The INS News
No Result
View All Result
  • Home
  • News
    • Regional
    • Srinagar
    • Jammu
    • National
    • World
  • Business & Economy
  • Multimedia
    • Photo Gallery
    • Video Gallery
  • Health
  • Jobs & Careers
  • Press Releases
  • Blog
  • Home
  • News
    • Regional
    • Srinagar
    • Jammu
    • National
    • World
  • Business & Economy
  • Multimedia
    • Photo Gallery
    • Video Gallery
  • Health
  • Jobs & Careers
  • Press Releases
  • Blog
No Result
View All Result
The INS News
No Result
View All Result
Home News Regional

Cardiac Surgery Should Be Performed Amid Covid-19?   

INS Desk by INS Desk
June 15, 2021
A A
Cardiac Surgery Should Be Performed Amid Covid-19?   
Share on FacebookShare on TwitterWhatsappTelegramEmail

By Dr. Farooq Ahmad Ganie

RELATED POSTS

J&K, Leh airports to remain shut till May 14 as India extends NOTAM

2 Sgr residents killed, another injured in Anantnag accident

Govt makes key appointments in Jal Shakti Department

Author Dr Farooq Ahmad Ganie

A severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak has been declared a Public Health Emergency by WHO since January 2020. The rapid, exponential, increase in cases makes prevention and control of coronavirus disease (COVID-19) extremely critical. Although clinical manifestations of COVID-19 are mainly respiratory, the patients may develop severe cardiovascular damage which may lead to fatal outcome. The impact of COVID-19 on cardiac surgery is immense. Cardiac surgery practice might not be on the frontline of COVID-19 patient care. However, the pandemic affects cardiac surgery units in important ways like limited intensive care unit (ICU) beds and ventilation sites, necessity to postpone elective and/or complex cardiac surgeries, shortage of health care workers, sick health care staff, restrictions in clinical cardio-surgical meetings ( limiting the number of attendees in cardio-surgical  meetings), patients developing COVID-19 after cardiac surgery, patients with COVID-19 needing urgent cardiac operations, and cancelation of training and education, professional conferences, exams, courses. Due to all these factors the cardiac surgery has been badly touched. As cardiac surgeons, we have a responsibility to ensure that evidence-based, essential cardiac operations are provided to the general public in the present health care crisis time but at the same time the wider burden of those procedures on the healthcare system and health care workers must be minimized of COVID-19 to do away with the crisis.

COVID-19 puts health services and health care providers under immense mental and physical pressure. The decision on whether or not to perform cardiac surgery is not always easy with continued escalation of disease burden.  The decisions on cardiac surgeries became more difficult with many dilemmas— should we operate in this escalating phase only on younger, low risk patients or only extreme emergencies.  It is very important when these decisions are made, both the decision process and the decision made has to be documented and should withstand with medico legal aspect too. At the same time, the surgeon while taking the decision must consider the risk of exposing these patients to a possible COVID-19 infection during hospitalization and/or exposing himself and other health care workers to the infection. We must bear in mind that most patients with COVID-19 have mild or no symptoms and therefore, it may be difficult to identify such patients. One must realize that cardiac surgery units have a responsibility to the patient, in a particular state. Therefore, during these difficult times, patients with elective cardiac procedures may be best managed by delaying their care until a few months or year. This may be in the patient`s best interest, and in the interest of health care providers. It has been proved that patients with acute cardiac pathologies who are infected with SARS-CoV-2 often have a poor prognosis. Therefore, developing COVID-19 after cardiac surgery might be associated with a high mortality.

But there is a certain group of patients like those with acute coronary syndrome, in case of severe coronary artery disease (e.g. severe left main trunk stenosis, severe triple vessel disease with high SYNTAX score) who are not eligible for conservative or interventional treatment may be operated on. This may be true also for younger patients with symptomatic severe aortic valve stenosis, left-sided endocarditis with a severe valve defect and/or large mobile vegetation, large ascending aortic aneurysm, acute type A aortic dissection and acute heart failure due to severe coronary artery or valvular heart disease. Under such circumstances decisions should be made depending on available resources and supported by an ethical and legal framework. What should be done and what should be avoided remains still unanswered. How can we protect the patient and health care workers? It is crucial to provide a thoughtful decision making process on whether or not a cardiac surgery should be performed. Decisions made today may be different from those made only a few days later under these rapidly changing circumstances. One must weigh the risk of delaying surgical care with the risk of exposing the patient to COVID-19.

The COVID‐19 pandemic has affected health care system with uncertainty of decisions. Massive and large scale research is need of hour to understand to develop preventive treatments, and establish management protocols in cardiac surgery patients through such period.

(The Author Is Assistant Professor Department Of Cardiovascular And Thoracic Surgery SKIMS Soura)

Buy JNews
ADVERTISEMENT
Previous Post

Hunt ends as ‘man-eater’ leopardess finally trapped in Budgam

Next Post

Galwan anniversary: Army remembers soldiers who laid down lives in clashes with PLA

INS Desk

INS Desk

Related Posts

Sonamarg—Zojila road closed for traffic after fresh snowfall
Regional

J&K, Leh airports to remain shut till May 14 as India extends NOTAM

May 9, 2025
3 persons killed in Kishtwar accident
Regional

2 Sgr residents killed, another injured in Anantnag accident

May 9, 2025
Jal Shakti deptt ends adhocism, uncertainties, regularizes 1969 Engineers
Regional

Govt makes key appointments in Jal Shakti Department

May 9, 2025
Sakeena Itoo, Javed Dar visit shelling affected areas of Bla, Uri
Regional

Sakeena Itoo, Javed Dar visit shelling affected areas of Bla, Uri

May 9, 2025
Under PM’s guidance, J&K Govt changed lives of tribal communities in 4 years: LG
Regional

Indian armed forces ready to deal with any situation: LG Sinha after Uri visit

May 9, 2025
Snowfall: All flights operations cancelled at Sgr Airport
Regional

J&K Haj Committee cancels May 10 flight

May 9, 2025
Next Post
Galwan anniversary: Army remembers soldiers who laid down lives in clashes with PLA

Galwan anniversary: Army remembers soldiers who laid down lives in clashes with PLA

Indonesia dispatches 57 tons of medicines for Hajj pilgrims

Hajj Committee Of India Cancels All Application For Hajj This Year

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *




Kerb-Crawling: From Brazil to Kashmir

Kerb-Crawling: From Brazil to Kashmir

April 10, 2019
BJP leaders killing in Kishtwar: Curfew relaxed for almost four hours in Bhaderwah

Kishtwar: Curfew in place for fifth day

November 5, 2018
Chairman J&K Bank meets Governor

Chairman J&K Bank meets Governor

September 3, 2018

About

Indian News Service (INS) is the first registered online news portal from the state of Jammu & Kashmir. Our creative team consists of like-minded and socially concerned team of media professionals who carry decades of experience in their field of profession at their back. Our core values have pillars in honesty, empathy, credibility, equality and integrity.

More

© 2022 INS News - Designed by GITS.

No Result
View All Result
  • Home
  • News
    • Regional
    • Srinagar
    • Jammu
    • National
    • World
  • Business & Economy
  • Multimedia
    • Photo Gallery
    • Video Gallery
  • Health
  • Jobs & Careers
  • Press Releases
  • Blog

© 2022 INS News - Designed by GITS.