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Creation of Patient-Specific Silicone Cardiac Models with Applications in Pre-surgical Plans and Hands-on Training
Published on: February 10, 2022
Cardiac surgeons' concerns, perceptions, and responses during the COVID-19 pandemic
Jessica G Y Luc1, Niv Ad2,3, Tom C Nguyen4
1Division of Cardiovascular Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada.
Insights
Cardiac surgeons faced significant concerns during the COVID-19 pandemic, including personal and family health risks and personal protective equipment (PPE) shortages. Many adopted PPE conservation strategies due to high pandemic burden.
Area of Science:
- Cardiovascular Surgery
- Public Health
- Infectious Diseases
Background:
- The COVID-19 pandemic significantly disrupted healthcare, particularly impacting cardiac surgery.
- This study addresses the specific concerns and adaptive strategies of cardiac surgeons during this crisis.
Purpose of the Study:
- To investigate the perceptions and practice changes of North American cardiac surgeons during the COVID-19 pandemic.
- To understand the challenges faced by cardiac surgeons regarding personal safety and resource availability.
Main Methods:
- A survey was distributed to adult cardiac surgery centers across North America.
- Data on surgeon concerns, practice modifications, and personal protective equipment (PPE) usage were collected and analyzed.
Main Results:
- Nurses (88%) and advanced care practitioners (69%) were most frequently redeployed; surgeons (25%) also experienced redeployment.
- Top surgeon concerns included family exposure (81%), personal infection (68%), and PPE shortages (28%).
- Nearly half of N95 respirator users employed decontamination (49%) or reuse strategies, influenced by institutional COVID-19 burden.
Conclusions:
- COVID-19 profoundly impacted North American cardiac surgeons, highlighting workforce and resource challenges.
- Findings underscore the need for improved preparedness strategies for future healthcare crises and pandemic surges.
Background:
The coronavirus disease 2019 (COVID-19) pandemic has had an unprecedented impact on health care and cardiac surgery. We report cardiac surgeons' concerns, perceptions, and responses during the COVID-19 pandemic.
Methods:
A detailed survey was sent to recruit participating adult cardiac surgery centers in North America. Data regarding cardiac surgeons' perceptions and changes in practice were analyzed.
Results:
Our study comprises 67 institutions with diverse geographic distribution across North America. Nurses were most likely to be redeployed (88%), followed by advanced care practitioners (69%), trainees (28%), and surgeons (25%). Examining surgeon concerns in regard to COVID-19, they were most worried with exposing their family to COVID-19 (81%), followed by contracting COVID-19 (68%), running out of personal protective equipment (PPE) (28%), and hospital resources (28%). In terms of PPE conservation strategies among users of N95 respirators, nearly half were recycling via decontamination with ultraviolet light (49%), followed by sterilization with heat (13%) and at home or with other modalities (13%). Reuse of N95 respirators for 1 day (22%), 1 week (21%) or 1 month (6%) was reported. There were differences in adoption of methods to conserve N95 respirators based on institutional pandemic phase and COVID-19 burden, with higher COVID-19 burden institutions more likely to resort to PPE conservation strategies.
Conclusions:
The present study demonstrates the impact of COVID-19 on North American cardiac surgeons. Our study should stimulate further discussions to identify optimal solutions to improve workforce preparedness for subsequent surges, as well as facilitate the navigation of future healthcare crises.
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