Considerations for Pediatric Heart Programs During COVID-19: Recommendations From the Congenital Cardiac Anesthesia Society

Abstract

AAOCA = anomalous aortic origin of a coronary artery; ACS = American College of Surgeons; AGMP = aerosol-generating medical procedures; ASE = American Society of Echocardiography; CCAS = Congenital Cardiac Anesthesia Society; CHD = congenital heart disease; CICU = cardiac intensive care unit; CMS = Center for Medicare and Medicaid Services; COVID-19 = coronavirus disease 2019; CPB = cardiopulmonary bypass; CT = clotting time; EACA = epsilon amino caproic acid; ECMO = extracorporeal membrane oxygenation; EXTEM = extrinsic test from thromboelastometry; FC = fibrinogen concentrate; FEIBA = factor eight inhibitor bypassing activity; FFP = fresh frozen plasma; FIBTEM = fibrinogen test from thromboelastometry; HEPA = high-efficiency particulate air; IDA = iron-deficiency anemia; MUF = modified ultrafiltration; PCC = prothrombin complex concentrate; PDA = patent ductus arteriosus; PLT = platelets; PPE = personal protective equipment; RBC = red blood cell; RT-PCR = reverse transcription-polymerase chain reaction; RV-PA = right ventricle to pulmonary artery; SARS-CoV-2 = severe acute respiratory syndrome coronavirus 2; TEE = transesophageal echocardiography; TXA = tranexamic acid; VAD = ventricular assist device

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“…Our paper applies generally to airborne transmission of a pathogen in the OR, whether SARS-CoV-2 3 , 4 , 5 released by surgical or airway manipulation, or to other airborne contaminants such as electrocautery smoke and tuberculosis. However, maintaining distances from released airborne particles has permeated colloquial considerations since the onset of the COVID-19 pandemic (See Google search at https://FDshort.com/WagnerAirParticles ).…”

Maintaining paediatric cardiac services during the COVID-19 pandemic in a developing country in sub-Saharan Africa: guidelines for a “scale up” in the face of a global “scale down”

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Healthcare Deprived Centers Attempting Congenital Heart Surgery: what is Desirable versus what is Attainable in this Covid Era?

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“…Develop a database to help determine which features of modified protocols that seem most helpful [ 5 - 7 ] .…”