COVID-19 and Disruptive Modifications to Cardiac Critical Care Delivery JACC Review Topic of the Week

被引：52

作者：

Katz, Jason N. ^{[1
]}

Sinha, Shashank S. ^{[2
]}

Alviar, Carlos L. ^{[3
]}

Dudzinski, David M. ^{[4
]}

Gage, Ann ^{[5
]}

Brusca, Samuel B. ^{[6
]}

Flanagan, M. Casey ^{[2
]}

Welch, Timothy ^{[2
,7
]}

Geller, Bram J. ^{[8
]}

Miller, P. Elliott ^{[9
]}

Leonardi, Sergio ^{[10
,11
,12
]}

Bohula, Erin A. ^{[13
]}

Price, Susanna ^{[14
]}

Chaudhry, Sunit-Preet ^{[15
]}

Metkus, Thomas S. ^{[16
]}

O'Brien, Connor G. ^{[17
]}

Sionis, Alessandro ^{[18
]}

Barnett, Christopher F. ^{[19
]}

Jentzer, Jacob C. ^{[20
,21
]}

Solomon, Michael A. ^{[6
,22
]}

Morrow, David A. ^{[13
]}

van Diepen, Sean ^{[23
,24
]}

机构：

[1] Duke Univ, Div Cardiol, Durham, NC USA

[2] Inova Fairfax Med Ctr, Inova Heart & Vasc Inst, Falls Church, VA USA

[3] NYU Langone Med Ctr, Leon H Charney Div Cardiol, New York, NY USA

[4] Massachusetts Gen Hosp, Div Cardiol, Boston, MA 02114 USA

[5] Cleveland Clin, Div Cardiol, Cleveland, OH 44106 USA

[6] NIH, Clin Ctr, Crit Care Med, Bethesda, MD USA

[7] Virginia Heart, Falls Church, VA USA

[8] Maine Med Ctr, Div Cardiol, Portland, ME 04102 USA

[9] Yale Univ, Sch Med, Sect Cardiovasc Med, New Haven, CT USA

[10] Fdn IRCCS Policlin San Matteo, Coronary Care Unit, Pavia, Italy

[11] Fdn IRCCS Policlin San Matteo, Lab Clin & Expt Cardiology, Pavia, Italy

[12] Univ Pavia, Dept Mol Med, Pavia, Italy

[13] Harvard Med Sch, Brigham & Womens Hosp, TIMI Study Grp, Cardiovasc Div, Boston, MA 02115 USA

[14] Royal Brompton Hosp, Royal Brompton & Harefield NHS Fdn Trust, London, England

[15] St Vincent Hosp, Dept Cardiol, Indianapolis, IN USA

[16] Johns Hopkins Univ, Sch Med, Div Cardiol, Baltimore, MD USA

[17] Stanford Univ, Sch Med, Div Cardiovasc Med, Palo Alto, CA 94304 USA

[18] Univ Autonoma Barcelona, Biomed Res Inst IIB SantPaul, Hosp Santa Creu & St Pau, Intens Cardiac Care Unit,Cardiol Dept, Barcelona, Spain

[19] Medstar Washington Hosp Ctr, Dept Cardiol, Washington, DC USA

[20] Mayo Clin, Dept Cardiovasc Med, Rochester, MN USA

[21] Mayo Clin, Div Pulm & Crit Care Med, Rochester, MN USA

[22] NHLBI, Cardiovasc Branch, NIH, Bldg 10, Bethesda, MD 20892 USA

[23] Univ Alberta Hosp, Dept Crit Care, Edmonton, AB, Canada

[24] Univ Alberta Hosp, Dept Med, Div Cardiol, Edmonton, AB, Canada

来源：

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY | 2020年 / 76卷 / 01期

关键词：

cardiac critical care; crisis; pandemic; APPROPRIATE USE CRITERIA; MANAGEMENT; HEALTH;

D O I：

10.1016/j.jacc.2020.04.029

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The COVID-19 pandemic has presented a major unanticipated stress on the workforce, organizational structure, systems of care, and critical resource supplies. To ensure provider safety, to maximize efficiency, and to optimize patient outcomes, health systems need to be agile. Critical care cardiologists may be uniquely positioned to treat the numerous respiratory and cardiovascular complications of the SARS-CoV-2 and support clinicians without critical care training who may be suddenly asked to care for critically ill patients. This review draws upon the experiences of colleagues from heavily impacted regions of the United States and Europe, as well as lessons learned from military mass casualty medicine. This review offers pragmatic suggestions on how to implement scalable models for critical care delivery, cultivate educational tools for team training, and embrace technologies (e.g., telemedicine) to enable effective collaboration despite social distancing imperatives. (C) 2020 the American College of Cardiology Foundation. Published by Elsevier. All rights reserved.

引用

页码：72 / 84

页数：13

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