Klinik für Herz- und thorakale Gefäßchirurgie, Universitätsklinikum Gießen und Marburg, Baldingerstraße 1, 35043, Marburg, Germany.
Herz. 2023 Jun;48(3):223-225. doi: 10.1007/s00059-023-05175-5. Epub 2023 Apr 25.
The COVID-19 pandemic had several specific as well as general implications on cardiac surgery. Acute respiratory distress made extracorporeal oxygenation necessary in a significant number of patients and accordingly many patients were treated in anesthesiological and even more in cardiac surgical intensive care units, which left only a limited number of beds in the intensive care units available for elective surgery cases. Moreover, the necessary availability of intensive care beds for severely diseased COVID-19 patients in general posed a further limit, as did the relevant number of diseased personnel. Specific emergency plans were developed for many heart surgery units, limiting the number of elective cases. Increasing waiting lists were of course stressful for numerous elective-surgery patients and the decreased number of heart operations also meant a financial burden for many units.
新冠疫情对心脏外科产生了一些特定的和一般的影响。急性呼吸窘迫症使大量患者需要体外氧合，因此许多患者在麻醉科和心脏外科重症监护病房接受治疗，这使得重症监护病房留给择期手术病例的床位数量非常有限。此外，一般来说，重症监护病床必须为重症 COVID-19 患者提供，这进一步构成了限制，同时还有大量患病人员。许多心脏外科单位制定了具体的应急计划，限制了择期手术的数量。增加的候补名单当然给许多择期手术患者带来了压力，心脏手术数量的减少也意味着许多单位的经济负担。
