The cardiac intensive care unit and the cardiac Intensivist during the COVID-19 surge in New York City☆
Autor: | Kevin J. Clerkin, Daniel S. O’Connor, Ajay J. Kirtane, Marwah Abdalla, D. Edmund Anstey, Jeffrey Hammond, Le Roy E. Rabbani, Justin Fried, Gregg F. Rosner, Amirali Masoumi, Nir Uriel, Raymond C. Givens, Allan Schwartz, Nellie Kalcheva, Lauren Wasson, Deepa Kumaraiah |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
business.industry Cardiogenic shock Staffing Acute kidney injury MEDLINE Intensivist 030204 cardiovascular system & hematology medicine.disease Occupational safety and health Article 03 medical and health sciences 0302 clinical medicine Pandemic medicine Coronary care unit 030212 general & internal medicine Cardiology and Cardiovascular Medicine Intensive care medicine business |
Zdroj: | American Heart Journal |
ISSN: | 1097-6744 0002-8703 |
Popis: | Critical care cardiology has been impacted by the coronavirus disease-2019 (COVID-19) pandemic. COVID-19 causes severe acute respiratory distress syndrome, acute kidney injury, as well as several cardiovascular complications including myocarditis, venous thromboembolic disease, cardiogenic shock, and cardiac arrest. The cardiac intensive care unit is rapidly evolving as the need for critical care beds increases. Herein, we describe the changes to the cardiac intensive care unit and the evolving role of critical care cardiologists and other clinicians in the care of these complex patients affected by the COVID-19 pandemic. These include practical recommendations regarding a structural and organizational changes to facilitate care of patients with COVID-19; staffing and personnel changes; and health and safety of personnel. We draw upon our own experiences at NewYork-Presbyterian Columbia University Irving Medical Center to offer insights into the unique challenges facing critical care clinicians and provide recommendations of how to address these challenges during this unprecedented time. |
Databáze: | OpenAIRE |
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