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2020 ; 34
(3
): 569-582
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Best practice in cardiac anesthesia during the COVID-19 pandemic: Practical
recommendations
#MMPMID33004168
Moka E
; Paladini A
; Rekatsina M
; Urits I
; Viswanath O
; Kaye AD
; Pergolizzi JV
; Yeam CT
; Varrassi G
Best Pract Res Clin Anaesthesiol
2020[Sep]; 34
(3
): 569-582
PMID33004168
show ga
The COVID-19 outbreak has influenced the entire health care system, including
cardiac surgery. In this review, the authors reveal practical aspects that are
important during the COVID-19 pandemic with regards to the safe delivery of
cardiac anesthesia. Timing for operations of the cardio-vascular system may be
well programmed in most cases. Hence, the level of priorities must be defined for
any single patient. The postponement of surgery may be convenient for most cases,
if it is made in the best interest of the patient. The preanesthetic evaluation
should be attentive of the respiratory history of the patient. Cardiac anesthesia
always implies some respiratory monitoring; hence the existing clinical situation
of the patient's respiratory system should be clear. In case of emergency
surgery, the patient should be treated as if they potentially have or are at risk
for the virus. In the case of a COVID-19 confirmed or suspected patient,
attention must be made to preserve operating room and team integrity. The
machineries are to be draped with plastic to simplify the disinfection after the
operation. Perioperative management of suspected or confirmed COVID-19 patients
must strictly follow the most relevant international guidelines. This review
article has synthesized the common aspects present in the most important of
these.
|*Betacoronavirus
[MESH]
|Anesthesia, Cardiac Procedures/*methods
[MESH]
|COVID-19
[MESH]
|Coronavirus Infections/*prevention & control
[MESH]