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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.
Abstract:
Coronavirus disease-2019 (COVID-19) outbreak has become a worldwide healthcare emergency, with continuously growing number of infected subjects. Considering the easy virus spread through respiratory droplets produced with cough, sneezes or spit or through close contact with infected people or surfaces, healthcare workers are further exposed to COVID-19. Particularly, echocardiography remains an essential diagnostic service which, due to the close contact with patients during the exam, provides echocardiographers high-risk of contagion. Therefore, the common modalities of performing echocardiography should be improved in this scenario, avoiding performing unnecessary exams, using the appropriate personal protective equipment depending on patients' status and location, optimizing time-effectiveness of the echocardiographic study and accurately sanitizing the environment and devices after each exam. This paper aims to provide a simple guide for the clinicians to balance between providing the best care to each patient and protecting themselves and other patients from the spread of the virus. It also proposes the use of the mnemonic PREVENT to resume the crucial indications to be followed for the execution of appropriate echocardiographic examination during the COVID-19 pandemic.
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