Cardiac surgery during the COVID ‐19 sine wave: Preparation once, preparation twice. A view from Houston

AbstractThe novel coronavirus disease (COVID ‐19) pandemic has created major challenges and disruptions to hospitals throughout the world, with profound implications for cardiac surgery and cardiac surgeons. In this review, we highlight the hospital and cardiac surgical experience at Baylor St. Luke's Medical Center in the Texas Medical Cent er in Houston, Texas as of mid‐July 2020. Our local experience has consisted of a spring surge (early March to early May), followed by a relative flattening and then a summer surge (early June to present day), similar to a sine wave. Throughout the entire pandemic, our simultaneous medical priorit ies have been treating the growing number of patients with COVID‐19 while continuing to provide needed care for those without COVID‐19. The current situation will be the “new normal” until a vaccine becomes available. It will be vital to stay attuned to epidemiologists, public health officia ls, and infection control experts, because what they see today, the intensive care units will see tomorrow. The lessons we have learned are outlined in this review but can be summarized most succinctly: preparation. We must prepare in advance, stockpile supplies and personal protective equipment, ha ve rapid and vigorous testing protocols in place, utilize technology (eg, online meetings, videoconference “office visits”), and encourage hospital‐wide and community protective efforts (social distancing, mask wearing, hand hygiene). Hopefully,...
Source: Journal of Cardiac Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Special Section: Cardiac Surgery Amid COVID 19 Source Type: research