Fetal Surgery in the Era of SARS-CoV-2 Pandemic: A Single-Institution Review

التفاصيل البيبلوغرافية
العنوان: Fetal Surgery in the Era of SARS-CoV-2 Pandemic: A Single-Institution Review
المؤلفون: Edward S. Ahn, Kavita Narang, M. Yasir Qureshi, Michelle A. Wyatt, Ayssa Teles Abrao Trad, Amro Elrefaei, Katherine W. Arendt, Ellen M. Bendel-Stenzel, Leal G. Segura, Lindsay L. Warner, Rodrigo Ruano
المصدر: Mayo Clinic Proceedings: Innovations, Quality & Outcomes, Vol 4, Iss 6, Pp 717-724 (2020)
Mayo Clinic Proceedings: Innovations, Quality & Outcomes
بيانات النشر: Elsevier, 2020.
سنة النشر: 2020
مصطلحات موضوعية: medicine.medical_specialty, AGP, Aerosol generating procedures, MAC, Monitored anesthesia care, medicine.medical_treatment, FETO, Fetoscopic endoluminal tracheal occlusion, ACOG, American College of Obstetrics and Gynecology, Psychological intervention, 030204 cardiovascular system & hematology, Twin-to-twin transfusion syndrome, Article, WHO, World health organization, AFPS, American foundation for patient safety, SMFM, Society for Maternal and Fetal Medicine, 03 medical and health sciences, qRT-PCR, Quantitative real time polymerase chain reaction, 0302 clinical medicine, Health care, Fetal intervention, Pandemic, medicine, 030212 general & internal medicine, fetal anomalies, NAFTNet, North American Fetal Therapy Network, GA, General anesthesia, Pregnancy, lcsh:R5-920, business.industry, Fetal surgery, SARS-CoV-2, Gestational age, COVID-19, COVID-19, Coronavirus 2019, IFMSS, International Fetal Medicine and Surgery society, medicine.disease, CDH, Congenital diaphragmatic hernia, OR, Operating room, TAPS, Twin anemia polycythemia sequence, LUTO, lower urinary tract obstruction, Emergency medicine, pregnancy, business, TTTS, Twin to twin transfusion syndrome, lcsh:Medicine (General), ASA, American Society of Anesthesiology
الوصف: Objective To cope with the changing health care services in the era of SARS-CoV-2 pandemic. We share the institutional framework for the management of anomalous fetuses requiring fetal intervention at Mayo Clinic, Rochester, Minnesota. To assess the success of our program during this time, we compare intraoperative outcomes of fetal interventions performed during the pandemic with the previous year. Patients We implemented our testing protocol on patients undergoing fetal intervention at our institution between March 1, and May 15, 2020, and we compared it with same period a year before. A total of 17 pregnant patients with anomalous fetuses who met criteria for fetal intervention were included: 8 from 2019 and 9 from 2020. Methods Our testing protocol was designed based on our institutional perinatal guidelines, surgical requirements from the infection prevention and control (IPAC) committee, and input from our fetal surgery team, with focus on urgency of procedure and maternal SARS-CoV-2 screening status. We compared the indications, types of procedures, maternal age, gestational age at procedure, type of anesthesia used, and duration of procedure for cases performed at our institution between March 1, 2020, and May 15, 2020, and for the same period in 2019. Results There were no statistically significant differences among the number of cases, indications, types of procedures, maternal age, gestational age, types of anesthesia, and duration of procedures (P values were all >.05) between the pre–SARS-CoV-2 pandemic in 2019 and the SARS-CoV-2 pandemic in 2020. Conclusions Adoption of new institutional protocols during SARS-CoV-2 pandemic, with appropriate screening and case selection, allows provision of necessary fetal intervention with maximal benefit to mother, fetus, and health care provider.
اللغة: English
تدمد: 2542-4548
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ceb8600cd6b771b14370c5cee0c3f8ff
http://www.sciencedirect.com/science/article/pii/S254245482030151X
Rights: OPEN
رقم الانضمام: edsair.doi.dedup.....ceb8600cd6b771b14370c5cee0c3f8ff
قاعدة البيانات: OpenAIRE