Written by: Rossana Barack, MD, FIHA
The COVID-19 (corona virus disease 2019) pandemic has raised up unpredictable situation and challenges for novel treatment and healthcare systems specially in our country, Indonesia. As of the global latest data a total of more than two million confirmed cases have been reported and very likely to increase significantly day by day. Indonesia has declared the COVID-19 outbreak a national disaster bringing the total number of COVID-19 nationwide approached more than eight thousand and Jakarta as a capital city, bringing the total tally up to 3,746 infections (latest update April 26, 2020).
Our hospital is a private public hospital with various types of diseases. Before the pandemic of COVID-19, echocardiography examination is one of the diagnostic support references as well as TEE examination for cardiac source causes. Since the outbreak of COVID-19 emerged we conduct an echocardiography examination according to the recommendation from Indonesian Heart Association published on early April, 2020 with a few adjustments.
Elective indication of echocardiography examination in our hospital based on the COVID-19 pandemic:
1. Patients who undergo chemotherapy
2. Patients with non infectious diseases (after strict screening for COVID-19)
Elective Trans Esophageal Echocardiography is now suspended.
The disinfection after using the echocardiography machine is following the standard procedure of the hospital based on COVID-19 pandemic.
The echocardiography laboratory is located in fifth floor part of cardiovascular cluster (green zone). The patient’s bed is separated by a divider from two layers of plastic using a bed post and the echocardiography operator is wearing a full complete protective clothes and face shield (picture).
We enter our left hand through the bottom of the plastic layer. Two D images are saved and M-Mode measurements is calculated after saving the imaging while the standard Doppler measurements is calculated directly. We try to examine as early as possible and avoid to make close contact to the patient. As the patients are used to ask the result, we only explain the global findings and tell them to see their doctor (if the patients are referred from his or her doctor). After making a complete report we take off the protection clothes, face shield, and wash our hands as it should be.
We believe, other colleagues will do the same procedure principally by making adjustments in each hospital where they are on duty. We hope and pray that this pandemic of COVID-19 will end soon and the world will live and stay in harmony.
#stay@home #staysafe #stayhealthy #staycalm #staypositive #stayhappy
Rossana Barack, MD, FIHA works as cardiologist at Metropolitan Medical Center (MMC) Hospital – Jakarta.