Adaptation and restructuring of an academic anesthesiology department during the COVID-19 pandemic in New York City: Challenges and lessons learned.
Bronx
COVID-19
New York
academic
anesthesiology department
critical care
montefiore medical center
Journal
Best practice & research. Clinical anaesthesiology
ISSN: 1878-1608
Titre abrégé: Best Pract Res Clin Anaesthesiol
Pays: Netherlands
ID NLM: 101121446
Informations de publication
Date de publication:
Oct 2021
Oct 2021
Historique:
received:
30
11
2020
accepted:
03
12
2020
entrez:
13
9
2021
pubmed:
14
9
2021
medline:
22
9
2021
Statut:
ppublish
Résumé
The novel SARS-CoV-2 pandemic starting in 2019 profoundly changed the world, and thousands of residents of New York City were affected, leading to one of the most acute surges in regional hospital capacity. As the largest academic medical center in the Bronx, Montefiore Medical Center was immediately impacted, and the entire hospital was mobilized to address the needs of its community. In this article, we describe our experiences as a large academic anesthesiology department during this pandemic. Our goals were to maximize our staff's expertise, maintain our commitment to wellness and safety, and preserve the quality of patient care. Lessons learned include the importance of critical care training presence and leadership, the challenges of converting an ambulatory surgery center to an intensive care unit (ICU), and the management of effective communication. Lastly, we provide suggestions for institutions facing an acute surge, or subsequent waves of COVID-19, based on a single center's experiences.
Identifiants
pubmed: 34511230
pii: S1521-6896(20)30134-8
doi: 10.1016/j.bpa.2020.12.010
pmc: PMC7728432
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
425-435Informations de copyright
Copyright © 2020 Elsevier Ltd. All rights reserved.
Références
Anesthesiology. 2010 Feb;112(2):267-8
pubmed: 20098121
Crit Care Explor. 2020 Apr 29;2(4):e0110
pubmed: 32426752
JAMA. 2020 Apr 21;323(15):1439-1440
pubmed: 32163102
Curr Opin Crit Care. 2002 Dec;8(6):594-9
pubmed: 12454548
Reg Anesth Pain Med. 2020 Jul;45(7):536-543
pubmed: 32471930
EClinicalMedicine. 2020 Apr 05;21:100331
pubmed: 32292899
Am J Respir Crit Care Med. 2020 Jun 1;201(11):1337-1344
pubmed: 32298146
Can J Anaesth. 2020 Jul;67(7):895-896
pubmed: 32221852
Microbes Infect. 2020 Mar;22(2):69-71
pubmed: 32032682
Med Intensiva. 2016 Jun-Jul;40(5):273-9
pubmed: 26547480
Chest. 2014 Oct;146(4 Suppl):e61S-74S
pubmed: 25144591
Br J Anaesth. 2020 Aug;125(2):e257-e259
pubmed: 32416987