Providing safe perioperative care in cardiac surgery during the COVID-19 pandemic

Mihalj, Maks; Mosbahi, Selim; Schmidli, Juerg; Heinisch, Paul Philipp; Reineke, David; Schoenhoff, Florian; Kadner, Alexander; Schefold, Joerg C.; Raeber, Lorenz; Potapov, Evgenij V.; Luedi, Markus M. (2021). Providing safe perioperative care in cardiac surgery during the COVID-19 pandemic (In Press). Best Practice & Research Clinical Anaesthesiology Elsevier 10.1016/j.bpa.2021.01.002

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The coronavirus disease 2019 (COVID-19) pandemic has potentiated the need for implementation of strict safety measures in the medical care of surgical patients – and especially in cardiac surgery patients, who are at a higher risk of COVID-19-associated morbidity and mortality. Such measures not only require minimization of patients’ exposure to COVID-19 but also careful balancing of the risks of postponing nonemergent surgical procedures and providing appropriate and timely surgical care. We provide an overview of current evidence for preoperative strategies used in cardiac surgery patients, including risk stratification, telemedicine, logistical challenges during inpatient care, appropriate screening capacity, and decision-making on when to safely operate on COVID-19 patients. Further, we focus on perioperative measures such as safe operating room management and address the dilemma over when to perform cardiovascular surgical procedures in patients at risk.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic of Intensive Care
04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy
04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiology
04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiovascular Surgery

UniBE Contributor:

Mihalj, Maks; Mosbahi, Selim; Schmidli, Jürg; Heinisch, Paul Philipp; Reineke, David Christian; Schönhoff, Florian; Kadner, Alexander; Schefold, Jörg Christian; Räber, Lorenz and Lüdi, Markus

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1521-6896

Publisher:

Elsevier

Language:

English

Submitter:

Jeannie Wurz

Date Deposited:

28 Apr 2021 11:57

Last Modified:

28 Apr 2021 11:57

Publisher DOI:

10.1016/j.bpa.2021.01.002

BORIS DOI:

10.48350/153783

URI:

https://boris.unibe.ch/id/eprint/153783

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