Cardiac Surgery During the Coronavirus Disease 2019 Pandemic: Perioperative Considerations and Triage Recommendations.
Cardiac Surgery During the Coronavirus Disease 2019 Pandemic: Perioperative Considerations and Triage Recommendations.
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DOI：
10.1161/jaha.120.017042
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发表时间：
2020-07-07
影响因子：
5.4
通讯作者：
Jneid H
中科院分区：
文献类型：
--
作者：
Patel V;Jimenez E;Cornwell L;Tran T;Paniagua D;Denktas AE;Chou A;Hankins SJ;Bozkurt B;Rosengart TK;Jneid H
2019 年冠状病毒病大流行由严重急性呼吸综合征冠状病毒-2 引起，是本世纪由高致病性冠状病毒引起的第三种人类疾病。由于其高度传染性和前所未有的全球传播、严重的临床表现以及缺乏有效的治疗方法，严重急性呼吸综合征冠状病毒-2 感染正在造成数千人死亡，并给世界各地的医疗系统带来前所未有的压力。在本报告中，我们讨论了接受心脏手术的患者的围手术期注意事项，并为临床医生提供了在 2019 年冠状病毒病爆发期间有效分类和规划这些手术的建议。这将有助于降低患者和医护人员的暴露风险，并将资源适当地分配给最需要的人。我们包括 2019 年冠状病毒病术前检测算法、个人防护装备建议，以及对常见心脏手术程序进行分类和优先排序的分类系统。
The coronavirus disease 2019 pandemic, caused by severe acute respiratory syndrome coronavirus‐2, represents the third human affliction attributed to the highly pathogenic coronavirus in the current century. Because of its highly contagious nature and unprecedented global spread, its aggressive clinical presentation, and the lack of effective treatment, severe acute respiratory syndrome coronavirus‐2 infection is causing the loss of thousands of lives and imparting unparalleled strain on healthcare systems around the world. In the current report, we discuss perioperative considerations for patients undergoing cardiac surgery and provide clinicians with recommendations to effectively triage and plan these procedures during the coronavirus disease 2019 outbreak. This will help reduce the risk of exposure to patients and healthcare workers and allocate resources appropriately to those in greatest need. We include an algorithm for preoperative testing for coronavirus disease 2019, personal protective equipment recommendations, and a classification system to categorize and prioritize common cardiac surgery procedures.