five in the CPR group developed confirmed COVID-19 within the next 2 weeks; however, only one of these five had a breach in PPE during CPR. To conclude, participation in CPR does not increase the risk of SARS-CoV-2 infection in HCPs caring for the COVID-19 patients. The study was approved by the ethics committee of the All India Institute of Medical Sciences, New Delhi, vide letter number: IEC-676/03.07.2020, dated July 4, 2020. Soni L, Maitra S, Ray BR, Anand RK, Subramaniam R, Baidya DK. Risk of SARS-CoV-2 Infection among Healthcare Providers Involved in Cardiopulmonary Resuscitation in COVID-19 Patients. Indian J Crit Care Med 2021;25(8):920-922.
心肺复苏(CPR)被视为一种产生气溶胶的操作。本研究的目的是确定参与2019冠状病毒病(COVID-19)患者心肺复苏的医护人员(HCP)感染严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的风险。我们对参与COVID-19患者护理的医护人员进行了一项使用预定义问卷的线上和线下匿名调查。我们确定了那些在参与确诊COVID-19患者的心肺复苏后14天内出现逆转录聚合酶链反应阳性确诊COVID-19和/或有症状的流感样疾病(ILI)的医护人员。我们还确定了心肺复苏期间进行的活动、进行心肺复苏的累计次数、个人防护装备(PPE)的任何破损情况、使用的口罩类型、任何药物预防措施的使用情况以及医护人员的任何心理影响。共有393名医护人员参与了调查;其中,197名医护人员至少参与过一次心肺复苏(心肺复苏组),其余196名未参与(对照组)。对照组中有10人,心肺复苏组中有5人在接下来的2周内确诊感染COVID-19;然而,这5人中只有1人在心肺复苏期间出现了个人防护装备破损。总之,参与心肺复苏不会增加护理COVID-19患者的医护人员感染SARS-CoV-2的风险。本研究经新德里全印度医学科学研究所伦理委员会批准,批准文号:IEC-676/03.07.2020,日期为2020年7月4日。索尼·L、梅特拉·S、雷·B·R、阿南德·R·K、苏布拉马尼亚姆·R、拜迪亚·D·K。参与COVID-19患者心肺复苏的医护人员感染SARS-CoV-2的风险。《印度重症监护医学杂志》2021年;25(8):920 - 922。