TY - JOUR
T1 - Adaptation and restructuring of an academic anesthesiology department during the COVID-19 pandemic in New York City
T2 - Challenges and lessons learned
AU - Shaparin, Naum
AU - Mann, Glenn E.
AU - Streiff, Agathe
AU - Kiyatkin, Michael E.
AU - Choice, Curtis
AU - Ramachandran, Sujatha
AU - Delphin, Ellise
AU - Adams, David C.
N1 - Publisher Copyright:
© 2020 Elsevier Ltd
PY - 2021/10
Y1 - 2021/10
N2 - 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.
AB - 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.
KW - Bronx
KW - COVID-19
KW - New York
KW - academic
KW - anesthesiology department
KW - critical care
KW - montefiore medical center
UR - http://www.scopus.com/inward/record.url?scp=85098936767&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85098936767&partnerID=8YFLogxK
U2 - 10.1016/j.bpa.2020.12.010
DO - 10.1016/j.bpa.2020.12.010
M3 - Review article
C2 - 33631712
AN - SCOPUS:85098936767
SN - 1521-6896
VL - 35
SP - 425
EP - 435
JO - Best Practice and Research: Clinical Anaesthesiology
JF - Best Practice and Research: Clinical Anaesthesiology
IS - 3
ER -