Surgical Approach and Management Strategies in a Pediatric Cardiovascular Surgery Clinic During the COVID-19 Outbreak
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| Format: | Artículo científico |
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Sociedade Brasileira de Cirurgia Cardiovascular
2022
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| author | Ergin Arslanoğlu |
| author_facet | Ergin Arslanoğlu |
| contents | Surgical Approach and Management Strategies in a Pediatric Cardiovascular Surgery Clinic During the COVID-19 Outbreak Ergin Arslanoğlu Mehmet Emirhan Işık Kenan Abdurrahman Kara Nihat Çine Eylem Tunçer Hakan Ceyran Medicina 19 Covid Child Early Diagnosis Delivery of Health Care IntroductionThe coronavirus disease 2019 (COVID-19) pandemic has required changes in the management of pediatric cardiac surgery. We would like to share the patient treatment and surgical management strategies employed in our Pediatric Cardiovascular Surgery Clinic during the COVID-19 pandemic.MethodsA total of 112 patients were followed up in our clinic between 11.03.2020 and 02.07.2020. Their mean age was 1,118 (4-5,740) days. Management and treatment were performed by our pediatric heart team (pediatric cardiac anesthetists, general pediatricians, pediatric cardiologists, pediatric cardiac surgeons, and an infectious diseases specialist). We prepared new protocols and a surveillance system specific to the pandemic to prevent in-hospital transmission and reduce postoperative mortality and morbidity; our operations were performed according to these protocols. All decisions pertaining to the operation timing and treatment strategy of our COVID-19-positive patients were made by the same team.ResultsDuring the study period, a total of 112 patients, 69 boys and 43 girls, were hospitalized in our clinic. A total of 333 COVID-19 real-time polymerase chain reaction tests were performed on patients and accompanying persons; positive results were found in three patients and two accompanying individuals.ConclusionBy employing new protocols and a surveillance system throughout the healthcare system, we think that early diagnosis and treatment of the pediatric congenital heart disease population, which is susceptible to infections, can continue unperturbed. This and similar approaches can increase postoperative success and prevent transmission in the pediatric population - which are frequently COVID-19 asymptomatic. 2022 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398972448007 https://www.redalyc.org/journal/3989/398972448007/ https://www.redalyc.org/journal/3989/398972448007/html/ https://www.redalyc.org/journal/3989/398972448007/398972448007.epub https://www.redalyc.org/journal/3989/398972448007/movil 10.21470/1678-9741-2020-0614 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.4 Vol.37 |
| format | Artículo científico |
| id | redalyc_398972448007 |
| institution | Redalyc |
| language | en |
| publishDate | 2022 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| spellingShingle | Surgical Approach and Management Strategies in a Pediatric Cardiovascular Surgery Clinic During the COVID-19 Outbreak Ergin Arslanoğlu Medicina 19 Covid Child Early Diagnosis Delivery of Health Care Surgical Approach and Management Strategies in a Pediatric Cardiovascular Surgery Clinic During the COVID-19 Outbreak Ergin Arslanoğlu Mehmet Emirhan Işık Kenan Abdurrahman Kara Nihat Çine Eylem Tunçer Hakan Ceyran Medicina 19 Covid Child Early Diagnosis Delivery of Health Care IntroductionThe coronavirus disease 2019 (COVID-19) pandemic has required changes in the management of pediatric cardiac surgery. We would like to share the patient treatment and surgical management strategies employed in our Pediatric Cardiovascular Surgery Clinic during the COVID-19 pandemic.MethodsA total of 112 patients were followed up in our clinic between 11.03.2020 and 02.07.2020. Their mean age was 1,118 (4-5,740) days. Management and treatment were performed by our pediatric heart team (pediatric cardiac anesthetists, general pediatricians, pediatric cardiologists, pediatric cardiac surgeons, and an infectious diseases specialist). We prepared new protocols and a surveillance system specific to the pandemic to prevent in-hospital transmission and reduce postoperative mortality and morbidity; our operations were performed according to these protocols. All decisions pertaining to the operation timing and treatment strategy of our COVID-19-positive patients were made by the same team.ResultsDuring the study period, a total of 112 patients, 69 boys and 43 girls, were hospitalized in our clinic. A total of 333 COVID-19 real-time polymerase chain reaction tests were performed on patients and accompanying persons; positive results were found in three patients and two accompanying individuals.ConclusionBy employing new protocols and a surveillance system throughout the healthcare system, we think that early diagnosis and treatment of the pediatric congenital heart disease population, which is susceptible to infections, can continue unperturbed. This and similar approaches can increase postoperative success and prevent transmission in the pediatric population - which are frequently COVID-19 asymptomatic. 2022 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398972448007 https://www.redalyc.org/journal/3989/398972448007/ https://www.redalyc.org/journal/3989/398972448007/html/ https://www.redalyc.org/journal/3989/398972448007/398972448007.epub https://www.redalyc.org/journal/3989/398972448007/movil 10.21470/1678-9741-2020-0614 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.4 Vol.37 |
| title | Surgical Approach and Management Strategies in a Pediatric Cardiovascular Surgery Clinic During the COVID-19 Outbreak |
| topic | Medicina 19 Covid Child Early Diagnosis Delivery of Health Care |
| url | https://www.redalyc.org/articulo.oa?id=398972448007 https://www.redalyc.org/journal/3989/398972448007/ https://www.redalyc.org/journal/3989/398972448007/html/ https://www.redalyc.org/journal/3989/398972448007/398972448007.epub https://www.redalyc.org/journal/3989/398972448007/movil |