The ongoing impact of COVID-19 on adult cardiac surgery and suggestions for safe continuation throughout the pandemic: a review of expert opinions.
Perfusion
; 37(4): 340-349, 2022 05.
Article
in English
| MEDLINE | ID: covidwho-1228968
ABSTRACT
OBJECTIVES:
To establish the impact of the COVID-19 pandemic on adult cardiac surgery by reviewing current data and use this to establish methods for safely continuing to carry out surgery.METHODS:
Conduction of a literature search via PubMed using the search terms '(adult cardiac OR cardiothoracic OR surgery OR minimally invasive OR sternotomy OR hemi-sternotomy OR aortic valve OR mitral valve OR elective OR emergency) AND (COVID-19 or coronavirus OR SARS-CoV-2 OR 2019-nCoV OR 2019 novel coronavirus OR pandemic)'. Thirty-two articles were selected.RESULTS:
Cardiac surgery patients have an increased risk of complications from COVID-19 and require vital finite resources such as intensive care beds, also required by COVID-19 patients. Thus reducing their admission and potential hospital-acquired infection with COVID-19 is paramount. During the peak, only emergencies such as acute aortic dissections were treated, triaging patients according to surgical priority and cancelling all elective procedures. Screening and 2-week quarantine prior to admission were essential changes, alongside additional levels of PPE. Focus was on reducing length of stay and switching to day-cases to reduce post-operative transmission risk, whilst several hospitals adopted 'hot' and 'cold' operating theatres for covid-confirmed and covid-negative patients.CONCLUSIONS:
This paper suggests a 'CARDIO' approach for reintroducing elective procedures 'Care, Assess, Re-Evaluate, Develop, Implement, Overcome'; prioritising the mental and physical health of the workforce, learning from and sharing experiences and objectively prioritising patients to improve case load.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
COVID-19
/
Cardiac Surgical Procedures
Type of study:
Experimental Studies
/
Observational study
/
Prognostic study
/
Qualitative research
/
Reviews
Limits:
Adult
/
Humans
Language:
English
Journal:
Perfusion
Journal subject:
Cardiology
Year:
2022
Document Type:
Article
Affiliation country:
02676591211013730
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