Best practice in cardiac anesthesia during the COVID-19 pandemic: Practical recommendations

Area of Science:

• Anesthesiology
• Cardiovascular Surgery
• Infectious Diseases

Background:

• The COVID-19 pandemic significantly impacted healthcare systems, including cardiac surgery.
• Adapting cardiac anesthesia practices became crucial for patient and staff safety.

Purpose of the Study:

• To review and synthesize practical aspects of safe cardiac anesthesia delivery during the COVID-19 pandemic.
• To outline strategies for managing patients undergoing cardiac surgery in the context of COVID-19.

Main Methods:

• This is a review article synthesizing information from relevant international guidelines.
• Key aspects of perioperative management for cardiac anesthesia during the pandemic were identified.

Main Results:

• Cardiac surgery timing should be prioritized based on individual patient needs, with potential postponement advised.
• Preanesthetic evaluation must focus on respiratory status, treating all emergency surgery patients as potentially infectious.
• Specific protocols for confirmed or suspected COVID-19 patients include draping equipment and strict adherence to guidelines to maintain operating room integrity.

Conclusions:

• Careful patient prioritization and thorough respiratory assessment are vital for safe cardiac anesthesia during the pandemic.
• Implementing stringent protective measures and following international guidelines are essential for managing COVID-19-positive or suspected cardiac surgery patients.