Safe performance of echocardiography during the COVID-19 pandemic: a practical guide

Matteo Cameli1, Maria Concetta Pastore1, Michael Henein2,3,4

  • 1Department of Medical Biotechnologies, Division of Cardiology, University of Siena, Siena 53100, Italy.

Insights

Healthcare workers performing echocardiography during the COVID-19 pandemic face high contagion risks. This guide offers strategies, including the PREVENT mnemonic, to ensure patient care while protecting staff and preventing virus spread.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Public Health

Background:

  • The Coronavirus disease-2019 (COVID-19) pandemic presents a global healthcare emergency.
  • Healthcare workers are at high risk of contagion due to close patient contact, especially during echocardiography.
  • Standard echocardiography procedures require adaptation to mitigate COVID-19 transmission risks.

Purpose of the Study:

  • To provide a guide for clinicians performing echocardiography during the COVID-19 pandemic.
  • To balance optimal patient care with the protection of healthcare professionals and other patients.
  • To introduce the PREVENT mnemonic for safe echocardiographic examination protocols.

Main Methods:

  • Review and adaptation of standard echocardiography practices for the COVID-19 scenario.
  • Emphasis on risk assessment, personal protective equipment (PPE) selection, and environmental sanitization.
  • Development and application of the PREVENT mnemonic as a framework for safe procedures.

Main Results:

  • Modified echocardiography protocols can minimize contagion risks for healthcare workers.
  • Strategic implementation of PPE, optimized exam efficiency, and thorough sanitization are crucial.
  • The PREVENT mnemonic serves as a practical tool for adherence to safety guidelines.

Conclusions:

  • Adapting echocardiography practices is essential for maintaining diagnostic services during pandemics.
  • The PREVENT mnemonic offers a structured approach to safe echocardiography, protecting both patients and providers.
  • Implementing these guidelines helps balance clinical responsibilities with infection control during the COVID-19 crisis.

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