Subject(s)
Anesthesia, Cardiac Procedures/methods , Anesthesiology/methods , COVID-19/epidemiology , COVID-19/surgery , Cardiovascular Diseases/epidemiology , Cardiovascular Diseases/surgery , Anesthesia, Cardiac Procedures/standards , Anesthesiology/standards , Extracorporeal Membrane Oxygenation/methods , Extracorporeal Membrane Oxygenation/standards , HumansSubject(s)
Anesthesia, Cardiac Procedures/methods , Anesthesiology/methods , Critical Care/methods , Intensive Care Units , Anesthesia, Cardiac Procedures/trends , Anesthesiology/trends , Betacoronavirus , COVID-19 , Cardiopulmonary Resuscitation/methods , Cardiopulmonary Resuscitation/trends , Coronavirus Infections/prevention & control , Coronavirus Infections/therapy , Critical Care/trends , Humans , Intensive Care Units/trends , Pandemics/prevention & control , Pneumonia, Viral/prevention & control , Pneumonia, Viral/therapy , SARS-CoV-2ABSTRACT
This article discusses the impact of the COVID-19 pandemic on the EACTA fellowship program. The authors present three points that in their view are important and give cause for concern because they could make it difficult or impossible to achieve the original goals of the fellowship program. Corresponding points are discussed and possible solutions are presented. An implementation in the fellowship curriculum is planned.
Subject(s)
Anesthesia, Cardiac Procedures/trends , Betacoronavirus , Coronavirus Infections/epidemiology , Fellowships and Scholarships/trends , Pandemics , Pneumonia, Viral/epidemiology , Program Evaluation/trends , Anesthesia, Cardiac Procedures/methods , Anesthesiologists/education , Anesthesiologists/trends , COVID-19 , Europe/epidemiology , Fellowships and Scholarships/methods , Humans , Program Evaluation/methods , SARS-CoV-2ABSTRACT
The COVID-19 outbreak has influenced the entire health care system, including cardiac surgery. In this review, the authors reveal practical aspects that are important during the COVID-19 pandemic with regards to the safe delivery of cardiac anesthesia. Timing for operations of the cardio-vascular system may be well programmed in most cases. Hence, the level of priorities must be defined for any single patient. The postponement of surgery may be convenient for most cases, if it is made in the best interest of the patient. The preanesthetic evaluation should be attentive of the respiratory history of the patient. Cardiac anesthesia always implies some respiratory monitoring; hence the existing clinical situation of the patient's respiratory system should be clear. In case of emergency surgery, the patient should be treated as if they potentially have or are at risk for the virus. In the case of a COVID-19 confirmed or suspected patient, attention must be made to preserve operating room and team integrity. The machineries are to be draped with plastic to simplify the disinfection after the operation. Perioperative management of suspected or confirmed COVID-19 patients must strictly follow the most relevant international guidelines. This review article has synthesized the common aspects present in the most important of these.
Subject(s)
Anesthesia, Cardiac Procedures/methods , Betacoronavirus , Coronavirus Infections/prevention & control , Pandemics/prevention & control , Pneumonia, Viral/prevention & control , COVID-19 , Humans , SARS-CoV-2ABSTRACT
Coronavirus disease 2019 (COVID-19) has quickly spread globally, causing a real pandemic. In this critical scenario, lung cancer patients scheduled for surgical treatment need to continue to receive optimal care while protecting them from an eventual severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Adequate use of personal protective equipment (PPE) during aerosol-generating procedures (AGPs) and a COVID-19 specific intraoperative management are paramount in order to prevent cross infections. New suggestions or improvement of existing contagion control guidance are needed, even in case of non-symptomatic patients, possibly responsible for virus spread.