Perioperative planning in the COVID-19 pandemic: Cardiovascular perfusion and device-related issues

Günaydın, Serdar

doi:10.5606/tgkdc.dergisi.2020.09296

Cited by 4 publications

(6 citation statements)

References 7 publications

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“…Another option is to scavenge the membrane oxygenator's gas exhaust port by the use of a gas scavenging system. 36 Fluid management. The volume status of the COVID-19 patient should be carefully assessed.…”

Section: Cardiopulmonary Bypassmentioning

confidence: 99%

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Perioperative management of COVID-19 patients undergoing cardiac surgery with cardiopulmonary bypass

Günaydın

Stammers²

2020

Perfusion

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Coronavirus disease 2019 (COVID-19) is a serious health concern which affects all healthcare professionals worldwide. The pandemic puts health services, including cardiac surgery units, under escalating pressure. There are significant challenges caused by this novel virus and ensuing disease that leads to great uncertainty. While it has been advocated to delay elective surgeries, most cardiac surgical patients present in a more urgent manner which elevates the critical nature for intervention, which may make the surgical decision inevitable. To date, no definitive treatments to the pandemic have been promoted. Cardiac surgical centers may experience an increasing number of COVID-19 patients in clinical practice. Preparation for managing these patients will require a change in the current modalities for perioperative care. Therefore, the goal of this report is to share our own experiences, combined with a review of the emerging literature, by highlighting principles for the adult cardiac surgery community regarding treatment of patients scheduled for surgery. The following report will recommend perioperative guidance in patient management to include safety precautions for the heart team, the conduct of extracorporeal circulation and related equipment, and covering the early period in intensive care in the context of the current pandemic.

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Section: Cardiopulmonary Bypassmentioning

confidence: 99%

“…Another option is to scavenge the membrane oxygenator’s gas exhaust port by the use of a gas scavenging system. 36…”

Section: Introductionmentioning

confidence: 99%

Perioperative management of COVID-19 patients undergoing cardiac surgery with cardiopulmonary bypass

Günaydın

Stammers²

2020

Perfusion

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“…Accumulating evidence suggests that a subgroup of patients with severe COVID-19 may have cytokine storm syndrome. It is recommended identifying and treating hyperinflammation using existing, approved treatments with proven safety profiles to meet the need to immediately reduce rising mortality rates (Günaydın, 2020).…”

Section: Protection For Covid-19 During the Surgerymentioning

confidence: 99%

Thromboembolic complications in Takotsubo Syndrome during Covid-19 outbreak. A review with case report

Kolbakir¹,

Yücel²,

Deşer³

et al. 2021

JECM

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New coronavirus (COVID-19) outbreak, which started in Wuhan, China and spread rapidly all over the world, has become the most important cause of the emotional distress for susceptible people. Because the people also remained in fear and anxiety during the period when the elderly population in the whole country was desperate due to the COVID-19 outbreak and was asked to stay at home in fear of death. In addition, the fact that the patients were hospitalized together with COVID-19 patients caused his psychological distress to be experienced even more. Takotsubo Syndrome (TTS) is known as a distress-induced transient left ventricular dysfunction. In our patient with TTS, it was found that a new apical thrombus, which was not seen in the left ventricle, was seen in previous echo and computerized tomographic investigation, and that it was a source of thromboemboli, by stress triggering neurocardiac reactions. While under the medical treatment of viral pneumonia, under the Coronavirus transmission measures, thrombus in the LV was removed by being taken to the emergency open heart surgery. Our case is the first patient in the literature where a new thrombus developed in the LV and splenic infarction in TTS triggered by the pandemic. In this article; We have presented the experience of TTS triggered by pandemic, etiopathogenesis of left ventricular thrombus, open heart surgery indications when COVID-19 is suspected, coronavirus transmission measures in the surgical approach, the postoperative treatment and literature is reviewed.

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“…These measures are consisting of disposable surgical cap, N95/FFP3 mask, scrub, disposable surgical gown, disposable latex gloves, face protective shield, and protective glasses. 15 The surgeons, anaesthesiologists, anaesthesia technicians, surgical nurses, circulating nurses, perfusionists, and OR staff who comprise of the operation team have been created with the fewest possible people. Thus, contact was minimised.…”

Section: Pre-operative Organisationmentioning

confidence: 99%

“…So, patient blood management gains importance in this pandemic process. 15 The prime solution for CPB is prepared using erythrocyte suspension, fresh frozen plasma, and human albumin, especially in newborns and low-body weight infants, to prevent haemodilution. In this process, we aimed to reduce the patient's blood product exposure by reducing the amount of blood product used in prime solutions to reduce blood product use.…”

Section: Pre-operative Organisationmentioning

confidence: 99%

Management of congenital cardiac surgery during COVID-19 pandemic

et al. 2020

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The new Coronavirus infection, which was first seen in China in late December 2019 and eventually became a worldwide pandemic, poses a serious threat to public health. After a high spike in the number of new COVID-19 infection cases following increase in overall daily death toll in Turkey, Turkish Ministry of Health has taken immediate precautions to postpone elective surgeries in order to reduce the burden to the healthcare system which might be challenged. Whereas different areas of medicine were able to suspend their operative procedures during this period, this was not completely possible in pediatric cardiovascular surgery due to the severity and urgency of congenital heart disease patients requiring operation. Based on the guideline that was published by the Turkish Pediatric Cardiology and Cardiac Surgery Association, in which the patients requiring surgical intervention during the Covid-19 pandemic period are ranked according to the priority, directions were given regarding the operations that hereby, be delayed, we report our experience in 29 cases retrospectively, regarding the preoperative evaluation of these patients, makings of an emergency operation decision, and strategies taken about intraoperative and postoperative management and arrangements during the pandemic period. In this article, we present crucial precautions that was applied in pediatric cardiovascular surgery and extensive list of cases in order to deliver highest level of the patient safety and protection for the surgical team.

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Perioperative planning in the COVID-19 pandemic: Cardiovascular perfusion and device-related issues

Cited by 4 publications

References 7 publications

Perioperative management of COVID-19 patients undergoing cardiac surgery with cardiopulmonary bypass

Perioperative management of COVID-19 patients undergoing cardiac surgery with cardiopulmonary bypass

Thromboembolic complications in Takotsubo Syndrome during Covid-19 outbreak. A review with case report

Management of congenital cardiac surgery during COVID-19 pandemic

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