Providing safe perioperative care in cardiac surgery during the COVID-19 pandemic

被引：10

作者：

Mihalj, Maks ^{[1
]}

Mosbahi, Selim ^{[1
]}

Schmidli, Juerg ^{[1
]}

Heinisch, Paul Philipp ^{[1
]}

Reineke, David ^{[1
]}

Schoenhoff, Florian ^{[1
]}

Kadner, Alexander ^{[1
]}

Schefold, Joerg C. ^{[2
]}

Raber, Lorenz ^{[3
]}

V. Potapov, Evgenij ^{[4
,5
]}

Luedi, Markus M. ^{[6
]}

机构：

[1] Univ Bern, Bern Univ Hosp, Inselspital, Dept Cardiovasc Surg, Freiburgstr, CH-3010 Bern, Switzerland

[2] Univ Bern, Bern Univ Hosp, Inselspital, Dept Intens Care Med, Freiburgstr, CH-3010 Bern, Switzerland

[3] Univ Bern, Bern Univ Hosp, Inselspital, Dept Cardiol, Freiburgstr, CH-3010 Bern, Switzerland

[4] German Heart Ctr, Dept Cardiothorac & Vasc Surg, Berlin, Germany

[5] DZHK German Ctr Cardiovasc Res, Partner Site, Augustenburger Pl 1, D-13353 Berlin, Germany

[6] Univ Bern, Bern Univ Hosp, Inselspital, Dept Anaesthesiol & Pain Med, Freiburgstr, CH-3010 Bern, Switzerland

来源：

BEST PRACTICE & RESEARCH-CLINICAL ANAESTHESIOLOGY | 2021年 / 35卷 / 03期

关键词：

COVID-19; SARS-CoV-2; perioperative care; cardiac surgery; management; surgery; cardiovascular; CORONAVIRUS DISEASE 2019; VENTRICULAR ASSIST DEVICE; HEART-FAILURE; OXYGENATION; STRATEGIES; ANESTHESIA; PATIENT;

D O I：

10.1016/j.bpa.2021.01.002

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

The coronavirus disease 2019 (COVID-19) pandemic has potentiated the need for implementation of strict safety measures in the medical care of surgical patients and especially in cardiac surgery patients, who are at a higher risk of COVID-19-associated morbidity and mortality. Such measures not only require minimization of patients' exposure to COVID-19 but also careful balancing of the risks of postponing nonemergent surgical procedures and providing appropriate and timely surgical care. We provide an overview of current evidence for preoperative strategies used in cardiac surgery patients, including risk stratification, telemedicine, logistical challenges during inpatient care, appropriate screening capacity, and decision-making on when to safely operate on COVID-19 patients. Further, we focus on perioperative measures such as safe operating room management and address the dilemma over when to perform cardiovascular surgical procedures in patients at risk. (c) 2021 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons. org/licenses/by/4.0/).

引用

页码：321 / 332

页数：12

共 82 条

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