Ain Shams Hospital, Department of Anesthesiology, Cairo, Egypt.
Desert Regional Medical Center, Cardiothoracic Anesthesia, Palm Springs, CA, USA.
Best Pract Res Clin Anaesthesiol. 2020 Sep;34(3):643-650. doi: 10.1016/j.bpa.2020.07.005. Epub 2020 Jul 18.
During this coronavirus disease 2019 (COVID-19) pandemic, there is an international call to postpone all elective surgeries. Cardiac surgery carries a combined risk for cardiac patients, who are at risk for higher complications of COVID-19, and healthcare workers. In response to the COVID-19 pandemic, the American College of Surgeons and the American Society of Anesthesiologists recommended a sustained reduction in the rate of new COVID-19 cases for 14 days before the resumption of the elective surgery, but postponing surgery may impact patients' daily activities and increase the risk the of deterioration of their cardiac condition. We will discuss the risks and benefits of the decision whether to postpone or proceed with elective cardiac surgical procedures during the escalating COVID-19 pandemic considering the specific risk of the cardiac patients, the unique characteristics of the surgery, and the international health system capacity.
在 2019 年冠状病毒病（COVID-19）大流行期间，国际社会呼吁推迟所有择期手术。心脏手术会给心脏患者带来综合风险，这些患者有更高的 COVID-19 并发症风险，还有医护人员。针对 COVID-19 大流行，美国外科医师学会和美国麻醉师学会建议在恢复择期手术前，持续减少 14 天内的新增 COVID-19 病例，但推迟手术可能会影响患者的日常活动，并增加心脏状况恶化的风险。我们将讨论在 COVID-19 大流行不断升级的情况下，是否推迟或进行择期心脏手术的决策的风险和益处，需要考虑心脏患者的具体风险、手术的独特特点以及国际卫生系统的能力。
