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Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.

2020, Number 3

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Cir Card Mex 2020; 5 (3)

Reconversion of an Echocardiography Department during SARS-CoV-2 pandemic in Mexico

Guzmán-Ramírez D, López-Rincón MC, Farías-Vergara SK, Hernández-Hernández JM, Gaxiola-Cadena BA, Figueroa-Calderón E

Language: English
References: 14
Page: 89-94
PDF size: 348.39 Kb.


ABSTRACT

In this health emergency, guidelines have been adopted for the care of patients and health workers. With the current information available, it is suggested that the route of person-to-person transmission of SARS-CoV-2 can be by drop, contact or air during aerosol-generating procedures. Echocardiographers are in close contact with patients and therefore have a higher risk of becoming infected. To decrease this risk, only those examinations essential to the patient should be performed. The type of protection required is based on risk assessment according to type of patient, type of study, severity of the disease and therapeutic implications. In aerosol-generating procedures, the use of N95 masks as well as eye protection is recommended especially in transesophageal echocardiogram whether is an outpatient, hospitalized or in the perioperative setting, and more recently in exercise stress echocardiogram. Lately, some cardiac imaging associations have changed their recommendations advising the use of the N95 facemasks in all echocardiography studies, in patients with suspicion of infection, regardless of the presence of symptoms. Relevant aspects related to the cleaning of echocardiography equipment, the alertness to avoid cross contamination and the use of ultrasound gel are also included. It must be emphasized that these recommendations could be modified according to the evolution of the pandemic and the evidence generated in the coming months.


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