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Şentürk M, El Tahan MR, Shelley B, et al. Thoracic Anesthesia during the COVID-19 Pandemic: 2021 Updated Recommendations by the European Association of Cardiothoracic Anaesthesiology and Intensive Care (EACTAIC) Thoracic Subspecialty Committee. J Cardiothorac Vasc Anesth. 2021;35(12):3528-3546doi: 10.1053/j.jvca.2021.07.027.
Şentürk, M., El Tahan, M. R., Shelley, B., Szegedi, L. L., Piccioni, F., Licker, M. J., Karzai, W., Gil, M. G., Neskovic, V., Vanpeteghem, C., Pelosi, P., Cohen, E., Sorbello, M., MBChB, J. B., Stoica, R., Mourisse, J., Brunelli, A., Jimenez, M. J., Drnovsek Globokar, M., Yapici, D., Morsy, A. S., Kawagoe, I., Végh, T., Navarro-Ripoll, R., Marczin, N., Paloczi, B., Unzueta, C., Gregorio, G. D., Wouters, P., Rex, S., Mukherjee, C., Paternoster, G., & Guarracino, F. (2021). Thoracic Anesthesia during the COVID-19 Pandemic: 2021 Updated Recommendations by the European Association of Cardiothoracic Anaesthesiology and Intensive Care (EACTAIC) Thoracic Subspecialty Committee. Journal of cardiothoracic and vascular anesthesia, 35(12), 3528-3546. https://doi.org/10.1053/j.jvca.2021.07.027
Şentürk, Mert, et al. "Thoracic Anesthesia during the COVID-19 Pandemic: 2021 Updated Recommendations by the European Association of Cardiothoracic Anaesthesiology and Intensive Care (EACTAIC) Thoracic Subspecialty Committee." Journal of cardiothoracic and vascular anesthesia vol. 35,12 (2021): 3528-3546. doi: https://doi.org/10.1053/j.jvca.2021.07.027
Şentürk M, El Tahan MR, Shelley B, Szegedi LL, Piccioni F, Licker MJ, Karzai W, Gil MG, Neskovic V, Vanpeteghem C, Pelosi P, Cohen E, Sorbello M, MBChB JB, Stoica R, Mourisse J, Brunelli A, Jimenez MJ, Drnovsek Globokar M, Yapici D, Morsy AS, Kawagoe I, Végh T, Navarro-Ripoll R, Marczin N, Paloczi B, Unzueta C, Gregorio GD, Wouters P, Rex S, Mukherjee C, Paternoster G, Guarracino F. Thoracic Anesthesia during the COVID-19 Pandemic: 2021 Updated Recommendations by the European Association of Cardiothoracic Anaesthesiology and Intensive Care (EACTAIC) Thoracic Subspecialty Committee. J Cardiothorac Vasc Anesth. 2021 Dec;35(12):3528-3546. doi: 10.1053/j.jvca.2021.07.027. Epub 2021 Jul 27. PMID: 34479782; PMCID: PMC8313821.
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J Cardiothorac Vasc Anesth. 2021 Dec;35(12):3528-3546. doi: 10.1053/j.jvca.2021.07.027. Epub 2021 Jul 27.

Thoracic Anesthesia during the COVID-19 Pandemic: 2021 Updated Recommendations by the European Association of Cardiothoracic Anaesthesiology and Intensive Care (EACTAIC) Thoracic Subspecialty Committee.

Journal of cardiothoracic and vascular anesthesia

Mert Şentürk, Mohamed R El Tahan, Ben Shelley, Laszlo L Szegedi, Federico Piccioni, Marc-Joseph Licker, Waheedullah Karzai, Manuel Granell Gil, Vojislava Neskovic, Caroline Vanpeteghem, Paolo Pelosi, Edmond Cohen, Massimiliano Sorbello, Johan Bence MBChB, Radu Stoica, Jo Mourisse, Alex Brunelli, Maria-José Jimenez, Mojca Drnovsek Globokar, Davud Yapici, Ahmed Salaheldin Morsy, Izumi Kawagoe, Tamás Végh, Ricard Navarro-Ripoll, Nandor Marczin, Balazs Paloczi, Carmen Unzueta, Guido Di Gregorio, Patrick Wouters, Steffen Rex, Chirojit Mukherjee, Gianluca Paternoster, Fabio Guarracino

Affiliations

  1. Dep. of Anesthesiology & Reanimation, Istanbul University, Istanbul Medical Faculty, Istanbul, Turkey. Electronic address: [email protected].
  2. Cardiothoracic Anesthesiology, College of Medicine, Mansoura University, Mansoura, Egypt.
  3. Cardiothoracic Anaesthesia and Intensive Care, Golden Jubilee National Hospital/West of Scotland Heart and Lung Centre, University of Glasgow Academic Unit of Anaesthesia, Pain and Critical Care, Scotland.
  4. Department of Anesthesiology, CUB Hôpital Erasme, ULB Université Libre de Bruxelles, Brussels, Belgium.
  5. Anesthesia and Intensive Care Unit, Department of Critical and Supportive Care, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
  6. Anesthesia, Pharmacology and Intensive Care, University Hospital Geneva, Geneva, Switzerland.
  7. Chefarzt, Zentralklinik Bad Berka GmbH, Robert-Koch-Allee, Bad Berka, Germany.
  8. Anesthesiology and Intensive Care, University of Valencia, Spain.
  9. Anesthesia and Intensive Care, Military Medical Academy Belgrade, Belgrade, Serbia.
  10. Department of Anesthesiology, Universitair Ziekenhuis Gent, Ghent, Belgium.
  11. Università degli Studi di Genova, UNIGE, Dipartimento di Scienze Chirurgiche e Diagnostiche Integrate (DISC), Genoa, Italy.
  12. Anesthesiology, Perioperative & Pain Medicine, Thoracic Surgery Specialty, Anesthesiology Icahn School of Medicine at Mount Sinai, New York, NY; Anesthesia and Intensive Care, AOU Policlinico Vittorio Emanuele San Marco, Catania, Italy.
  13. Cardiothoracic Anaesthesiology, University Hospitals of Leicester Glenfield Hospital, Leicester, UK.
  14. Faculty of Medicine, Titu Maiorescu, Bucharest; Anesthesia and Intensive Care, Military Medical Academy Belgrade, Belgrade, Serbia.
  15. Anesthesiology and ICU, Monza Oncolgy Hospital, Bucharest; Department of Anesthesia, Pain and Palliative Medicine, Radboud University Medical Centre Nijmegen, Nijmegen, The Netherlands.
  16. Department of Thoracic Surgery, St. James's University Hospital, Leeds, UK.
  17. Anesthesiology, Centro Medico Teknon, Universitat de Barcelona, Barcelona, Spain.
  18. Department of Anesthesiology, Ljubjljana University Medical Centre, Ljubljana, Slovenia.
  19. Anesthesia and Intensive Care, Mersin University School of Medicine, Mersin, Turkey.
  20. Department of Anesthesia, King Fahd Hospital of the Imam Abdulrahman bin Faisal University, Al Khober, Saudi Arabia.
  21. Department of Anesthesiology and Pain Medicine, Juntendo University School of Medicine, Tokyo, Japan; Outcomes Research Consortium, Cleveland, OH.
  22. Department of Anesthesiology and Intensive Care, University of Debrecen, Debrecen, Hungary.
  23. Department of Anaesthesia and Intensive Care, Hospital Clinic Barcelona, Spain.
  24. Department of Anesthesiology, Ljubjljana University Medical Centre, Ljubljana, Slovenia; Section of Anesthetics, Pain Medicine and Intensive Care, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK; Department of Anesthesia, Royal Brompton and Harefield NHS Foundation Trust, Harefield Hospital, Harefield, Middlesex, UK.
  25. Department of Anesthesiology, Hospital de la Santa Creu i San Pau, Barcelona, Spain.
  26. Anesthesia and Critical Care Azienda Ospedaliera Università di Padova, Padova, Italy.
  27. Department of Anesthesia and Perioperative Medicine, Ghent University, Ghent, Belgium.
  28. Clinic Department of Anesthesiology, University Hospitals Leuven, Department of Cardiovascular Sciences, Katholieke Universiteit Leuven, Leuven, Belgium.
  29. Department of Anaesthesia & Intensive Care, Helios Clinic for Cardiac Surgery, Karlsruhe, Germany.
  30. Division of Cardiac Resuscitation, Cardiovascular Anesthesia and Intensive Care San Carlo Hospital (Potenza) Italy Via Potito Petrone, Italy.
  31. Department of Anesthesia and Critical Care Medicine, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy.

PMID: 34479782 PMCID: PMC8313821 DOI: 10.1053/j.jvca.2021.07.027

Abstract

The novel coronavirus pandemic has radically changed the landscape of normal surgical practice. Lifesaving cancer surgery, however, remains a clinical priority, and there is an increasing need to fully define the optimal oncologic management of patients with varying stages of lung cancer, allowing prioritization of which thoracic procedures should be performed in the current era. Healthcare providers and managers should not ignore the risk of a bimodal peak of mortality in patients with lung cancer; an imminent spike due to mortality from acute coronavirus disease 2019 (COVID-19) infection, and a secondary peak reflecting an excess of cancer-related mortality among patients whose treatments were deemed less urgent, delayed, or cancelled. The European Association of Cardiothoracic Anaesthesiology and Intensive Care Thoracic Anesthesia Subspecialty group has considered these challenges and developed an updated set of expert recommendations concerning the infectious period, timing of surgery, vaccination, preoperative screening and evaluation, airway management, and ventilation of thoracic surgical patients during the COVID-19 pandemic.

Copyright © 2021 Elsevier Inc. All rights reserved.

Keywords: COVID-19; Thoracic anesthesia; coronavirus; lung separation; personal protective equipment

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