Considerations for cardiac catheterization laboratory procedures during the COVID-19 pandemic perspectives from the Society for Cardiovascular Angiography and Interventions Emerging Leader Mentorship (SCAI ELM) Members and Graduates
Considerations for cardiac catheterization laboratory procedures during the COVID-19 pandemic perspectives from the Society for Cardiovascular Angiography and Interventions Emerging Leader Mentorship (SCAI ELM) Members and Graduates
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DOI：
10.1002/ccd.28887
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发表时间：
2020-04-21
影响因子：
2.3
通讯作者：
Naidu, Srihari S.
中科院分区：
文献类型：
--
作者：
Szerlip, Molly;Anwaruddin, Saif;Naidu, Srihari S.
新型冠状病毒——严重急性呼吸综合征冠状病毒2（SARS-CoV-2）具有高度传染性，具有很高的发病率和死亡率，并迅速导致医疗保健系统和医院资源紧张。除了感染者中与患者相关的护理问题外，重点还必须涉及减少社区传播、保护工作人员、病例选择和资源集中。当前文件基于现有数据和共识意见，讨论了治疗这些患者的适当导管实验室准备工作，包括手术室准备工作以尽量减少外部污染、安全穿脱个人防护装备 (PPE) 以消除员工风险，以及人员配置算法以尽量减少暴露并最大限度提高团队可用性。详细讨论了紧急和紧急手术的病例选择和管理，包括可以安全推迟或在床边进行的手术。
The novel coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is highly infectious, carries significant morbidity and mortality, and has rapidly resulted in strained health care system and hospital resources. In addition to patient-related care concerns in infected individuals, focus must also relate to diminishing community spread, protection of staff, case selection, and concentration of resources. The current document based on available data and consensus opinion addresses appropriate catheterization laboratory preparedness for treating these patients, including procedure-room readiness to minimize external contamination, safe donning and doffing of personal protective equipment (PPE) to eliminate risk to staff, and staffing algorithms to minimize exposure and maximize team availability. Case selection and management of both emergent and urgent procedures are discussed in detail, including procedures that may be safely deferred or performed bedside.