id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-315297-o8mwmjql	Stephens, Elizabeth H.	COVID-19: Crisis Management in Congenital Heart Surgery	2020-04-14		.txt	text/plain	2827	127	39	This document is not meant to be a guideline but is designed to provide guidance for decision-making as we face unparalleled challenges related to congenital cardiac surgery care during this pandemic. Many factors pertaining to an individual case must be weighed, including: 1) resource-utilization, such as anticipated ventilator duration, intensive care unit stay, blood product usage, and other supplies that are or may become limited, 2) clinical status of the patient and risk of delaying surgery, 3) risk of exposure for the patient, family, and healthcare staff, and 4) co-morbidities and complexity of the procedure with implications on the usage of hospital resources, 5) in teaching hospitals, training may have to be curtailed and the most experienced surgeons used liberally, and 6) the safety of the patient's social and clinical situation if surgery is delayed. Institutions may re-deploy members of the congenital cardiac surgery team to other patient-care settings, further depleting resources and also increasing exposure.	./cache/cord-315297-o8mwmjql.txt	./txt/cord-315297-o8mwmjql.txt