Atualização da Diretriz de Ressuscitação Cardiopulmonar e Cuidados Cardiovasculares de Emergência da Sociedade Brasileira de Cardiologia - 2019

O Coração e a COVID-19: O que o Cardiologista Precisa Saber

“…When patients with COVID-19 have a cardiorespiratory arrest, special care should be taken, with special attention to airway management, because of the higher risk of contamination of healthcare workers performing aerosol-generating procedures. 56,57 All healthcare professionals in contact with patients with COVID-19 should follow the local and national orientations for infection control and use of personal protective equipment, which should be readily available. 58,59 SARS-CoV-2 infected patients at risk for acute deterioration or cardiac arrest should be identified early, as should those for whom a 'do not attempt cardiopulmonary resuscitation' applies, and that should be based on local guidelines.…”

“…The algorithms already validated should be applied according to the identification of shockable and non-shockable rhythms. 56,57 Airway should be manipulated by experienced and skilled professionals. Healthcare professionals caring for patients with COVID-19, including physicians, nurses and physical therapists, are at higher risk of infection.…”

“…56 If intubation fails or is impossible, other devices should be used, such as laryngeal tube or mask, to enable closed-circuit mechanical ventilation until definite access to airway is obtained, by either tracheal intubation or cricothyroidostomy. 57 In case of cardiorespiratory arrest of patients on mechanical ventilation, to prevent aerosol contamination from cardiopulmonary resuscitation maneuvers and ventilation, the patient should remain connected to the mechanical ventilator in a closed-circuit system, maintaining FiO 2 at 100%, asynchronous mode, and respiratory rate of 10-12 bpm (Figure 4). 56…”

Disseminação de informações sobre primeiros socorros e prevenção de acidentes em uma comunidade ribeirinha

“…O segundo tema abordado foi RCP. Os dados epidemiológicos quanto à ocorrência de parada cardiorrespiratória (PCR) no Brasil são insuficientes, entretanto estima-se que as PCRs com mais chances de reversão (com o ritmo de taquicardia ventricular) ocorram em ambiente extrahospitalar, portanto, ressalta-se a importância do conhecimento dos populares sobre RCP e sua técnica correta (22) .…”

“…Portanto, sem a administração de incursões respiratórias. Falou-se a respeito da importância do retorno do tórax, ritmo e minimização de interrupções da massagem cardíaca (22) .…”