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10.1097/TXD.0000000000001002

http://scihub22266oqcxt.onion/10.1097/TXD.0000000000001002
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32607420!7266363!32607420
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suck abstract from ncbi

pmid32607420      Transplant+Direct 2020 ; 6 (6): e554
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  • Practical Considerations for Solid Organ Transplantation During the COVID-19 Global Outbreak: The Experience from Singapore #MMPMID32607420
  • Chung SJ; Tan EK; Kee T; Krishnamoorthy TL; Phua GC; Sewa DW; Ong BH; Tan TE; Sivathasan C; Gan HLV; Goh BKP; Jeyaraj PR; Tan BH
  • Transplant Direct 2020[Jun]; 6 (6): e554 PMID32607420show ga
  • The current coronavirus disease 2019 (COVID-19) pandemic has not only caused global social disruptions but has also put tremendous strain on healthcare systems worldwide. With all attention and significant effort diverted to containing and managing the COVID-19 outbreak (and understandably so), essential medical services such as transplant services are likely to be affected. Closure of transplant programs in an outbreak caused by a highly transmissible novel pathogen may be inevitable owing to patient safety. Yet program closure is not without harm; patients on the transplant waitlist may die before the program reopens. By adopting a tiered approach based on outbreak disease alert levels, and having hospital guidelines based on the best available evidence, life-saving transplants can still be safely performed. We performed a lung transplant and a liver transplant successfully during the COVID-19 era. We present our guidelines and experience on managing the transplant service as well as the selection and management of donors and recipients. We also discuss clinical dilemmas in the management COVID-19 in the posttransplant recipient.
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