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A Perspective from New York of COVID 19: Effect and impact on cardiac surgery.
Farrington, Woodrow J; Mack, Charles A; Karas, Maria G; Ivascu, Natalia S; Robinson, N Bryce; Iannacone, Erin; Lau, Christopher; Mick, Stephanie L; Girardi, Leonard N.
  • 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.
J Card Surg ; 36(5): 1668-1671, 2021 May.
Article in English | MEDLINE | ID: covidwho-1075864
ABSTRACT
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.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Cardiac Surgical Procedures Type of study: Experimental Studies / Observational study Limits: Humans Country/Region as subject: North America Language: English Journal: J Card Surg Journal subject: Cardiology Year: 2021 Document Type: Article Affiliation country: Jocs.15043

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Cardiac Surgical Procedures Type of study: Experimental Studies / Observational study Limits: Humans Country/Region as subject: North America Language: English Journal: J Card Surg Journal subject: Cardiology Year: 2021 Document Type: Article Affiliation country: Jocs.15043