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Adult cardiac surgery in Trinidad and Tobago during the COVID‐19 pandemic: Lessons from a developing country

BACKGROUND AND AIM: The coronavirus disease 2019 (COVID‐19) pandemic has seen the cancellation of elective cardiac surgeries worldwide. Here we report the experience of a cardiac surgery unit in a developing country in response to the COVID‐19 crisis. METHODS: From 6th April to 12th June 2020, 58 pa...

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Autores principales: Ramsingh, Richard A. E., Duval, Jean‐Luc, Rahaman, Natasha C., Rampersad, Risshi D., Angelini, Gianni D., Teodori, Giovanni
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7461539/
https://www.ncbi.nlm.nih.gov/pubmed/32845035
http://dx.doi.org/10.1111/jocs.14975
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author Ramsingh, Richard A. E.
Duval, Jean‐Luc
Rahaman, Natasha C.
Rampersad, Risshi D.
Angelini, Gianni D.
Teodori, Giovanni
author_facet Ramsingh, Richard A. E.
Duval, Jean‐Luc
Rahaman, Natasha C.
Rampersad, Risshi D.
Angelini, Gianni D.
Teodori, Giovanni
author_sort Ramsingh, Richard A. E.
collection PubMed
description BACKGROUND AND AIM: The coronavirus disease 2019 (COVID‐19) pandemic has seen the cancellation of elective cardiac surgeries worldwide. Here we report the experience of a cardiac surgery unit in a developing country in response to the COVID‐19 crisis. METHODS: From 6th April to 12th June 2020, 58 patients underwent urgent or emergency cardiac surgery. Data was reviewed from a prospectively entered unit‐maintained cardiac surgery database. To ensure safe delivery of care to patients, a series of strict measures were implemented which included: a parallel healthcare system maintaining a COVID‐19 cold site, social isolation of patients for one to 2 weeks before surgery, polymerase chain reaction testing for COVID‐19, 72 hours before surgery, discrete staff assigned only to cardiac surgical cases socially isolated for 2 weeks as necessary. RESULTS: The mean age at surgery was 59.7 ± 11 years and 41 (70.7%) were male. Fifty‐two patients were hypertensive (90%), and 32 were diabetic (55.2%). There were three emergency type A aortic dissections. Forty‐seven patients underwent coronary artery bypass graft surgery with all but three performed off‐pump. Fourteen cases required blood product transfusion. One patient had postoperative pneumonia associated with chronic obstructive pulmonary disease. The median length of stay was 5.7 ± 1.8 days. All patients were discharged home after rehabilitation. There were no cases of COVID‐19 infection among healthcare workers during the study period. CONCLUSION: These strategies allowed us to maintain a service for urgent and emergency procedures and may prove useful for larger countries when there is decrease in COVID‐19 cases and planning for the restart of elective cardiac surgery.
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spelling pubmed-74615392020-09-02 Adult cardiac surgery in Trinidad and Tobago during the COVID‐19 pandemic: Lessons from a developing country Ramsingh, Richard A. E. Duval, Jean‐Luc Rahaman, Natasha C. Rampersad, Risshi D. Angelini, Gianni D. Teodori, Giovanni J Card Surg Original Articles BACKGROUND AND AIM: The coronavirus disease 2019 (COVID‐19) pandemic has seen the cancellation of elective cardiac surgeries worldwide. Here we report the experience of a cardiac surgery unit in a developing country in response to the COVID‐19 crisis. METHODS: From 6th April to 12th June 2020, 58 patients underwent urgent or emergency cardiac surgery. Data was reviewed from a prospectively entered unit‐maintained cardiac surgery database. To ensure safe delivery of care to patients, a series of strict measures were implemented which included: a parallel healthcare system maintaining a COVID‐19 cold site, social isolation of patients for one to 2 weeks before surgery, polymerase chain reaction testing for COVID‐19, 72 hours before surgery, discrete staff assigned only to cardiac surgical cases socially isolated for 2 weeks as necessary. RESULTS: The mean age at surgery was 59.7 ± 11 years and 41 (70.7%) were male. Fifty‐two patients were hypertensive (90%), and 32 were diabetic (55.2%). There were three emergency type A aortic dissections. Forty‐seven patients underwent coronary artery bypass graft surgery with all but three performed off‐pump. Fourteen cases required blood product transfusion. One patient had postoperative pneumonia associated with chronic obstructive pulmonary disease. The median length of stay was 5.7 ± 1.8 days. All patients were discharged home after rehabilitation. There were no cases of COVID‐19 infection among healthcare workers during the study period. CONCLUSION: These strategies allowed us to maintain a service for urgent and emergency procedures and may prove useful for larger countries when there is decrease in COVID‐19 cases and planning for the restart of elective cardiac surgery. John Wiley and Sons Inc. 2020-08-26 2020-12 /pmc/articles/PMC7461539/ /pubmed/32845035 http://dx.doi.org/10.1111/jocs.14975 Text en © 2020 The Authors. Journal of Cardiac Surgery published by Wiley Periodicals LLC https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Ramsingh, Richard A. E.
Duval, Jean‐Luc
Rahaman, Natasha C.
Rampersad, Risshi D.
Angelini, Gianni D.
Teodori, Giovanni
Adult cardiac surgery in Trinidad and Tobago during the COVID‐19 pandemic: Lessons from a developing country
title Adult cardiac surgery in Trinidad and Tobago during the COVID‐19 pandemic: Lessons from a developing country
title_full Adult cardiac surgery in Trinidad and Tobago during the COVID‐19 pandemic: Lessons from a developing country
title_fullStr Adult cardiac surgery in Trinidad and Tobago during the COVID‐19 pandemic: Lessons from a developing country
title_full_unstemmed Adult cardiac surgery in Trinidad and Tobago during the COVID‐19 pandemic: Lessons from a developing country
title_short Adult cardiac surgery in Trinidad and Tobago during the COVID‐19 pandemic: Lessons from a developing country
title_sort adult cardiac surgery in trinidad and tobago during the covid‐19 pandemic: lessons from a developing country
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7461539/
https://www.ncbi.nlm.nih.gov/pubmed/32845035
http://dx.doi.org/10.1111/jocs.14975
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