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Battle-Tested Guidelines and Operational Protocols for Neurosurgical Practice in Times of a Pandemic: Lessons Learned from COVID-19.
Al Saiegh, Fadi; Mouchtouris, Nikolaos; Khanna, Omaditya; Baldassari, Michael; Theofanis, Thana; Ghosh, Ritam; Tjoumakaris, Stavropoula; Gooch, Michael Reid; Herial, Nabeel; Zarzour, Hekmat; Romo, Victor; Mahla, Michael; Rosenwasser, Robert; Jabbour, Pascal.
  • Al Saiegh F; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
  • Mouchtouris N; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
  • Khanna O; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
  • Baldassari M; Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
  • Theofanis T; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
  • Ghosh R; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
  • Tjoumakaris S; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
  • Gooch MR; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
  • Herial N; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
  • Zarzour H; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
  • Romo V; Department of Anesthesiology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
  • Mahla M; Department of Anesthesiology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
  • Rosenwasser R; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
  • Jabbour P; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA. Electronic address: pascal.jabbour@jefferson.edu.
World Neurosurg ; 146: 20-25, 2021 02.
Article in English | MEDLINE | ID: covidwho-894259
Semantic information from SemMedBD (by NLM)
1. Neurosurgical Procedures AFFECTS Patients
Subject
Neurosurgical Procedures
Predicate
AFFECTS
Object
Patients
2. Neurosurgical Procedures AFFECTS Physicians
Subject
Neurosurgical Procedures
Predicate
AFFECTS
Object
Physicians
3. Neurosurgical Procedures AFFECTS Patients
Subject
Neurosurgical Procedures
Predicate
AFFECTS
Object
Patients
4. Neurosurgical Procedures AFFECTS Physicians
Subject
Neurosurgical Procedures
Predicate
AFFECTS
Object
Physicians
ABSTRACT
The COVID-19 outbreak has led to fundamental disruptions of health care and its delivery with sweeping implications for patients and physicians of all specialties, including neurosurgery. In an effort to conserve hospital resources, neurosurgical procedures were classified into tiers to determine which procedures have to be performed in a timely fashion and which ones can be temporarily suspended to aid in the hospital's reallocation of resources when equipment is scarce. These guidelines were created quickly based on little existing evidence, and thus were initially variable and required refinement. As the early wave can now be assessed in retrospect, the authors describe the lessons learned and the protocols established based on published global evidence to continue to practice neurosurgery sensibly and minimize disruptions. These operational protocols can be applied in a surge of COVID-19 or another airborne pandemic.
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Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Practice Guidelines as Topic / Neurosurgical Procedures / COVID-19 Type of study: Clinical Practice Guide Limits: Humans Language: English Journal: World Neurosurg Journal subject: Neurosurgery Year: 2021 Document Type: Article Affiliation country: J.wneu.2020.10.095

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Practice Guidelines as Topic / Neurosurgical Procedures / COVID-19 Type of study: Clinical Practice Guide Limits: Humans Language: English Journal: World Neurosurg Journal subject: Neurosurgery Year: 2021 Document Type: Article Affiliation country: J.wneu.2020.10.095