Surgical Approach and Management Strategies in a Pediatric Cardiovascular Surgery Clinic During the COVID-19 Outbreak
ABSTRACT Introduction: The coronavirus disease 2019 (COVID-19) pandemic has required changes in the management of pediatric cardiac surgery. We would like to share the patient treatment and surgical management strategies employed in our Pediatric Cardiovascular Surgery Clinic during the COVID-19 pa...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Cardiovascular
2022-06-01
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| Series: | Brazilian Journal of Cardiovascular Surgery |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382022005005203&tlng=en |
| _version_ | 1828805647899033600 |
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| author | Ergin Arslanoğlu Mehmet Emirhan Işık Kenan Abdurrahman Kara Nihat Çine Eylem Tunçer Hakan Ceyran |
| author_facet | Ergin Arslanoğlu Mehmet Emirhan Işık Kenan Abdurrahman Kara Nihat Çine Eylem Tunçer Hakan Ceyran |
| author_sort | Ergin Arslanoğlu |
| collection | DOAJ |
| description | ABSTRACT Introduction: The coronavirus disease 2019 (COVID-19) pandemic has required changes in the management of pediatric cardiac surgery. We would like to share the patient treatment and surgical management strategies employed in our Pediatric Cardiovascular Surgery Clinic during the COVID-19 pandemic. Methods: A total of 112 patients were followed up in our clinic between 11.03.2020 and 02.07.2020. Their mean age was 1,118 (4-5,740) days. Management and treatment were performed by our pediatric heart team (pediatric cardiac anesthetists, general pediatricians, pediatric cardiologists, pediatric cardiac surgeons, and an infectious diseases specialist). We prepared new protocols and a surveillance system specific to the pandemic to prevent in-hospital transmission and reduce postoperative mortality and morbidity; our operations were performed according to these protocols. All decisions pertaining to the operation timing and treatment strategy of our COVID-19-positive patients were made by the same team. Results: During the study period, a total of 112 patients, 69 boys and 43 girls, were hospitalized in our clinic. A total of 333 COVID-19 real-time polymerase chain reaction tests were performed on patients and accompanying persons; positive results were found in three patients and two accompanying individuals. Conclusion: By employing new protocols and a surveillance system throughout the healthcare system, we think that early diagnosis and treatment of the pediatric congenital heart disease population, which is susceptible to infections, can continue unperturbed. This and similar approaches can increase postoperative success and prevent transmission in the pediatric population - which are frequently COVID-19 asymptomatic. |
| first_indexed | 2024-12-12T07:58:28Z |
| format | Article |
| id | doaj.art-63bbf46caa5141ed849469e1f9f5f3c9 |
| institution | Directory Open Access Journal |
| issn | 1678-9741 |
| language | English |
| last_indexed | 2024-12-12T07:58:28Z |
| publishDate | 2022-06-01 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| record_format | Article |
| series | Brazilian Journal of Cardiovascular Surgery |
| spelling | doaj.art-63bbf46caa5141ed849469e1f9f5f3c92022-12-22T00:32:13ZengSociedade Brasileira de Cirurgia CardiovascularBrazilian Journal of Cardiovascular Surgery1678-97412022-06-0110.21470/1678-9741-2020-0614Surgical Approach and Management Strategies in a Pediatric Cardiovascular Surgery Clinic During the COVID-19 OutbreakErgin ArslanoğluMehmet Emirhan IşıkKenan Abdurrahman Karahttps://orcid.org/0000-0003-1295-7689Nihat ÇineEylem TunçerHakan CeyranABSTRACT Introduction: The coronavirus disease 2019 (COVID-19) pandemic has required changes in the management of pediatric cardiac surgery. We would like to share the patient treatment and surgical management strategies employed in our Pediatric Cardiovascular Surgery Clinic during the COVID-19 pandemic. Methods: A total of 112 patients were followed up in our clinic between 11.03.2020 and 02.07.2020. Their mean age was 1,118 (4-5,740) days. Management and treatment were performed by our pediatric heart team (pediatric cardiac anesthetists, general pediatricians, pediatric cardiologists, pediatric cardiac surgeons, and an infectious diseases specialist). We prepared new protocols and a surveillance system specific to the pandemic to prevent in-hospital transmission and reduce postoperative mortality and morbidity; our operations were performed according to these protocols. All decisions pertaining to the operation timing and treatment strategy of our COVID-19-positive patients were made by the same team. Results: During the study period, a total of 112 patients, 69 boys and 43 girls, were hospitalized in our clinic. A total of 333 COVID-19 real-time polymerase chain reaction tests were performed on patients and accompanying persons; positive results were found in three patients and two accompanying individuals. Conclusion: By employing new protocols and a surveillance system throughout the healthcare system, we think that early diagnosis and treatment of the pediatric congenital heart disease population, which is susceptible to infections, can continue unperturbed. This and similar approaches can increase postoperative success and prevent transmission in the pediatric population - which are frequently COVID-19 asymptomatic.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382022005005203&tlng=enCongenital Heart DiseaseCardiac Surgical ProceduresCovid-19Real Time Polymerase Chain ReactionDelivery of Health CareEarly DiagnosisChild |
| spellingShingle | Ergin Arslanoğlu Mehmet Emirhan Işık Kenan Abdurrahman Kara Nihat Çine Eylem Tunçer Hakan Ceyran Surgical Approach and Management Strategies in a Pediatric Cardiovascular Surgery Clinic During the COVID-19 Outbreak Brazilian Journal of Cardiovascular Surgery Congenital Heart Disease Cardiac Surgical Procedures Covid-19 Real Time Polymerase Chain Reaction Delivery of Health Care Early Diagnosis Child |
| title | Surgical Approach and Management Strategies in a Pediatric Cardiovascular Surgery Clinic During the COVID-19 Outbreak |
| title_full | Surgical Approach and Management Strategies in a Pediatric Cardiovascular Surgery Clinic During the COVID-19 Outbreak |
| title_fullStr | Surgical Approach and Management Strategies in a Pediatric Cardiovascular Surgery Clinic During the COVID-19 Outbreak |
| title_full_unstemmed | Surgical Approach and Management Strategies in a Pediatric Cardiovascular Surgery Clinic During the COVID-19 Outbreak |
| title_short | Surgical Approach and Management Strategies in a Pediatric Cardiovascular Surgery Clinic During the COVID-19 Outbreak |
| title_sort | surgical approach and management strategies in a pediatric cardiovascular surgery clinic during the covid 19 outbreak |
| topic | Congenital Heart Disease Cardiac Surgical Procedures Covid-19 Real Time Polymerase Chain Reaction Delivery of Health Care Early Diagnosis Child |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382022005005203&tlng=en |
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