PMC:7314078 / 11288-12913 JSONTXT

{"target":"https://pubannotation.org/docs/sourcedb/PMC/sourceid/7314078","sourcedb":"PMC","sourceid":"7314078","source_url":"https://www.ncbi.nlm.nih.gov/pmc/7314078","text":"As a consequence of the ordinance, on 10 March 2020, the organizers of the cardiac surgery hub centres reached a consensus about the following issues: Hub definitions for emergency, urgent and non-deferrable (surgery needed within 2 months) conditions (Table 2) were agreed on.\nNaso- or oropharyngeal swabs must be performed preoperatively in all patients either in the spoke or in the hub hospital. In addition, patients with symptoms who tested positive for the SARS-CoV-2 needing surgery within 2 months (so-called ‘non-deferrable’) will not be operated on whereas emergency/urgent patients with symptoms who tested positive will be operated on (if surgery is the only suitable therapeutic option).\nThe number of ICU beds available in each hub centre must be declared (S. Raffaele, n = 14–20; Monzino, n = 11; Legnano, n = 8; Brescia, n = 4–6; total n = 37/45).\nA hub centre must have or must be provided with laboratory facilities for rapid diagnosis of SARS-CoV-2 (i.e. using reverse transcription polymerase chain reaction).\nWeekly video meetings among hub centres will be held to share up-to-date reports.\nHub-and-spoke units must cooperate, particularly as relates to the rotation of the surgical teams in case of exhausting working shifts.\nTranscatheter options (i.e. transcatheter aortic valve implantation, percutaneous balloon aortic valvuloplasty, percutaneous coronary intervention) should be considered in non-deferrable/emergency/urgent COVID patients affected by aortic stenosis and/or ischaemic cardiopathy.\nConsidering the limited number of ICU beds, surgical triage must favour emergency and urgent 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