Title : Integrated approach for management of complicated cardiovascular & thoracic cases
Abstract:
INTRODUCTION
An integrated approach towards managing a patient or inter speciality co-ordinated approach is characterized by a high level of collaboration and communication among various healthcare professionals in pursuance of complete management of each patient. It involves the sharing of information among team members related to patient care and the establishment of a comprehensive treatment plan to address the medical, psychological and social needs of the patient. The interprofessional health care team includes a diverse group of members (e.g., physicians, nurses, psychologists and other health professionals), depending on the needs of the patient. This not only improved the patient outcome but also contributed to patient satisfaction, quality of care and lowered complication rate along with reduced overall healthcare costs, especially during the COVID pandemic.
In this presentation, the comprehensive management of some complicated cardiovascular and thoracic cases will be discussed to elucidate the importance and role of integrated approach.
PATIENT AND METHODS:
These complicated cases include, patients with ACS + DM + Nephropathy + COPD + CVA/ Parkinsonism + Polyarthritis with very high uro-score (10-20), post COVID mucormycosis/ aspergilloma/ pulmonary cavitory lesions + BPF, CAD + Infracarinal bronchogenic cyst adherent to left atrium and cervico-mediastinal giant bronchogenic cyst for redo surgery, post covid left pulmonary AVM as well as migrating aspirated sewing machine needle retrieved with hybrid bronchoscopy + VATS.
All patients had COVID rapid screening prior to admission followed by RTPCR. All coronary revascularisations were performed off pump and thoracic procedures were performed by single port VATS approach. Timely cross consultations of various specialities like endocrinology, pulmonology, nephrology were sought and physiotherapist as well as dietician were actively involved pre-operatively as well as post-operatively in ICU, rehabilitation center, follow up opd and home care.
RESULT:
All the patients had successful interventions with integrated approach. Their hospital stay was uneventful and short (3-5 days). The patients are on regular follow up and recovered well without any delayed complications.
CONCLUSION:
Integrated approach helps in improving outcome of patients with several co-morbidities and complications. This can be successfully adopted during COVID pandemic to make cardiovascular and thoracic procedures safe.
AIM:
The audience will learn the importance of involving team approach at each step in the comprehensive management of the patients with several co-morbidities and complications.
This knowledge will enhance the efficiency of the audience and not only improve outcome but will also reduce complication rate and cost.
