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Lessons from China When Performing Neurosurgical Procedures During the Coronavirus Disease 2019 (COVID-19) Pandemic.
Wen, Jun; Qi, Xiaoming; Lyon, Kristopher A; Liang, Buqing; Wang, Xiangyu; Feng, Dongxia; Huang, Jason H.
  • Wen J; Department of Neurosurgery, the First Affiliated Hospital of Jinan University, Guangzhou, China.
  • Qi X; Department of Neurosurgery, Baylor Scott & White Medical Center, Temple, Texas, U.S.A.
  • Lyon KA; Department of Neurosurgery, Baylor Scott & White Medical Center, Temple, Texas, U.S.A.; Department of Surgery, Texas A&M University College of Medicine, Temple, Texas, U.S.A.
  • Liang B; Department of Neurosurgery, Baylor Scott & White Medical Center, Temple, Texas, U.S.A.; Department of Surgery, Texas A&M University College of Medicine, Temple, Texas, U.S.A.
  • Wang X; Department of Neurosurgery, the First Affiliated Hospital of Jinan University, Guangzhou, China. Electronic address: wang_xy123@126.com.
  • Feng D; Department of Neurosurgery, Baylor Scott & White Medical Center, Temple, Texas, U.S.A.; Department of Surgery, Texas A&M University College of Medicine, Temple, Texas, U.S.A.
  • Huang JH; Department of Neurosurgery, Baylor Scott & White Medical Center, Temple, Texas, U.S.A.; Department of Surgery, Texas A&M University College of Medicine, Temple, Texas, U.S.A.
World Neurosurg ; 138: e955-e960, 2020 06.
Article in English | MEDLINE | ID: covidwho-274866
Semantic information from SemMedBD (by NLM)
1. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
2. Neurosurgical Procedures ADMINISTERED_TO Team
Subject
Neurosurgical Procedures
Predicate
ADMINISTERED_TO
Object
Team
3. Aneurys PROCESS_OF C0030705
Subject
Aneurys
Predicate
PROCESS_OF
Object
C0030705
4. Airborne precautions ADMINISTERED_TO Patients
Subject
Airborne precautions
Predicate
ADMINISTERED_TO
Object
Patients
5. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
6. Neurosurgical Procedures ADMINISTERED_TO Team
Subject
Neurosurgical Procedures
Predicate
ADMINISTERED_TO
Object
Team
7. Aneurysm, Ruptured PROCESS_OF Patients
Subject
Aneurysm, Ruptured
Predicate
PROCESS_OF
Object
Patients
8. Airborne precautions ADMINISTERED_TO Patients
Subject
Airborne precautions
Predicate
ADMINISTERED_TO
Object
Patients
ABSTRACT

OBJECTIVE:

The novel coronavirus disease 2019 (COVID-19) pandemic poses a substantial threat to the health of health care personnel on the front line of caring for patients with COVID-19. The Centers for Medicare and Medicaid Services have announced that all nonessential planned surgeries and procedures should be postponed until further notice and only urgent procedures should proceed. Neurologic surgeries and procedures should not be delayed under the circumstance in which it is essential at saving a life or preserving functioning of the central nervous system.

METHODS:

With the intent to advise the neurosurgery team on how to adequately prepare and safely perform neurosurgical procedures on confirmed and suspected patients with COVID-19, we discuss considerations and recommendations based on the lessons and experience shared by neurosurgeons in China.

RESULTS:

Perioperative and intraoperative strategies, considerations, as well as challenges arisen under the specific circumstance have been discussed. In addition, a case of a ruptured aneurysm in a suspected patient with COVID-19 is reported. It is advised that all health care personnel who immediately participate in neurosurgical surgeries and procedures for confirmed and suspected patients with COVID-19 should take airborne precautions and wear enhanced personal protective equipment.

CONCLUSIONS:

Following the proposed guidance, urgent neurosurgical surgeries and procedures can be safely performed for the benefit of critical patients with or suspected for COVID-19.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Subarachnoid Hemorrhage / Intracranial Aneurysm / Infection Control / Aneurysm, Ruptured / Infectious Disease Transmission, Patient-to-Professional / Coronavirus Infections / Neurosurgical Procedures Type of study: Diagnostic study / Clinical Practice Guide Country/Region as subject: North America / Asia Language: English Journal: World Neurosurg Journal subject: Neurosurgery Year: 2020 Document Type: Article Affiliation country: J.wneu.2020.04.140

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Subarachnoid Hemorrhage / Intracranial Aneurysm / Infection Control / Aneurysm, Ruptured / Infectious Disease Transmission, Patient-to-Professional / Coronavirus Infections / Neurosurgical Procedures Type of study: Diagnostic study / Clinical Practice Guide Country/Region as subject: North America / Asia Language: English Journal: World Neurosurg Journal subject: Neurosurgery Year: 2020 Document Type: Article Affiliation country: J.wneu.2020.04.140