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2020, Número S1

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Acta Pediatr Mex 2020; 41 (S1)


Reanimación cardiopulmonar en el paciente pediátrico con sospecha o portador de COVID19

Correa-Flores MÁ, Menéndez-Suso JJ, Pinacho-Velázquez JL, Velasco-Sánchez E, García-González ER, Alemán-Ortega AD

Idioma: Español
Referencias bibliográficas: 26
Paginas: 81-93
Archivo PDF: 630.85 Kb.


RESUMEN

La pandemia por el virus COVID-19 (SARS-CoV2) ha impuesto un reto en los esfuerzos de resucitación que requiere modificaciones primordiales a las pautas de adiestramiento existentes. Se han creado nuevos algoritmos que permiten asegurar que los pacientes con sospecha y confirmación de COVID-19, con paro cardiorrespiratorio, tengan la mayor posibilidad de supervivencia sin poner en riesgo la seguridad de los rescatadores que deben contar con todas las medidas de seguridad y equipo de protección personal. La atención del paro cardiaco intra y extrahospitalario del paciente con COVID-19, dada su alta contagiosidad, incrementada particularmente durante las maniobras de reanimación y manipulación de la vía aérea, con repercusión en la morbilidad y mortalidad del equipo de salud.
La American Heart Association (AHA), International Liaison Committee on Resuscitation (ILCOR) y la European Resuscitation Council (ERC) recomiendan priorizar el uso de la bolsa válvula mascarilla, con filtro de alta eficiencia, y asegurar la vía aérea mediante intubación endotraqueal o dispositivo supraglótico o, cricotiroidotomía durante las maniobras de reanimación cardiopulmonar avanzada.


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