About: The rapid transformation of cardiac surgery practice in the coronavirus disease 2019 (COVID-19) pandemic: insights and clinical strategies from a centre at the epicentre

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About: The rapid transformation of cardiac surgery practice in the coronavirus disease 2019 (COVID-19) pandemic: insights and clinical strategies from a centre at the epicentre Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	The rapid transformation of cardiac surgery practice in the coronavirus disease 2019 (COVID-19) pandemic: insights and clinical strategies from a centre at the epicentre
Creator	Smith, Craig Argenziano, Michael Bacha, Emile Blitzer, David George, Isaac Kurlansky, Paul Takayama, Hiroo Bapat, Vinayak Deroo, Scott Kobsa, Serge Kriegel, Jacob Naka, Yoshifumi Raza, Tasnim Salna, Michael Shea, Nicholas Takeda, Koji Angelo, Alex
Source	Medline; PMC; WHO
abstract	OBJECTIVES: The onset of the coronavirus disease 2019 (COVID-19) pandemic has forced our cardiac surgery programme and hospital to enact drastic measures that has forced us to change how we care for cardiac surgery patients, assist with COVID-19 care and enable support for the hospital in terms of physical resources, providers and resident training. METHODS: In this review, we review the cardiovascular manifestations of COVID-19 and describe our system-wide adaptations to the pandemic, including the use of telemedicine, how a severe reduction in operative volume affected our programme, the process of redeployment of staff, repurposing of residents into specific task teams, the creation of operation room intensive care units, and the challenges that we faced in this process. RESULTS: We offer a revised set of definitions of surgical priority during this pandemic and how this was applied to our system, followed by specific considerations in coronary/valve, aortic, heart failure and transplant surgery. Finally, we outline a path forward for cardiac surgery for the near future. CONCLUSIONS: We recognize that individual programmes around the world will eventually face COVID-19 with varying levels of infection burden and different resources, and we hope this document can assist programmes to plan for the future.
has issue date	2020-06-23(xsd:dateTime)
bibo:doi	10.1093/ejcts/ezaa228
bibo:pmid	32573737
has license	no-cc
sha1sum (hex)	16c315a5e2556f61a660015d5c906789bc8d88f8
schema:url	https://doi.org/10.1093/ejcts/ezaa228
resource representing a document's title	The rapid transformation of cardiac surgery practice in the coronavirus disease 2019 (COVID-19) pandemic: insights and clinical strategies from a centre at the epicentre
has PubMed Central identifier	PMC7337744
has PubMed identifier	32573737
schema:publication	Eur J Cardiothorac Surg
resource representing a document's body	covid:16c315a5e2556f61a660015d5c906789bc8d88f8#body_text
is schema:about of	named entity 'The onset' named entity 'CARE' named entity 'HOW' named entity 'RESIDENT' named entity 'RESOURCES' named entity 'COVID-19' named entity 'change' named entity 'physical' named entity 'COVID-19' named entity 'late phases' named entity 'cardiac surgery' named entity 'cardiac surgery' named entity 'drastic measures' named entity 'personal protective equipment (PPE' named entity 'heart transplantation' named entity 'dialysis' named entity 'anaesthesia' named entity 'intensive care unit' named entity 'anticoagulate' named entity 'COVID' named entity 'intensive care unit' named entity 'MitraClip' named entity 'haemodialysis' named entity 'immunosuppressed' named entity 'aortic dissection' named entity 'operating room' named entity 'medical care' named entity 'status 1' named entity 'high-risk' named entity 'COVID' named entity 'health care' named entity 'aortic valve insufficiency' named entity 'epidemic' named entity 'operating room' named entity 'SWAT' named entity 'resource intensity' named entity 'Anesthesiology' named entity 'COVID' named entity 'COVID' named entity 'decompensated' named entity 'COVID' named entity 'ORICUs' named entity 'aneurysm' named entity 'extracorporeal membrane oxygenation' named entity 'comorbidities' named entity 'catheters' named entity 'decompensated heart failure' named entity 'infection' named entity 'ICUs' named entity 'ventricular function' named entity 'ICU' named entity 'aortic stenosis' named entity 'COVID' named entity 'aortic dissection' named entity 'COVID' named entity 'ORICUs' named entity 'endovascular therapy' named entity 'malperfusion' named entity 'surgeon' named entity 'ventilator' named entity 'health care organizations' named entity 'operating room' named entity 'circulatory support' named entity 'COVID' named entity 'COVID-19'

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