Providing safe perioperative care in cardiac surgery during the COVID-19 pandemic.
Best Pract Res Clin Anaesthesiol
; 35(3): 321-332, 2021 Oct.
Article
in English
| MEDLINE | ID: covidwho-1039303
ABSTRACT
The coronavirus disease 2019 (COVID-19) pandemic has potentiated the need for implementation of strict safety measures in the medical care of surgical patients - and especially in cardiac surgery patients, who are at a higher risk of COVID-19-associated morbidity and mortality. Such measures not only require minimization of patients' exposure to COVID-19 but also careful balancing of the risks of postponing nonemergent surgical procedures and providing appropriate and timely surgical care. We provide an overview of current evidence for preoperative strategies used in cardiac surgery patients, including risk stratification, telemedicine, logistical challenges during inpatient care, appropriate screening capacity, and decision-making on when to safely operate on COVID-19 patients. Further, we focus on perioperative measures such as safe operating room management and address the dilemma over when to perform cardiovascular surgical procedures in patients at risk.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Perioperative Care
/
Patient Safety
/
COVID-19
/
Cardiac Surgical Procedures
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Best Pract Res Clin Anaesthesiol
Journal subject:
Anesthesiology
Year:
2021
Document Type:
Article
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