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Noteworthy Literature of 2020: COVID Effects in Cardiac Surgery

Jessica Y Rove1, T Brett Reece1, Joseph C Cleveland1

  • 1University of Colorado, Aurora, CO, USA.

Seminars in Cardiothoracic and Vascular Anesthesia
|May 14, 2021
PubMed

Insights

The COVID-19 pandemic impacted cardiac surgery volumes and raised ethical concerns for resource-intensive procedures. Extracorporeal membrane oxygenation (ECMO) was utilized for COVID-19 patients with refractory respiratory failure.

Area of Science:

  • Medicine
  • Cardiology
  • Surgery

Background:

  • The COVID-19 pandemic has profoundly impacted global healthcare systems.
  • Cardiac surgery services faced unprecedented challenges and adaptations.

Purpose of the Study:

  • To review the effects of the COVID-19 pandemic on cardiac surgery.
  • To examine changes in surgical volumes, ethical considerations, and the use of advanced life support.

Main Methods:

  • Literature review and synthesis of available data.
  • Analysis of pandemic-related impacts on cardiac surgical practices.

Main Results:

  • Significant alterations in cardiac surgery volumes were observed.
  • Ethical dilemmas arose concerning resource allocation for complex procedures like aortic dissection and heart transplantation.
  • Extracorporeal membrane oxygenation (ECMO) played a crucial role in managing COVID-19-induced respiratory failure.

Conclusions:

  • The pandemic necessitated critical adjustments in cardiac surgery.
  • Ethical frameworks and resource management strategies require ongoing evaluation.
  • The role of ECMO in critical care settings warrants further investigation.

Keywords:
COVID-19ECMOaortic dissectioncardiac surgeryheart transplantation

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