A Perspective from New York of COVID 19: Effect and impact on cardiac surgery.

Autor: Farrington WJ; Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York, USA., Mack CA; Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York, USA., Karas MG; Department of Medicine, Weill Cornell Medicine, New York, New York, USA., Ivascu NS; Department of Anesthesiology, Weill Cornell Medicine, New York, New York, USA., Robinson NB; Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York, USA., Iannacone E; Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York, USA., Lau C; Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York, USA., Mick SL; Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York, USA., Girardi LN; Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York, USA.
Jazyk: angličtina
Zdroj: Journal of cardiac surgery [J Card Surg] 2021 May; Vol. 36 (5), pp. 1668-1671. Date of Electronic Publication: 2020 Sep 16.
DOI: 10.1111/jocs.15043
Abstrakt: Background and Aim: First reported in December of 2019, the COVID-19 pandemic caused by SARS-CoV-2 has had a profound impact on the implementation of care. Here, we describe our institutional experience with a rapid influx of patients at the epicenter of the pandemic.
Methods: We retrospectively review our experience with the departments of cardiology, cardiothoracic surgery, anesthesia, and critical care medicine and summarize protocols developed in the midst of the pandemic.
Results: The rapid influx of patients requiring an intensive level of care required a complete restructuring of units, including the establishment of a new COVID-19 negative unit for the care of patients requiring urgent or emergent non-COVID-19 related care including open-heart surgery. This unique unit allowed for the delivery of safe and effective care in the epicenter of the pandemic.
Conclusions: Here, we demonstrate the response of a large tertiary academic medical center to the COVID-19 pandemic. Specifically, we demonstrate how rapid structural changes can allow for the continued delivery of cardiac surgical care with similar outcomes as those reported before the pandemic.
(© 2020 Wiley Periodicals LLC.)
Databáze: MEDLINE
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