Montefiore Medical Center, 111 E. 210th Street, Bronx, NY, 10467, USA.
Montefiore Medical Center, 111 E. 210th Street, Bronx, NY, 10467, USA.
Best Pract Res Clin Anaesthesiol. 2021 Oct;35(3):425-435. doi: 10.1016/j.bpa.2020.12.010. Epub 2020 Dec 10.
The novel SARS-CoV-2 pandemic starting in 2019 profoundly changed the world, and thousands of residents of New York City were affected, leading to one of the most acute surges in regional hospital capacity. As the largest academic medical center in the Bronx, Montefiore Medical Center was immediately impacted, and the entire hospital was mobilized to address the needs of its community. In this article, we describe our experiences as a large academic anesthesiology department during this pandemic. Our goals were to maximize our staff's expertise, maintain our commitment to wellness and safety, and preserve the quality of patient care. Lessons learned include the importance of critical care training presence and leadership, the challenges of converting an ambulatory surgery center to an intensive care unit (ICU), and the management of effective communication. Lastly, we provide suggestions for institutions facing an acute surge, or subsequent waves of COVID-19, based on a single center's experiences.
2019 年开始的新型 SARS-CoV-2 大流行深刻地改变了世界，成千上万的纽约市居民受到影响，导致该地区医院容量出现了最严重的激增之一。作为布朗克斯最大的学术医疗中心，蒙蒂菲奥里医疗中心立即受到影响，整个医院都动员起来满足社区的需求。在本文中，我们描述了我们作为一个大型学术麻醉科在这场大流行中的经历。我们的目标是最大限度地发挥我们员工的专业知识，保持我们对健康和安全的承诺，并保持患者护理的质量。我们学到的经验包括重症监护培训的存在和领导力的重要性，将门诊手术中心转换为重症监护病房（ICU）的挑战，以及有效沟通的管理。最后，我们根据单个中心的经验，为面临急性激增或随后的 COVID-19 浪潮的机构提供建议。
