A Michigan hospital where a recent study was conducted had a sample size of 54 patients, out of which none of the patients survived their illness even though 29 of them were resuscitated by Cardiopulmonary Resuscitation (CPR).
Randall Curtis, a professor of pulmonology at the University of Washington in Seattle, not a part of the study, stated that cardiac arrest during COVID-19 is not always fatal; he believes because of the setting of cardiac arrest and COVID-19, the outcome of cardiac resuscitation is very low. Doctors had already guessed of this chance before the study as a previous report from China had similar results.
This kind of thing is common in other pulmonary diseases as the problem comes from the lungs but not the heart. Patients who have COVID-19 and then develop cardiac arrest is because of the worsening of their lung condition into something so severe. Even after the revival of the heart, such patients have a tough time coming back around because of the lack of oxygen from damaged lungs.
In the study, out of the 54 patients, 52 had a type of cardiac arrest called Pulseless Electrical Activity(PEA). PEA occurs when the heart generates enough electricity to create a heartbeat, but the heart muscle itself has given out and does not contract. Hospital survival After pulseless electrical activity is much worse after in-hospital cardiac arrest.
Scientists at William Beaumont Hospital in Royal Oak suggested that doctors should avoid or think twice before performing prolonged CPR on Covid-19 positive patients. It generates aerosols that may put healthcare personnel at a greater risk of contracting the virus. Results published in JAMA internal medicine highlight the need for doctors to have frank discussions with severely ill COVID-19 patients’ caretakers and families about the desires related to resuscitation. It is very important to think ahead of time and whether to take such a risk. Many families and patients with low chances of survival would not want to be put through this.