Performing an urgent neonatal cardiac intervention safely during the COVID-19 pandemic

被引:2
作者
Spencer, Robert [1 ]
Chaves, Diana Vargas [2 ]
Brooks, Maria Cristina [2 ]
Goldshtrom, Nimrod [2 ]
Moroz, Leslie [3 ]
Miller, Russel [3 ]
Glickstein, Julie [1 ]
Levasseur, Stephanie [1 ]
Bacha, Emile A. [4 ]
Turner, Mariel E. [1 ]
Farooqi, Kanwal M. [1 ]
机构
[1] Columbia Univ, Morgan Stanley Childrens Hosp, Dept Pediat, Div Pediat Cardiol,Irving Med Ctr, New York, NY 10032 USA
[2] Columbia Univ, Morgan Stanley Childrens Hosp, Dept Pediat, Div Neonatol,New York Presbyterian,Irving Med Ctr, New York, NY 10032 USA
[3] Columbia Univ, Dept Obstet & Gynecol, Irving Med Ctr, New York, NY 10032 USA
[4] Columbia Univ, Morgan Stanley Childrens Hosp, Pediat Cardiac Surg, New York Presbyterian,Irving Med Ctr, New York, NY 10032 USA
关键词
COVID-19; Congenital heart disease; D-transposition of the great arteries; Echocardiography;
D O I
10.1016/j.ppedcard.2020.101265
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The current pandemic has driven the medical community to adapt quickly to unprecedented challenges. Among these challenges is the need to minimize staff exposure to COVID-19 during neonatal cardiac procedures. In this report, we describe measures we have taken to protect health care workers while ensuring successful outcomes. These measures include wearing appropriate personal protective equipment, physical distancing, designating separate delivery and transport teams, and limiting the number of providers in direct contact with any patient who is infected or whose infection status is unknown. Learning objectives: 1. To understand specific challenges caused by the COVID-19 pandemic for patients with congenital heart disease needing urgent neonatal intervention. 2. To recognize measures that can be taken to minimize health care workers' exposures to the virus during high-risk neonatal cardiac procedures. 3. To review the management of neonates with d-transposition of the great arteries and inadequate mixing.
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页数:3
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