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Development of Pediatric Surgical Decision-Making Guidelines for COVID-19 in a New York City Children's Hospital☆
- Source :
- Journal of Pediatric Surgery
- Publication Year :
- 2020
- Publisher :
- Published by Elsevier Inc., 2020.
-
Abstract
- Objective During the COVID-19 pandemic, experience-based guidelines are needed in the pediatric population in order to deliver high quality care in a new way that keeps patients and healthcare workers safe and maximizes hospital resource utilization. Background The COVID-19 pandemic has created an unprecedented strain on national health care resources, particularly in New York City, the epicenter of the outbreak in the United States. Prudent allocation of surgical resources during the pandemic quickly became essential, and there is an unprecedented need to weigh the risks of operating versus delaying intervention in our pediatric patients. Methods Here we describe our experience in surgical decision-making during the COVID-19 pandemic in the pediatric surgical population at Morgan Stanley Children’s Hospital of New York-Presbyterian (MSCHONY), which has served as a major urban catchment area for COVID-19 positive pediatric patients. We describe how we have adjusted our current treatment of multiple facets of pediatric surgery including oncology, trauma, minimally invasive procedures, and extracorporeal membrane oxygenation (ECMO). Conclusions Our pediatric surgery department had to creatively and expeditiously adjust our protocols, guidelines, and workforce to not only serve our pediatric population but merge ourselves with our adult hospital system during the COVID pandemic. Type of Study Clinical Research Paper Level of Evidence Level V
- Subjects :
- medicine.medical_specialty
medicine.medical_treatment
Decision Making
Pneumonia, Viral
Population
Guidelines as Topic
Article
Betacoronavirus
03 medical and health sciences
0302 clinical medicine
030225 pediatrics
Health care
Pediatric surgery
Pandemic
Extracorporeal membrane oxygenation
Humans
Medicine
Pediatrics, Perinatology, and Child Health
Child
education
Pandemics
education.field_of_study
SARS-CoV-2
business.industry
COVID-19
General Medicine
Evidence-based medicine
Hospitals, Pediatric
medicine.disease
Coronavirus
Oncology
Surgical Procedures, Operative
030220 oncology & carcinogenesis
Pediatrics, Perinatology and Child Health
Workforce
New York City
Surgery
Laparoscopy
Catchment area
Medical emergency
ECMO
Coronavirus Infections
business
Subjects
Details
- Language :
- English
- ISSN :
- 15315037 and 00223468
- Database :
- OpenAIRE
- Journal :
- Journal of Pediatric Surgery
- Accession number :
- edsair.doi.dedup.....9251c4ef94f6abffdc62f21bb2a9bd70