Cardiac surgery during the COVID-19 pandemic

Area of Science:

• Cardiology
• Thoracic Surgery
• Infectious Diseases

Background:

• The COVID-19 pandemic presented unprecedented challenges to healthcare systems globally.
• Cardiac surgery units faced unique operational hurdles due to the pandemic's specific and general implications.

Purpose of the Study:

• To outline the multifaceted impacts of the COVID-19 pandemic on cardiac surgery operations.
• To detail the consequences of pandemic-related resource allocation and personnel shortages on elective cardiac procedures.

Main Methods:

• Analysis of operational changes and resource allocation within cardiac surgery departments during the pandemic.
• Review of patient management strategies, including the increased need for extracorporeal oxygenation.
• Assessment of the effects on elective surgery scheduling and waiting lists.

Main Results:

• Increased demand for extracorporeal oxygenation necessitated reallocation of intensive care unit (ICU) beds.
• Limited ICU bed availability and staff shortages significantly reduced capacity for elective cardiac surgeries.
• Development of emergency plans led to decreased surgical volumes, longer waiting lists, and financial challenges for units.

Conclusions:

• The COVID-19 pandemic severely disrupted cardiac surgery services, affecting patient care and unit finances.
• Pandemic preparedness and flexible resource management are crucial for maintaining essential surgical services during public health crises.