COVID-19 in New Orleans: A Nephrology Clinical and Education Perspective and Lessons Learned
New Orleans’ first case of coronavirus disease 2019 (COVID-19) was reported on March 9, 2020, with a subsequent rapid increase in the number of cases throughout the state of Louisiana. Traditional educational efforts were no longer viable with social distancing and stay-at-home orders; therefore, vi...
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doaj-15a3ebe889e14416a421bf52ec413a582021-02-05T15:32:20ZengElsevierKidney Medicine2590-05952021-01-013199104COVID-19 in New Orleans: A Nephrology Clinical and Education Perspective and Lessons LearnedMihran Naljayan0Farshid Yazdi1Sarah Struthers2Moh’d Sharshir3Amanda Williamson4Eric E. Simon5Section of Nephrology and Hypertension, LSU School of Medicine, New Orleans, LA; Address for Correspondence: Mihran Naljayan, MD, LSU School of Medicine, 1542 Tulane Ave, Rm 326, New Orleans, LA 70112.Section of Nephrology and Hypertension, LSU School of Medicine, New Orleans, LASection of Nephrology and Hypertension, LSU School of Medicine, New Orleans, LASection of Nephrology and Hypertension, Tulane School of Medicine and Southeast Louisiana Veterans Healthcare System, New Orleans, LADaVita Kidney Care, Denver, COSection of Nephrology and Hypertension, Tulane School of Medicine and Southeast Louisiana Veterans Healthcare System, New Orleans, LANew Orleans’ first case of coronavirus disease 2019 (COVID-19) was reported on March 9, 2020, with a subsequent rapid increase in the number of cases throughout the state of Louisiana. Traditional educational efforts were no longer viable with social distancing and stay-at-home orders; therefore, virtual didactics were integrated into our curriculum. Due to an exponential increase in the number of patients with acute kidney injury requiring kidney replacement therapy, the nephrology sections at Louisiana State University School of Medicine and Tulane University School of Medicine adapted their clinical workflows to accommodate these increased clinical volumes by using prolonged intermittent kidney replacement therapies and acute peritoneal dialysis, as well as other strategies to mitigate nursing burnout and decrease scarce resource use. Telehealth was implemented in outpatient clinics and dialysis units to protect vulnerable patients with kidney disease while maintaining access to care. Lessons learned from this pandemic and subsequent response may be used for future responses in similar situations.http://www.sciencedirect.com/science/article/pii/S2590059520302557AKICOVID-19New OrleansESKD |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mihran Naljayan Farshid Yazdi Sarah Struthers Moh’d Sharshir Amanda Williamson Eric E. Simon |
spellingShingle |
Mihran Naljayan Farshid Yazdi Sarah Struthers Moh’d Sharshir Amanda Williamson Eric E. Simon COVID-19 in New Orleans: A Nephrology Clinical and Education Perspective and Lessons Learned Kidney Medicine AKI COVID-19 New Orleans ESKD |
author_facet |
Mihran Naljayan Farshid Yazdi Sarah Struthers Moh’d Sharshir Amanda Williamson Eric E. Simon |
author_sort |
Mihran Naljayan |
title |
COVID-19 in New Orleans: A Nephrology Clinical and Education Perspective and Lessons Learned |
title_short |
COVID-19 in New Orleans: A Nephrology Clinical and Education Perspective and Lessons Learned |
title_full |
COVID-19 in New Orleans: A Nephrology Clinical and Education Perspective and Lessons Learned |
title_fullStr |
COVID-19 in New Orleans: A Nephrology Clinical and Education Perspective and Lessons Learned |
title_full_unstemmed |
COVID-19 in New Orleans: A Nephrology Clinical and Education Perspective and Lessons Learned |
title_sort |
covid-19 in new orleans: a nephrology clinical and education perspective and lessons learned |
publisher |
Elsevier |
series |
Kidney Medicine |
issn |
2590-0595 |
publishDate |
2021-01-01 |
description |
New Orleans’ first case of coronavirus disease 2019 (COVID-19) was reported on March 9, 2020, with a subsequent rapid increase in the number of cases throughout the state of Louisiana. Traditional educational efforts were no longer viable with social distancing and stay-at-home orders; therefore, virtual didactics were integrated into our curriculum. Due to an exponential increase in the number of patients with acute kidney injury requiring kidney replacement therapy, the nephrology sections at Louisiana State University School of Medicine and Tulane University School of Medicine adapted their clinical workflows to accommodate these increased clinical volumes by using prolonged intermittent kidney replacement therapies and acute peritoneal dialysis, as well as other strategies to mitigate nursing burnout and decrease scarce resource use. Telehealth was implemented in outpatient clinics and dialysis units to protect vulnerable patients with kidney disease while maintaining access to care. Lessons learned from this pandemic and subsequent response may be used for future responses in similar situations. |
topic |
AKI COVID-19 New Orleans ESKD |
url |
http://www.sciencedirect.com/science/article/pii/S2590059520302557 |
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