Purpose of the study
In hospital cardiac arrests (CA) in patients with COVID-19 carries poor prognosis1. Prompt recognition and cardiopulmonary resuscitation (CPR) in ICU setting gives the best chance for positive out come and to study the process in order to improve the out come further. The purpose of this study was to assess the incidence, clinical details and outcome of CPR in a single covid 19 centre of Sri Lanka.
Materials and Methods
A retrospective observational study was done at a COVID designated ICU at Base Hospital, Teldeniya, Sri Lanka from 1st of January to 31st of December 2021. All patients who suffered CAs were included in the study. All patients with unexpected CAs received CPR. Details of CAs and CPR were collected with a performa and analysed.
Results
202 patients with COVID-19 were admitted to ICU during the time period. 92 patients suffered CAs of which 60 were unexpected. Mean age was 65.2 years. 55.6% were male and 44.4% were female. 67% of patients had more than 2 co-morbidities. Figure 1 shows initial cardiac arrest rhythem. Figure 2 illustrates the immediate cause for CA. 81.8% of them had a return of spontaneous circulation and 57.1% of them had another episode of CA within 24 hours. Non of the 60 patients who suffered unexpected CAs in ICU survived.
Figure 1: Rhythm associated with cardiac arrests
Figure 2: Immediate cause for cardiac arrests
Conclusion
Non shockable rhythms were the commonest in COVID-19 patients and the commonest cause for CA was hypoxaemia. Despite having a controlled environment in ICU, the outcome of cardiac arrest resuscitation was poor among this cohort.
References
Aldabagh M, Wagle S, Cesa M, Yu A, Farooq M, Goldberg Y. Survival of In-Hospital Cardiac Arrest in COVID-19 Infected Patients. Healthcare (Basel). 2021;9(10):1315. Published 2021 Oct 1. doi:10.3390/healthcare9101315

**Purpose of the study**
In hospital cardiac arrests (CA) in patients with COVID-19 carries poor prognosis^1^. Prompt recognition and cardiopulmonary resuscitation (CPR) in ICU setting gives the best chance for positive out come and to study the process in order to improve the out come further. The purpose of this study was to assess the incidence, clinical details and outcome of CPR in a single covid 19 centre of Sri Lanka.
**Materials and Methods**
A retrospective observational study was done at a COVID designated ICU at Base Hospital, Teldeniya, Sri Lanka from 1st of January to 31st of December 2021. All patients who suffered CAs were included in the study. All patients with unexpected CAs received CPR. Details of CAs and CPR were collected with a performa and analysed.
**Results**
202 patients with COVID-19 were admitted to ICU during the time period. 92 patients suffered CAs of which 60 were unexpected. Mean age was 65.2 years. 55.6% were male and 44.4% were female. 67% of patients had more than 2 co-morbidities. Figure 1 shows initial cardiac arrest rhythem. Figure 2 illustrates the immediate cause for CA. 81.8% of them had a return of spontaneous circulation and 57.1% of them had another episode of CA within 24 hours. Non of the 60 patients who suffered unexpected CAs in ICU survived.
Figure 1: Rhythm associated with cardiac arrests
Figure 2: Immediate cause for cardiac arrests
**Conclusion**
Non shockable rhythms were the commonest in COVID-19 patients and the commonest cause for CA was hypoxaemia. Despite having a controlled environment in ICU, the outcome of cardiac arrest resuscitation was poor among this cohort.
**References**
1. Aldabagh M, Wagle S, Cesa M, Yu A, Farooq M, Goldberg Y. Survival of In-Hospital Cardiac Arrest in COVID-19 Infected Patients. Healthcare (Basel). 2021;9(10):1315. Published 2021 Oct 1. doi:10.3390/healthcare9101315

Observational analysis of cardiac arrests and cardiopulmonary resuscitation (CPR) in ICU patients with COVID-19: Experience from a single centre.

Implementation of the Guidelines - How do we put the new ERC Guidelines into practice?

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