Adult cardiovascular surgery and the coronavirus disease 2019 (COVID-19) pandemic: the Italian experience Article Swipe
Francesco Donatelli
,
Antonio Miceli
,
Mattia Glauber
,
Silvia Cirri
,
Ciro Maiello
,
Enrico Coscioni
,
Claudio Napoli
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1093/icvts/ivaa186
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1093/icvts/ivaa186
The coronavirus disease 2019 (COVID-19) pandemic has profoundly affected all health care professionals. The outbreak required a thorough reorganization of the Italian regional local health care system to preserve resources such as ventilators, beds in intensive care units and surgical and anaesthesiological staff. Levels of priority were created, together with a rigorous triage procedure for patients with COVID-19, which led to postponement of all elective procedures. Urgent cases were discussed with the local heart team and percutaneous approaches were selected as the first treatment option to reduce hospital stay. COVID-19 and COVID-19-free pathways were created, including adequate preparation of the operating room, management of anaesthesiological procedures, transportation of patients and disinfection. It was determined that patients with chronic diseases were at increased risk of adverse outcomes. Systemic inflammation, cytokine storm and hypercoagulability associated with COVID-19 increased the risk of heart failure and cardiac death. In this regard, the early use of extracorporeal membrane oxygenation could be life-saving in patients with severe forms of acute respiratory distress syndrome or refractory heart failure. The goal of this paper was to report the Italian experience during the COVID-19 pandemic in the setting of cardiovascular surgery.
Related Topics
Concepts
Medicine
Pandemic
Coronavirus disease 2019 (COVID-19)
2019-20 coronavirus outbreak
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Coronavirus Infections
Coronavirus
Betacoronavirus
Disease
Pneumonia
Virology
Intensive care medicine
Internal medicine
Infectious disease (medical specialty)
Outbreak
Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1093/icvts/ivaa186
- https://academic.oup.com/icvts/article-pdf/31/6/755/34804660/ivaa186.pdf
- OA Status
- bronze
- Cited By
- 11
- References
- 57
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3093735983
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3093735983Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1093/icvts/ivaa186Digital Object Identifier
- Title
-
Adult cardiovascular surgery and the coronavirus disease 2019 (COVID-19) pandemic: the Italian experienceWork title
- Type
-
reviewOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2020Year of publication
- Publication date
-
2020-08-01Full publication date if available
- Authors
-
Francesco Donatelli, Antonio Miceli, Mattia Glauber, Silvia Cirri, Ciro Maiello, Enrico Coscioni, Claudio NapoliList of authors in order
- Landing page
-
https://doi.org/10.1093/icvts/ivaa186Publisher landing page
- PDF URL
-
https://academic.oup.com/icvts/article-pdf/31/6/755/34804660/ivaa186.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
bronzeOpen access status per OpenAlex
- OA URL
-
https://academic.oup.com/icvts/article-pdf/31/6/755/34804660/ivaa186.pdfDirect OA link when available
- Concepts
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Medicine, Pandemic, Coronavirus disease 2019 (COVID-19), 2019-20 coronavirus outbreak, Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), Coronavirus Infections, Coronavirus, Betacoronavirus, Disease, Pneumonia, Virology, Intensive care medicine, Internal medicine, Infectious disease (medical specialty), OutbreakTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
11Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 1, 2023: 1, 2022: 1, 2021: 6, 2020: 2Per-year citation counts (last 5 years)
- References (count)
-
57Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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