Adult cardiovascular surgery and the coronavirus disease 2019 (COVID-19) pandemic: The Italian experience

Francesco Donatelli, Antonio Miceli, Mattia Glauber, Silvia Cirri, Ciro Maiello, Enrico Coscioni, Claudio Napoli

科研成果: 期刊稿件文章同行评审

3 引用 (Scopus)

摘要

The coronavirus disease 2019 (COVID-19) pandemic has profoundly affected all health care professionals. The outbreak required a thorough reorganization of the Italian regional local health care system to preserve resources such as ventilators, beds in intensive care units and surgical and anaesthesiological staff. Levels of priority were created, together with a rigorous triage procedure for patients with COVID-19, which led to postponement of all elective procedures. Urgent cases were discussed with the local heart team and percutaneous approaches were selected as the first treatment option to reduce hospital stay. COVID-19 and COVID-19-free pathways were created, including adequate preparation of the operating room, management of anaesthesiological procedures, transportation of patients and disinfection. It was determined that patients with chronic diseases were at increased risk of adverse outcomes. Systemic inflammation, cytokine storm and hypercoagulability associated with COVID-19 increased the risk of heart failure and cardiac death. In this regard, the early use of extracorporeal membrane oxygenation could be life-saving in patients with severe forms of acute respiratory distress syndrome or refractory heart failure. The goal of this paper was to report the Italian experience during the COVID-19 pandemic in the setting of cardiovascular surgery.
源语言英语
期刊Interactive cardiovascular and thoracic surgery
31
6
DOI
已出版 - 1 十二月 2021

指纹 探究 'Adult cardiovascular surgery and the coronavirus disease 2019 (COVID-19) pandemic: The Italian experience' 的科研主题。它们共同构成独一无二的指纹。

引用此