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Cardiac surgeons' concerns, perceptions, and responses during the COVID-19 pandemic.
Luc, Jessica G Y; Ad, Niv; Nguyen, Tom C; Arora, Rakesh C; Balkhy, Husam H; Bender, Edward M; Bethencourt, Daniel M; Bisleri, Gianluigi; Boyd, Douglas; Chu, Michael W A; de la Cruz, Kim I; DeAnda, Abe; Engelman, Daniel T; Farkas, Emily A; Fedoruk, Lynn M; Fiocco, Michael; Forcillo, Jessica; Fradet, Guy; Fremes, Stephen E; Gammie, James S; Geirsson, Arnar; Gerdisch, Marc W; Girard, Leonard N; Kaiser, Clayton A; Kaneko, Tsuyoshi; Kent, William D T; Khabbaz, Kamal R; Khoynezhad, Ali; Kiaii, Bob; Lee, Richard; Legare, Jean-Francois; Lehr, Eric J; MacArthur, Roderick G G; McCarthy, Patrick M; Mehall, John R; Merrill, Walter H; Moon, Marc R; Ouzounian, Maral; Peltz, Matthias; Perrault, Louis P; Preventza, Ourania; Ramchandani, Mahesh; Ramlawi, Basel; Salenger, Rawn; Sekela, Michael E; Sellke, Frank W; Stulak, John M; Sutter, Francis P; Timek, Tomasz A; Whitman, Glenn.
  • Luc JGY; Division of Cardiovascular Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada.
  • Ad N; Division of Cardiac Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, Maryland, USA.
  • Nguyen TC; Adventist White Oak Medical Center, Silver Spring, Maryland, USA.
  • Balkhy HH; Section of Cardiac Surgery, Department of Surgery, Max Rady College of Medicine, University of Manitoba, St. Boniface Hospital, Winnipeg, Manitoba, Canada.
  • Bender EM; Section of Cardiac Surgery, Department of Surgery, University of Chicago Medicine, Illinois, USA.
  • Bethencourt DM; Department of Cardiothoracic Surgery, Stanford University, Palo Alto, California, USA.
  • Bisleri G; Division of Cardiac Surgery, Orange Coast Memorial Medical Centers,  Fountain Valley, California, USA.
  • Boyd D; Division of Cardiac Surgery, Queen's University, Kingston, Ontario, Canada.
  • Chu MWA; Division of Cardiothoracic Surgery, East Carolina University, Brody School of Medicine, Greenville, North Carolina, USA.
  • de la Cruz KI; Division of Cardiac Surgery, Western University, London, Ontario, Canada.
  • DeAnda A; Division of Cardiothoracic Surgery, Methodist Heart Hospital San Antonio, San Antonio, Texas, USA.
  • Engelman DT; Division of Cardiovascular and Thoracic Surgery, UTMB-Galveston, Galveston, Texas, USA.
  • Farkas EA; Heart and Vascular Program, Baystate Health, Springfield, Massachusetts, USA.
  • Fedoruk LM; Division of Cardiac Surgery, ThedaCare Appleton Heart Institute, Appleton, Wisconsin, USA.
  • Fiocco M; Division of Cardiac Surgery, Royal Jubilee Hospital, Vancouver Island Health Authority, University of British Columbia, Victoria, British Columbia, Canada.
  • Forcillo J; Division of Cardiac Surgery, MedStar Union Memorial Hospital, Baltimore, Maryland, USA.
  • Fradet G; Division of Cardiac Surgery, Université de Montréal, Department of Cardiac Surgery- Montréal University Hospital Centre (CHUM), Montreal, Quebec, Canada.
  • Fremes SE; Division of Cardiovascular Surgery, Department of Surgery, University of British Columbia, Kelowna General Hospital, Kelowna, British Columbia, Canada.
  • Gammie JS; Schulich Heart Centre Sunnybrook Health Sciences Centre, University of Toronto,  Toronto, Ontario, Canada.
  • Geirsson A; Division of Cardiac Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, Maryland, USA.
  • Gerdisch MW; Department of Surgery, Yale University, New Haven, Connecticut, USA.
  • Girard LN; Department of Cardiothoracic Surgery, Franciscan Health Heart Center, Indianapolis, IN, USA.
  • Kaiser CA; Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, NY, USA.
  • Kaneko T; Department of Thoracic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
  • Kent WDT; Division of Cardiac Surgery, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
  • Khabbaz KR; Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
  • Khoynezhad A; Division of Cardiac Surgery, Department of Surgery, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA.
  • Kiaii B; Department of Cardiovascular Surgery, Memorial Heart and Vascular Institute, Memorial Care Long Beach Medical Center, Long Beach, California, USA.
  • Lee R; Division of Cardiothoracic Surgery, UC Davis Medical Center, Sacramento, California, USA.
  • Legare JF; Division of Cardiothoracic Surgery, Medical College of Georgia at Augusta University, Augusta, Georgia, USA.
  • Lehr EJ; Division of Cardiac Surgery, New Brunswick Heart Center, Dalhousie University, Saint John, New Brunswick, Canada.
  • MacArthur RGG; Division of Cardiac Surgery, Swedish Heart and Vascular Institute, Seattle, Washington, USA.
  • McCarthy PM; Division of Cardiac Surgery, Department of Surgery, Mazankowski Alberta Heart Institute, University of Alberta, Edmonton, Alberta, Canada.
  • Mehall JR; Division of Cardiac Surgery, Department of Surgery, Bluhm Cardiovascular Institute, Northwestern University, Chicago, Illinois, USA.
  • Merrill WH; Division of Cardiac Surgery, Penrose-St Francis Health Services, Colorado Springs, Colorado, USA.
  • Moon MR; Department of Cardiac Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
  • Ouzounian M; Division of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missouri, USA.
  • Peltz M; Division of Cardiovascular Surgery, Peter Munk Cardiac Centre, Toronto General Hospital and University of Toronto, Toronto, Ontario, Canada.
  • Perrault LP; Department of Cardiovascular and Thoracic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
  • Preventza O; Division of Cardiac Surgery, Institut de Cardiologie de Montreal, Universite de Montreal, Montreal, Quebec, Canada.
  • Ramchandani M; Department of Cardiovascular Surgery, Texas Heart Institute, Houston, Texas, USA.
  • Ramlawi B; Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas, USA.
  • Salenger R; Department of Cardiothoracic Surgery, DeBakey Heart and Vascular Center, Houston Methodist Hospital, Houston, Texas, USA.
  • Sekela ME; Department of Cardiothoracic Surgery, Valley Health System - Heart and Vascular Center, Winchester Medical Center, Winchester, VA, USA.
  • Sellke FW; Division of Cardiac Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, Maryland, USA.
  • Stulak JM; Division of Cardiothoracic Surgery, Department of Surgery, University of Kentucky, Lexington, Kentucky, USA.
  • Sutter FP; Division of Cardiothoracic Surgery, Department of Surgery, Cardiovascular Research Center, Rhode Island Hospital, Alpert Medical School of Brown University, Providence, Rhode Island, USA.
  • Timek TA; Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota, USA.
  • Whitman G; Division of Cardiac Surgery, Lankenau Medical Center, Wynnewood, Pennsylvania, USA.
J Card Surg ; 36(9): 3040-3051, 2021 Sep.
Article in English | MEDLINE | ID: covidwho-1266339
ABSTRACT

BACKGROUND:

The coronavirus disease 2019 (COVID-19) pandemic has had an unprecedented impact on health care and cardiac surgery. We report cardiac surgeons' concerns, perceptions, and responses during the COVID-19 pandemic.

METHODS:

A detailed survey was sent to recruit participating adult cardiac surgery centers in North America. Data regarding cardiac surgeons' perceptions and changes in practice were analyzed.

RESULTS:

Our study comprises 67 institutions with diverse geographic distribution across North America. Nurses were most likely to be redeployed (88%), followed by advanced care practitioners (69%), trainees (28%), and surgeons (25%). Examining surgeon concerns in regard to COVID-19, they were most worried with exposing their family to COVID-19 (81%), followed by contracting COVID-19 (68%), running out of personal protective equipment (PPE) (28%), and hospital resources (28%). In terms of PPE conservation strategies among users of N95 respirators, nearly half were recycling via decontamination with ultraviolet light (49%), followed by sterilization with heat (13%) and at home or with other modalities (13%). Reuse of N95 respirators for 1 day (22%), 1 week (21%) or 1 month (6%) was reported. There were differences in adoption of methods to conserve N95 respirators based on institutional pandemic phase and COVID-19 burden, with higher COVID-19 burden institutions more likely to resort to PPE conservation strategies.

CONCLUSIONS:

The present study demonstrates the impact of COVID-19 on North American cardiac surgeons. Our study should stimulate further discussions to identify optimal solutions to improve workforce preparedness for subsequent surges, as well as facilitate the navigation of future healthcare crises.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Surgeons / COVID-19 Type of study: Observational study Limits: Adult / Humans Language: English Journal: J Card Surg Journal subject: Cardiology Year: 2021 Document Type: Article Affiliation country: Jocs.15681

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Surgeons / COVID-19 Type of study: Observational study Limits: Adult / Humans Language: English Journal: J Card Surg Journal subject: Cardiology Year: 2021 Document Type: Article Affiliation country: Jocs.15681