Emergency management of the COVID-19 pandemic in a vascular surgery department of a large metropolitan hospital in Italy. Preparation, escalation, de-escalation, and normal activity.
Roberto ChiesaAndrea KahlbergEnrico RinaldiDaniele MasciaPublished in: Journal of cardiac surgery (2020)
During this period, 135 patients were referred to San Raffaele Vascular Surgery Department. COVID-19 was diagnosed in 24 patients and, among them, acute limb ischemia was the most common cause of admission. At this time, the COVID-19 trend is in decline in Italy, and the local authorities reorganized the healthcare system to return to normal activities avoiding new escalations of COVID-19 cases. The COVID-19 pandemic will be remembered in Lombardy as a cataclysm. Nevertheless, the HUB/spoke system has proven to be a valid model in the management of ischemic emergencies. Continuous surveillance, cooperation, coordination, and communication to effectively respond to COVID-19 pandemic is crucial because COVID-19 reference centers could face similar issues in the near future.
Keyphrases
- coronavirus disease
- sars cov
- end stage renal disease
- newly diagnosed
- chronic kidney disease
- ejection fraction
- minimally invasive
- emergency department
- healthcare
- prognostic factors
- clinical trial
- randomized controlled trial
- coronary artery bypass
- open label
- acute coronary syndrome
- coronary artery disease
- mass spectrometry
- percutaneous coronary intervention
- patient reported
- drug induced
- aortic dissection
- solid phase extraction