A Perspective from New York of COVID 19: Effect and impact on cardiac surgery
- PMID: 32939825
- DOI: 10.1111/jocs.15043
A Perspective from New York of COVID 19: Effect and impact on cardiac surgery
Abstract
Background and aim: First reported in December of 2019, the COVID-19 pandemic caused by SARS-CoV-2 has had a profound impact on the implementation of care. Here, we describe our institutional experience with a rapid influx of patients at the epicenter of the pandemic.
Methods: We retrospectively review our experience with the departments of cardiology, cardiothoracic surgery, anesthesia, and critical care medicine and summarize protocols developed in the midst of the pandemic.
Results: The rapid influx of patients requiring an intensive level of care required a complete restructuring of units, including the establishment of a new COVID-19 negative unit for the care of patients requiring urgent or emergent non-COVID-19 related care including open-heart surgery. This unique unit allowed for the delivery of safe and effective care in the epicenter of the pandemic.
Conclusions: Here, we demonstrate the response of a large tertiary academic medical center to the COVID-19 pandemic. Specifically, we demonstrate how rapid structural changes can allow for the continued delivery of cardiac surgical care with similar outcomes as those reported before the pandemic.
Keywords: COVID-19; SARS-CoV-2; cardiac surgery.
© 2020 Wiley Periodicals LLC.
References
REFERENCES
-
- John Hopkins University Coronavirus Resource Center. Coronavirus COVID-19 global cases. https://coronavirus.jhu.edu/map.html. Accessed 11 May 2020.
-
- Axelson B. Coronavirus timeline in NY: Here's how Gov. Cuomo has responded to COVID-19 pandemic since January. https://www.syracuse.com/coronavirus/2020/04/coronavirus-timeline-in-ny-.... Accessed 14 April 2020.
-
- Griffin KM, Karas MG, Ivascu NS, Lief L. Hospital preparedness for COVID-19: a practical guide from a critical care perspective. Am J Respir Crit Care Med. 2020;201:1337-1344.
-
- Kumaraiah D, Yip N, Ivascu N, Hill L. Innovative ICU Physician Care Models: covid-19 pandemic at New York-Presbyterian. N Engl J Med Catal. 2020:6.
-
- Gaudino M, Chikwe J, Hameed I, Robinson NB, Fremes SE, Ruel M. Response of cardiac surgery units to COVID-19: an Internationally-Based Quantitative Survey. Circulation. 2020;142:300-302.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
Miscellaneous