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Cardiac surgeons between apprehension and ethical duty in the COVID-19 pandemic

BACKGROUND: Cardiothoracic surgeons are facing a big challenge in their surgical practice in the era of the COVID-19 pandemic. The attitude towards performing surgery is influenced by the pandemic. Setting special recommendations for safe cardiothoracic surgery is of extreme importance. METHODS: Thi...

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Autores principales: Bakry, Ahmed MA, Sobhy, Ehab, Abdelmohty, Hysam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7372099/
https://www.ncbi.nlm.nih.gov/pubmed/32686460
http://dx.doi.org/10.1177/0218492320943355
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author Bakry, Ahmed MA
Sobhy, Ehab
Abdelmohty, Hysam
author_facet Bakry, Ahmed MA
Sobhy, Ehab
Abdelmohty, Hysam
author_sort Bakry, Ahmed MA
collection PubMed
description BACKGROUND: Cardiothoracic surgeons are facing a big challenge in their surgical practice in the era of the COVID-19 pandemic. The attitude towards performing surgery is influenced by the pandemic. Setting special recommendations for safe cardiothoracic surgery is of extreme importance. METHODS: This was an observational cross-sectional survey that included 77 Egyptian cardiothoracic surgeons. The survey consisted of a self-administered constructed questionnaire with six sections, and was delivered as a Google Forms questionnaire (https://www.google.com/forms/about) that was sent to individuals via social networks and email. RESULTS: More than 80% of Egyptian cardiothoracic surgeons believe they and their patients are at risk. Out of all participants, none had actually been infected with COVID-19 but 26% had encountered a positive COVID-19 person in their surgical team. Although 51% were testing patients before surgery, they reported 9 confirmed cases postoperatively. Computed tomography was the most recommended investigation prior to surgery (by 69%). Most had postponed elective surgeries and only one-third of all surgeons recommended performing elective surgeries cautiously with pretesting for COVID-19 and maximizing protective measures, while more than 40% recommended not performing high-risk elective surgeries. CONCLUSION: We are committed to the safety of our patients, ourselves, our staff, and our families. Planning for the new phase of reopening, whether total reopening or step-by-step reopening, should carefully consider how we should utilize our resources, respect social distancing, and prevent exposure to untested patients or health workers who might turn out to be an undetected positive case.
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spelling pubmed-73720992022-09-28 Cardiac surgeons between apprehension and ethical duty in the COVID-19 pandemic Bakry, Ahmed MA Sobhy, Ehab Abdelmohty, Hysam Asian Cardiovasc Thorac Ann Special Issue Articles BACKGROUND: Cardiothoracic surgeons are facing a big challenge in their surgical practice in the era of the COVID-19 pandemic. The attitude towards performing surgery is influenced by the pandemic. Setting special recommendations for safe cardiothoracic surgery is of extreme importance. METHODS: This was an observational cross-sectional survey that included 77 Egyptian cardiothoracic surgeons. The survey consisted of a self-administered constructed questionnaire with six sections, and was delivered as a Google Forms questionnaire (https://www.google.com/forms/about) that was sent to individuals via social networks and email. RESULTS: More than 80% of Egyptian cardiothoracic surgeons believe they and their patients are at risk. Out of all participants, none had actually been infected with COVID-19 but 26% had encountered a positive COVID-19 person in their surgical team. Although 51% were testing patients before surgery, they reported 9 confirmed cases postoperatively. Computed tomography was the most recommended investigation prior to surgery (by 69%). Most had postponed elective surgeries and only one-third of all surgeons recommended performing elective surgeries cautiously with pretesting for COVID-19 and maximizing protective measures, while more than 40% recommended not performing high-risk elective surgeries. CONCLUSION: We are committed to the safety of our patients, ourselves, our staff, and our families. Planning for the new phase of reopening, whether total reopening or step-by-step reopening, should carefully consider how we should utilize our resources, respect social distancing, and prevent exposure to untested patients or health workers who might turn out to be an undetected positive case. SAGE Publications 2020-07-19 2022-10 /pmc/articles/PMC7372099/ /pubmed/32686460 http://dx.doi.org/10.1177/0218492320943355 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Special Issue Articles
Bakry, Ahmed MA
Sobhy, Ehab
Abdelmohty, Hysam
Cardiac surgeons between apprehension and ethical duty in the COVID-19 pandemic
title Cardiac surgeons between apprehension and ethical duty in the COVID-19 pandemic
title_full Cardiac surgeons between apprehension and ethical duty in the COVID-19 pandemic
title_fullStr Cardiac surgeons between apprehension and ethical duty in the COVID-19 pandemic
title_full_unstemmed Cardiac surgeons between apprehension and ethical duty in the COVID-19 pandemic
title_short Cardiac surgeons between apprehension and ethical duty in the COVID-19 pandemic
title_sort cardiac surgeons between apprehension and ethical duty in the covid-19 pandemic
topic Special Issue Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7372099/
https://www.ncbi.nlm.nih.gov/pubmed/32686460
http://dx.doi.org/10.1177/0218492320943355
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