TY - JOUR
T1 - Cardiac surgery considerations and lessons learned during the COVID-19 pandemic
AU - Iribarne, Alexander
AU - Thourani, Vinod H.
AU - Cleveland, Joseph C.
AU - Malaisrie, Sukit Christopher
AU - Romano, Matthew A.
AU - Moon, Marc R.
AU - Ramakrishna, Harish
AU - Mewhort, Holly E.M.
AU - Halkos, Michael
AU - Sultan, Ibrahim
AU - Kindler, Christine
AU - Firstenberg, Michael S.
AU - Dayan, Victor
AU - Kasirajan, Vigneshwar
AU - Salerno, Chris
AU - Phillips, Alistair
N1 - Publisher Copyright:
© 2020 Wiley Periodicals LLC
PY - 2020/8/1
Y1 - 2020/8/1
N2 - The COVID-19 pandemic has transformed cardiac surgical practices. Limitations in intensive care resources and personal protective equipment have required many practices throughout the globe to pause elective operations and now slowly resume operations. However, much of cardiac surgery is not elective and patients continue to require surgery on an urgent or emergent basis during the pandemic. This continued need for providing surgical services has introduced several unique considerations ranging from how to prioritize surgery, how to ensure safety for cardiac surgical teams, and how best to resume elective operations to ensure the safety of patients. Additionally, the COVID-19 pandemic has required a careful analysis of how best to carry out heart transplantation, extra-corporeal membrane oxygenation, and congenital heart surgery. In this review, we present the many areas of multidisciplinary consideration, and the lessons learned that have allowed us to carry out cardiac surgery with excellence during the COVID-19 pandemic. As various states experience plateaus, declines, and rises in COVID-19 cases, these considerations are particularly important for cardiac surgical programs throughout the globe.
AB - The COVID-19 pandemic has transformed cardiac surgical practices. Limitations in intensive care resources and personal protective equipment have required many practices throughout the globe to pause elective operations and now slowly resume operations. However, much of cardiac surgery is not elective and patients continue to require surgery on an urgent or emergent basis during the pandemic. This continued need for providing surgical services has introduced several unique considerations ranging from how to prioritize surgery, how to ensure safety for cardiac surgical teams, and how best to resume elective operations to ensure the safety of patients. Additionally, the COVID-19 pandemic has required a careful analysis of how best to carry out heart transplantation, extra-corporeal membrane oxygenation, and congenital heart surgery. In this review, we present the many areas of multidisciplinary consideration, and the lessons learned that have allowed us to carry out cardiac surgery with excellence during the COVID-19 pandemic. As various states experience plateaus, declines, and rises in COVID-19 cases, these considerations are particularly important for cardiac surgical programs throughout the globe.
KW - COVID-19
KW - cardiac surgery
UR - http://www.scopus.com/inward/record.url?scp=85087902425&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85087902425&partnerID=8YFLogxK
U2 - 10.1111/jocs.14798
DO - 10.1111/jocs.14798
M3 - Review article
AN - SCOPUS:85087902425
SN - 0886-0440
VL - 35
SP - 1979
EP - 1987
JO - Journal of Cardiac Surgery
JF - Journal of Cardiac Surgery
IS - 8
ER -