Göktan AŞKIN, Şeref Alp KÜÇÜKER, Mehmet Ali ÖZATİK, Hayrettin Levent MAVİOĞLU, Ertekin Utku ÜNAL

COVID-19 pandemisinde kardiyovasküler ameliyatların perioperatif planlaması

Koronavirüs hastalığı-2019 (COVID-19) tüm dünyada sağlık çalışanlarını alarm durumuna geçiren ciddi bir sağlık sorunudur. Pandeminin beraberinde getirmiş olduğu ve sağlık sistemini ilgilendiren ele alınması gereken iki önemli konu mevcuttur. Birincisi; pandeminin yayılma hızına yetişme sıkıntısı çekebilecek olan sağlık sisteminin yükünü azaltabilmek açısından elektif birçok işlemin/cerrahinin ertelenmesi gerekliliğidir. Bu nedenle, cerrahi gereken kardiyovasküler hastalıkların önceliğinin ve ertelenebilirliğinin belirlenmesi için “Öncelik Düzeyi” olarak adlandırdığımız bir algoritma geliştirilmesini amaçladık. İkinci olarak ise; kardiyovasküler cerrahi yapılması gereken acil ve öncelikli hastalarda cerrahinin ve sonrasında yoğun bakım ünitesinde takibinin, enfeksiyon koruma tedbirlerinin sağlandığı bir ortamda yapılması gerekliliğidir. Bu yazıda, hasta güvenliğinin sağlanabilmesi ve cerrahi ekibin maksimum seviyede korunabilmesi için uygulanabilecek olan gerekli tedbirler sunuldu

Perioperative planning for cardiovascular operations in the COVID-19 pandemic

Coronavirus disease-2019 (COVID-19) is a serious healthconcern which alert all healthcare professionals worldwide.There are two main issues caused by this pandemic regardingfor the healthcare system. First, it is a necessity to postponemany elective procedures/surgeries to reduce the burdenof the healthcare system which may be confronted withstrain by the increased speed of transmission. Therefore, weaimed to develop an algorithm called as Level of Priorityto identify the priority and deferrability of cardiovasculardiseases requiring surgery. Second, it is essential to performsurgery and intensive care unit follow-up in a setting wherethe infection prevention measures are followed for primarypatients requiring emergency cardiovascular surgery. In thisarticle, we present necessary precautions to be exercised toprovide the patient safety and the highest level of protectionfor the surgical team.

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