Naljayan Mihran, Yazdi Farshid, Struthers Sarah, Sharshir Moh'd, Williamson Amanda, Simon Eric E
Section of Nephrology and Hypertension, LSU School of Medicine, New Orleans, LA.
Section of Nephrology and Hypertension, Tulane School of Medicine and Southeast Louisiana Veterans Healthcare System, New Orleans, LA.
Kidney Med. 2021 Jan-Feb;3(1):99-104. doi: 10.1016/j.xkme.2020.09.012. Epub 2020 Dec 2.
New Orleans' first case of coronavirus disease 2019 (COVID-19) was reported on March 9, 2020, with a subsequent rapid increase in the number of cases throughout the state of Louisiana. Traditional educational efforts were no longer viable with social distancing and stay-at-home orders; therefore, virtual didactics were integrated into our curriculum. Due to an exponential increase in the number of patients with acute kidney injury requiring kidney replacement therapy, the nephrology sections at Louisiana State University School of Medicine and Tulane University School of Medicine adapted their clinical workflows to accommodate these increased clinical volumes by using prolonged intermittent kidney replacement therapies and acute peritoneal dialysis, as well as other strategies to mitigate nursing burnout and decrease scarce resource use. Telehealth was implemented in outpatient clinics and dialysis units to protect vulnerable patients with kidney disease while maintaining access to care. Lessons learned from this pandemic and subsequent response may be used for future responses in similar situations.
2020年3月9日，新奥尔良报告了首例2019冠状病毒病（COVID-19）病例，随后路易斯安那州的病例数迅速增加。由于社交距离和居家令的实施，传统的教育方式不再可行；因此，虚拟教学被纳入我们的课程。由于需要肾脏替代治疗的急性肾损伤患者数量呈指数级增长，路易斯安那州立大学医学院和杜兰大学医学院的肾脏病科调整了临床工作流程，通过使用延长间歇性肾脏替代治疗和急性腹膜透析，以及其他减轻护理人员倦怠和减少稀缺资源使用的策略，来应对增加的临床工作量。门诊诊所和透析单位实施了远程医疗，以保护患有肾脏疾病的脆弱患者，同时维持医疗服务的可及性。从这次大流行及后续应对中吸取的经验教训，可用于未来类似情况的应对。
