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Cardiac Surgery During the Coronavirus Disease 2019 Pandemic: Perioperative Considerations and Triage Recommendations.
J Am Heart Assoc. 2020 07 07; 9(13):e017042.JA

Abstract

The coronavirus disease 2019 pandemic, caused by severe acute respiratory syndrome coronavirus-2, represents the third human affliction attributed to the highly pathogenic coronavirus in the current century. Because of its highly contagious nature and unprecedented global spread, its aggressive clinical presentation, and the lack of effective treatment, severe acute respiratory syndrome coronavirus-2 infection is causing the loss of thousands of lives and imparting unparalleled strain on healthcare systems around the world. In the current report, we discuss perioperative considerations for patients undergoing cardiac surgery and provide clinicians with recommendations to effectively triage and plan these procedures during the coronavirus disease 2019 outbreak. This will help reduce the risk of exposure to patients and healthcare workers and allocate resources appropriately to those in greatest need. We include an algorithm for preoperative testing for coronavirus disease 2019, personal protective equipment recommendations, and a classification system to categorize and prioritize common cardiac surgery procedures.

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Authors+Show Affiliations

Patel V
Department of Cardiothoracic Surgery Baylor College of Medicine Houston TX.
Jimenez E
Department of Cardiothoracic Surgery Baylor College of Medicine Houston TX.
Cornwell L
Department of Cardiothoracic Surgery Baylor College of Medicine Houston TX.
Tran T
Department of Cardiothoracic Surgery Baylor College of Medicine Houston TX.
Paniagua D
Cardiology Baylor College of Medicine Houston TX.
Denktas AE
Cardiology Baylor College of Medicine Houston TX.
Chou A
Infectious Disease Baylor College of Medicine Houston TX.
Hankins SJ
Anesthesiology Baylor College of Medicine Houston TX.
Bozkurt B
Cardiology Baylor College of Medicine Houston TX.
Rosengart TK
Department of Cardiothoracic Surgery Baylor College of Medicine Houston TX.
Jneid H
Cardiology Baylor College of Medicine Houston TX.

MeSH

BetacoronavirusCOVID-19Cardiac Surgical ProceduresComorbidityCoronavirus InfectionsDisease Transmission, InfectiousHeart DiseasesHumansPandemicsPerioperative PeriodPersonal Protective EquipmentPneumonia, ViralPractice Guidelines as TopicSARS-CoV-2Triage

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.
Review

Language

eng

PubMed ID

32418460

Citation

Patel, Vivek, et al. "Cardiac Surgery During the Coronavirus Disease 2019 Pandemic: Perioperative Considerations and Triage Recommendations." Journal of the American Heart Association, vol. 9, no. 13, 2020, pp. e017042.
Patel V, Jimenez E, Cornwell L, et al. Cardiac Surgery During the Coronavirus Disease 2019 Pandemic: Perioperative Considerations and Triage Recommendations. J Am Heart Assoc. 2020;9(13):e017042.
Patel, V., Jimenez, E., Cornwell, L., Tran, T., Paniagua, D., Denktas, A. E., Chou, A., Hankins, S. J., Bozkurt, B., Rosengart, T. K., & Jneid, H. (2020). Cardiac Surgery During the Coronavirus Disease 2019 Pandemic: Perioperative Considerations and Triage Recommendations. Journal of the American Heart Association, 9(13), e017042. https://doi.org/10.1161/JAHA.120.017042
Patel V, et al. Cardiac Surgery During the Coronavirus Disease 2019 Pandemic: Perioperative Considerations and Triage Recommendations. J Am Heart Assoc. 2020 07 7;9(13):e017042. PubMed PMID: 32418460.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cardiac Surgery During the Coronavirus Disease 2019 Pandemic: Perioperative Considerations and Triage Recommendations. AU - Patel,Vivek, AU - Jimenez,Ernesto, AU - Cornwell,Lorraine, AU - Tran,Trung, AU - Paniagua,David, AU - Denktas,Ali E, AU - Chou,Andrew, AU - Hankins,Samuel J, AU - Bozkurt,Biykem, AU - Rosengart,Todd K, AU - Jneid,Hani, Y1 - 2020/05/16/ PY - 2020/5/19/pubmed PY - 2020/7/21/medline PY - 2020/5/19/entrez KW - COVID‐19 KW - SARS‐CoV‐2 KW - cardiac KW - coronary artery bypass grafting KW - surgery KW - virus SP - e017042 EP - e017042 JF - Journal of the American Heart Association JO - J Am Heart Assoc VL - 9 IS - 13 N2 - The coronavirus disease 2019 pandemic, caused by severe acute respiratory syndrome coronavirus-2, represents the third human affliction attributed to the highly pathogenic coronavirus in the current century. Because of its highly contagious nature and unprecedented global spread, its aggressive clinical presentation, and the lack of effective treatment, severe acute respiratory syndrome coronavirus-2 infection is causing the loss of thousands of lives and imparting unparalleled strain on healthcare systems around the world. In the current report, we discuss perioperative considerations for patients undergoing cardiac surgery and provide clinicians with recommendations to effectively triage and plan these procedures during the coronavirus disease 2019 outbreak. This will help reduce the risk of exposure to patients and healthcare workers and allocate resources appropriately to those in greatest need. We include an algorithm for preoperative testing for coronavirus disease 2019, personal protective equipment recommendations, and a classification system to categorize and prioritize common cardiac surgery procedures. SN - 2047-9980 UR - https://www.unboundmedicine.com/medline/citation/32418460/Cardiac_Surgery_During_the_Coronavirus_Disease_2019_Pandemic:_Perioperative_Considerations_and_Triage_Recommendations_ DB - PRIME DP - Unbound Medicine ER -