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An Ancillary Central Catheter Emergency Support Service Team Staffed by Surgical Personnel Improves Workflow During the Coronavirus Disease 2019 Crisis.
Schulberg, Steven P; Jaikaran, Omkaar; Lim, Derek; Robalino, Ryan P; Patel, Ronak; Sirsi, Sandeep; Timoney, Michael; Sinha, Prashant.
  • Schulberg SP; Department of Surgery, 219212NYU Langone Hospital Brooklyn, USA.
  • Jaikaran O; Department of Surgery, 219212NYU Langone Hospital Brooklyn, USA.
  • Lim D; Department of Surgery, 219212NYU Langone Hospital Brooklyn, USA.
  • Robalino RP; Department of Surgery, 219212NYU Langone Hospital Brooklyn, USA.
  • Patel R; Department of Surgery, 219212NYU Langone Hospital Brooklyn, USA.
  • Sirsi S; Department of Surgery, 219212NYU Langone Hospital Brooklyn, USA.
  • Timoney M; Department of Surgery, 219212NYU Langone Hospital Brooklyn, USA.
  • Sinha P; Department of Surgery, 219212NYU Langone Hospital Brooklyn, USA.
Surg Innov ; 28(2): 231-235, 2021 Apr.
Article in English | MEDLINE | ID: covidwho-913988
ABSTRACT
Background. The SARS-CoV-2 novel coronavirus disease 2019 (COVID-19) pandemic has posed significant challenges to urban health centers across the United States. Many hospitals are reallocating resources to best handle the influx of critical patients. Methods. At our New York City hospital, we developed the ancillary central catheter emergency support service (ACCESS), a team for dedicated central access staffed by surgical residents to assist in the care of critical COVID-19 patients. We conducted a retrospective review of all patients for whom the team was activated. Furthermore, we distributed a survey to the critical care department to assess their perceived time saved per patient. Results. The ACCESS team placed 104 invasive catheters over 10 days with a low complication rate of .96%. All critical care providers surveyed found the service useful and felt it saved at least 30 minutes of procedural time per patient, as patient to critical care provider ratios were increased from 12 patients to one provider to 44 patients to one provider. Conclusions. The ACCESS team has helped to effectively redistribute surgical staff, provide a learning experience for residents, and improve efficiency for the critical care team during this pandemic.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Catheterization, Central Venous / Catheterization, Peripheral / Health Personnel / Emergency Service, Hospital / COVID-19 Type of study: Observational study Limits: Humans Country/Region as subject: North America Language: English Journal: Surg Innov Year: 2021 Document Type: Article Affiliation country: 1553350620971181

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Catheterization, Central Venous / Catheterization, Peripheral / Health Personnel / Emergency Service, Hospital / COVID-19 Type of study: Observational study Limits: Humans Country/Region as subject: North America Language: English Journal: Surg Innov Year: 2021 Document Type: Article Affiliation country: 1553350620971181