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应对突发事件:新冠疫情期间超声实验室的准备工作

Expecting the unexpected: Echo laboratory preparedness in the time of COVID-19.

作者信息

Goldberg Alan B, Kyung Stella, Swearingen Sean, Rao Anupama

机构信息

Rush University Medical Center, Chicago, Illinois, USA.

出版信息

Echocardiography. 2020 Aug;37(8):1272-1277. doi: 10.1111/echo.14763. Epub 2020 Jul 13.

DOI:10.1111/echo.14763
PMID:32657445
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7404746/
Abstract

COVID-19 poses a unique set of challenges to the healthcare system due to its rapid spread, intensive resource utilization, and relatively high morbidity and mortality. Healthcare workers are at especially high risk of exposure given the viruses spread through close contact. Reported cardiac complications of COVID-19 include myocarditis, acute coronary syndrome, cardiomyopathy, pericardial effusion, arrhythmia, and shock. Thus, echocardiography is integral in the timely diagnosis and clinical management of COVID-19 patients. Rush University Medical Center has been at the forefront of the COVID-19 response in Illinois with high numbers of cases reported in Chicago and surrounding areas. The echocardiography laboratory at Rush University Medical Center (RUMC) proactively took numerous steps to balance the imaging needs of a busy, nearly 700-bed academic medical center while maintaining safety.

摘要

由于新冠病毒传播迅速、资源利用密集且发病率和死亡率相对较高,新冠疫情给医疗系统带来了一系列独特挑战。鉴于病毒通过密切接触传播,医护人员面临的暴露风险尤其高。报告显示,新冠病毒的心脏并发症包括心肌炎、急性冠状动脉综合征、心肌病、心包积液、心律失常和休克。因此,超声心动图对于新冠患者的及时诊断和临床管理至关重要。拉什大学医学中心在伊利诺伊州应对新冠疫情中处于前沿位置,芝加哥及周边地区报告了大量病例。拉什大学医学中心(RUMC)的超声心动图实验室积极采取了多项措施,在保持安全的同时,平衡一所拥有近700张床位的繁忙学术医疗中心的成像需求。

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本文引用的文献

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Specific Considerations for the Protection of Patients and Echocardiography Service Providers When Performing Perioperative or Periprocedural Transesophageal Echocardiography during the 2019 Novel Coronavirus Outbreak: Council on Perioperative Echocardiography Supplement to the Statement of the American Society of Echocardiography Endorsed by the Society of Cardiovascular Anesthesiologists.新型冠状病毒疫情期间进行围手术期或围手术期经食管超声心动图检查时保护患者和超声心动图服务提供者的具体注意事项:美国超声心动图学会围手术期超声心动图委员会的声明增刊,得到心血管麻醉师学会的认可。
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ASE Statement on Protection of Patients and Echocardiography Service Providers During the 2019 Novel Coronavirus Outbreak: Endorsed by the American College of Cardiology.美国超声心动图学会关于在 2019 新型冠状病毒爆发期间保护患者和超声心动图服务提供者的声明:得到美国心脏病学会的认可。
J Am Soc Echocardiogr. 2020 Jun;33(6):648-653. doi: 10.1016/j.echo.2020.04.001. Epub 2020 Apr 3.
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Aerosol and Surface Distribution of Severe Acute Respiratory Syndrome Coronavirus 2 in Hospital Wards, Wuhan, China, 2020.2020 年中国武汉医院病房中严重急性呼吸综合征冠状病毒 2 的气溶胶和表面分布。
Emerg Infect Dis. 2020 Jul;26(7):1583-1591. doi: 10.3201/eid2607.200885. Epub 2020 Jun 21.
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COVID-19 and Cardiovascular Disease.新型冠状病毒肺炎与心血管疾病。
Circulation. 2020 May 19;141(20):1648-1655. doi: 10.1161/CIRCULATIONAHA.120.046941. Epub 2020 Mar 21.
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