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Subarachnoid hemorrhage guidance in the era of the COVID-19 pandemic - An opinion to mitigate exposure and conserve personal protective equipment.
Nguyen, Thanh N; Jadhav, Ashutosh P; Dasenbrock, Hormuzdiyar H; Nogueira, Raul G; Abdalkader, Mohamad; Ma, Alice; Cervantes-Arslanian, Anna M; Greer, David M; Daneshmand, Ali; Yavagal, Dileep R; Jovin, Tudor G; Zaidat, Osama O; Chou, Sherry Hsiang-Yi.
  • Nguyen TN; Neurology, Neurosurgery, Radiology, Boston Medical Center/Boston University School of Medicine. Electronic address: thanh.nguyen@bmc.org.
  • Jadhav AP; Neurology, Neurosurgery, University of Pittsburgh Medical Center. Electronic address: Ashu.jadhav@gmail.com.
  • Dasenbrock HH; Neurosurgery, Boston Medical Center. Electronic address: Hormuzdiyar.dasenbrock@bmc.org.
  • Nogueira RG; Neurology, Neurosurgery, Radiology, Grady Memorial Hospital/Emory University. Electronic address: raul.g.nogueira@emory.edu.
  • Abdalkader M; Radiology, Boston Medical Center. Electronic address: Mohamad.abdalkader@bmc.org.
  • Ma A; Radiology, Boston Medical Center. Electronic address: alice.ma@bmc.org.
  • Cervantes-Arslanian AM; Neurology, Boston Medical Center. Electronic address: anna.cervantes@bmc.org.
  • Greer DM; Neurology, Boston Medical Center. Electronic address: David.greer@bmc.org.
  • Daneshmand A; Neurology, Boston Medical Center. Electronic address: ali.daneshmand@bmc.org.
  • Yavagal DR; Neurology, Neurosurgery, University of Miami Miller School of Medicine. Electronic address: dyavagal@med.miami.edu.
  • Jovin TG; Neurology, Cooper University Health Care. Electronic address: tudorjovin@gmail.com.
  • Zaidat OO; Neuroscience Institute, Bon Secours Mercy Health System/ St. Vincent Hospital. Electronic address: oozaidat@mercy.com.
  • Chou SH; Neurology, Neurosurgery, University of Pittsburgh Medical Center; Neurology, Neurosurgery, Critical Care Medicine, University of Pittsburgh Medical Center. Electronic address: chouh@upmc.edu.
J Stroke Cerebrovasc Dis ; 29(9): 105010, 2020 Sep.
Article in English | MEDLINE | ID: covidwho-548353
Semantic information from SemMedBD (by NLM)
1. Subarachnoid Hemorrhag PROCESS_OF C0030705
Subject
Subarachnoid Hemorrhag
Predicate
PROCESS_OF
Object
C0030705
2. Subarachnoid Hemorrhage COEXISTS_WITH Crisis
Subject
Subarachnoid Hemorrhage
Predicate
COEXISTS_WITH
Object
Crisis
3. Subarachnoid Hemorrhage, Aneurysmal PROCESS_OF Patients
Subject
Subarachnoid Hemorrhage, Aneurysmal
Predicate
PROCESS_OF
Object
Patients
4. Subarachnoid Hemorrhage COEXISTS_WITH Crisis
Subject
Subarachnoid Hemorrhage
Predicate
COEXISTS_WITH
Object
Crisis
ABSTRACT
Aneurysmal subarachnoid hemorrhage (SAH) patients require frequent neurological examinations, neuroradiographic diagnostic testing and lengthy intensive care unit stay. Previously established SAH treatment protocols are impractical to impossible to adhere to in the current COVID-19 crisis due to the need for infection containment and shortage of critical care resources, including personal protective equipment (PPE). Centers need to adopt modified protocols to optimize SAH care and outcomes during this crisis. In this opinion piece, we assembled a multidisciplinary, multicenter team to develop and propose a modified guidance algorithm that optimizes SAH care and workflow in the era of the COVID-19 pandemic. This guidance is to be adapted to the available resources of a local institution and does not replace clinical judgment when faced with an individual patient.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Subarachnoid Hemorrhage / Occupational Exposure / Infectious Disease Transmission, Patient-to-Professional / Coronavirus Infections / Delivery of Health Care, Integrated / Critical Pathways / Personal Protective Equipment / Betacoronavirus Type of study: Diagnostic study / Etiology study / Clinical Practice Guide / Prognostic study / Risk factors Limits: Humans Language: English Journal: J Stroke Cerebrovasc Dis Journal subject: Vascular Diseases / Brain Year: 2020 Document Type: Article

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Subarachnoid Hemorrhage / Occupational Exposure / Infectious Disease Transmission, Patient-to-Professional / Coronavirus Infections / Delivery of Health Care, Integrated / Critical Pathways / Personal Protective Equipment / Betacoronavirus Type of study: Diagnostic study / Etiology study / Clinical Practice Guide / Prognostic study / Risk factors Limits: Humans Language: English Journal: J Stroke Cerebrovasc Dis Journal subject: Vascular Diseases / Brain Year: 2020 Document Type: Article