Pozzi Natalie, Zuckerman Aaron, Son Joohee, Geraci Travis C, Chang Stephanie H, Cerfolio Robert J
Department of Cardiothoracic Surgery, NYU Langone Health, New York, NY, United States.
Department of General Surgery, NYU Langone Health-Brooklyn, Brooklyn, NY, United States.
Front Surg. 2021 Oct 14;8:769962. doi: 10.3389/fsurg.2021.769962. eCollection 2021.
The Coronavirus Disease 2019 (COVID-19) pandemic remains a disruptive force upon the health care system, with particular import for thoracic surgery given the pulmonary pathophysiology and disease implications of the virus. The rapid and severe onset of disease required expedient innovation and change in patient management and novel approaches to care delivery and nimbleness of workforce. In this review, we detail our approaches to patients with COVID-19, including those that required surgical intervention, our expedited and novel approach to bronchoscopy and tracheostomy, and our expansion of telehealth. The pandemic has created a unique opportunity to reflect on our delivery of care in thoracic surgery and apply lessons learned during this time to "rethink" how to optimize resources and deliver excellent and cutting-edge patient care.
2019年冠状病毒病(COVID-19)大流行仍然是医疗保健系统的一股破坏力量,鉴于该病毒的肺部病理生理学和疾病影响,对胸外科尤为重要。疾病的快速和严重发作要求在患者管理方面进行迅速创新和变革,以及采用新的护理提供方式和灵活的工作人员安排。在本综述中,我们详细介绍了我们对COVID-19患者的治疗方法,包括那些需要手术干预的患者,我们对支气管镜检查和气管造口术的快速和新颖方法,以及我们对远程医疗的扩展。这场大流行创造了一个独特的机会,让我们反思胸外科护理的提供情况,并将在此期间学到的经验教训应用于“重新思考”如何优化资源并提供卓越和前沿的患者护理。