Cardiac surgeons between apprehension and ethical duty in the COVID-19 pandemic
Autor: | Ehab Sobhy, Hysam Abdelmohty, Ahmed Ma Bakry |
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Rok vydání: | 2020 |
Předmět: |
Pulmonary and Respiratory Medicine
2019-20 coronavirus outbreak medicine.medical_specialty Thoracic Surgical Procedure Coronavirus disease 2019 (COVID-19) media_common.quotation_subject Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) 030204 cardiovascular system & hematology 03 medical and health sciences coronavirus infections operating rooms 0302 clinical medicine Pandemic medicine Humans egypt Intensive care medicine Pandemics Duty Cardiac surgical procedures media_common Surgeons Apprehension SARS-CoV-2 business.industry thoracic surgical procedures COVID-19 General Medicine Cross-Sectional Studies Treatment Outcome 030228 respiratory system Original Article Surgery medicine.symptom Cardiology and Cardiovascular Medicine business Coronavirus Infections |
Zdroj: | Asian Cardiovascular & Thoracic Annals |
ISSN: | 1816-5370 0218-4923 |
DOI: | 10.1177/0218492320943355 |
Popis: | Background Cardiothoracic surgeons are facing a big challenge in their surgical practice in the era of the COVID-19 pandemic. The attitude towards performing surgery is influenced by the pandemic. Setting special recommendations for safe cardiothoracic surgery is of extreme importance. Methods This was an observational cross-sectional survey that included 77 Egyptian cardiothoracic surgeons. The survey consisted of a self-administered constructed questionnaire with six sections, and was delivered as a Google Forms questionnaire ( https://www.google.com/forms/about ) that was sent to individuals via social networks and email. Results More than 80% of Egyptian cardiothoracic surgeons believe they and their patients are at risk. Out of all participants, none had actually been infected with COVID-19 but 26% had encountered a positive COVID-19 person in their surgical team. Although 51% were testing patients before surgery, they reported 9 confirmed cases postoperatively. Computed tomography was the most recommended investigation prior to surgery (by 69%). Most had postponed elective surgeries and only one-third of all surgeons recommended performing elective surgeries cautiously with pretesting for COVID-19 and maximizing protective measures, while more than 40% recommended not performing high-risk elective surgeries. Conclusion We are committed to the safety of our patients, ourselves, our staff, and our families. Planning for the new phase of reopening, whether total reopening or step-by-step reopening, should carefully consider how we should utilize our resources, respect social distancing, and prevent exposure to untested patients or health workers who might turn out to be an undetected positive case. |
Databáze: | OpenAIRE |
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