COVID-19 and Disruptive Modifications to Cardiac Critical Care Delivery JACC Review Topic of the Week
Por:
Katz, JN, Sinha, SS, Alviar, CL, Dudzinski, DM, Gage, A, Brusca, SB, Flanagan, MC, Welch, T, Geller, BJ, Miller, PE, Leonardi, S, Bohula, EA, Price, S, Chaudhry, SP, Metkus, TS, O'Brien, CG, Sionis, A, Barnett, CF, Jentzer, JC, Solomon, MA, Morrow, DA, van Diepen, S
Publicada:
7 jul 2020
Resumen:
The COVID-19 pandemic has presented a major unanticipated stress on the workforce, organizational structure, systems of care, and critical resource supplies. To ensure provider safety, to maximize efficiency, and to optimize patient outcomes, health systems need to be agile. Critical care cardiologists may be uniquely positioned to treat the numerous respiratory and cardiovascular complications of the SARS-CoV-2 and support clinicians without critical care training who may be suddenly asked to care for critically ill patients. This review draws upon the experiences of colleagues from heavily impacted regions of the United States and Europe, as well as lessons learned from military mass casualty medicine. This review offers pragmatic suggestions on how to implement scalable models for critical care delivery, cultivate educational tools for team training, and embrace technologies (e.g., telemedicine) to enable effective collaboration despite social distancing imperatives. (C) 2020 the American College of Cardiology Foundation. Published by Elsevier. All rights reserved.
Filiaciones:
Katz, JN:
Duke Univ, Div Cardiol, Durham, NC USA
Sinha, SS:
Inova Fairfax Med Ctr, Inova Heart & Vasc Inst, Falls Church, VA USA
Alviar, CL:
NYU Langone Med Ctr, Leon H Charney Div Cardiol, New York, NY USA
Dudzinski, DM:
Massachusetts Gen Hosp, Div Cardiol, Boston, MA 02114 USA
Gage, A:
Cleveland Clin, Div Cardiol, Cleveland, OH 44106 USA
Brusca, SB:
NIH, Clin Ctr, Crit Care Med, Bethesda, MD USA
Flanagan, MC:
Inova Fairfax Med Ctr, Inova Heart & Vasc Inst, Falls Church, VA USA
Welch, T:
Inova Fairfax Med Ctr, Inova Heart & Vasc Inst, Falls Church, VA USA
Virginia Heart, Falls Church, VA USA
Geller, BJ:
Maine Med Ctr, Div Cardiol, Portland, ME 04102 USA
Miller, PE:
Yale Univ, Sch Med, Sect Cardiovasc Med, New Haven, CT USA
Leonardi, S:
Fdn IRCCS Policlin San Matteo, Coronary Care Unit, Pavia, Italy
Fdn IRCCS Policlin San Matteo, Lab Clin & Expt Cardiology, Pavia, Italy
Univ Pavia, Dept Mol Med, Pavia, Italy
Bohula, EA:
Harvard Med Sch, Brigham & Womens Hosp, TIMI Study Grp, Cardiovasc Div, Boston, MA 02115 USA
Price, S:
Royal Brompton Hosp, Royal Brompton & Harefield NHS Fdn Trust, London, England
Chaudhry, SP:
St Vincent Hosp, Dept Cardiol, Indianapolis, IN USA
Metkus, TS:
Johns Hopkins Univ, Sch Med, Div Cardiol, Baltimore, MD USA
O'Brien, CG:
Stanford Univ, Sch Med, Div Cardiovasc Med, Palo Alto, CA 94304 USA
Sionis, A:
Univ Autonoma Barcelona, Biomed Res Inst IIB SantPaul, Hosp Santa Creu & St Pau, Intens Cardiac Care Unit,Cardiol Dept, Barcelona, Spain
Barnett, CF:
Medstar Washington Hosp Ctr, Dept Cardiol, Washington, DC USA
Jentzer, JC:
Mayo Clin, Dept Cardiovasc Med, Rochester, MN USA
Mayo Clin, Div Pulm & Crit Care Med, Rochester, MN USA
Solomon, MA:
NIH, Clin Ctr, Crit Care Med, Bethesda, MD USA
NHLBI, Cardiovasc Branch, NIH, Bldg 10, Bethesda, MD 20892 USA
Morrow, DA:
Harvard Med Sch, Brigham & Womens Hosp, TIMI Study Grp, Cardiovasc Div, Boston, MA 02115 USA
van Diepen, S:
Univ Alberta Hosp, Dept Crit Care, Edmonton, AB, Canada
Univ Alberta Hosp, Dept Med, Div Cardiol, Edmonton, AB, Canada
Green Published
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