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Published, Version of Record (VoR)Open Access (License Unspecified), Open
Journal article
Minimizing SARS-CoV-2 exposure when performing surgical interventions during the COVID-19 pandemic
Journal of neurointerventional surgery, v 12(7), pp 643-647
Jul 2020
PMID: 32434798
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
BackgroundInfection from the SARS-CoV-2 virus has led to the COVID-19 pandemic. Given the large number of patients affected, healthcare personnel and facility resources are stretched to the limit; however, the need for urgent and emergent neurosurgical care continues. This article describes best practices when performing neurosurgical procedures on patients with COVID-19 based on multi-institutional experiences.MethodsWe assembled neurosurgical practitioners from 13 different health systems from across the USA, including those in hot spots, to describe their practices in managing neurosurgical emergencies within the COVID-19 environment.ResultsPatients presenting with neurosurgical emergencies should be considered as persons under investigation (PUI) and thus maximal personal protective equipment (PPE) should be donned during interaction and transfer. Intubations and extubations should be done with only anesthesia staff donning maximal PPE in a negative pressure environment. Operating room (OR) staff should enter the room once the air has been cleared of particulate matter. Certain OR suites should be designated as covid ORs, thus allowing for all neurosurgical cases on covid/PUI patients to be performed in these rooms, which will require a terminal clean post procedure. Each COVID OR suite should be attached to an anteroom which is a negative pressure room with a HEPA filter, thus allowing for donning and doffing of PPE without risking contamination of clean areas.ConclusionBased on a multi-institutional collaborative effort, we describe best practices when providing neurosurgical treatment for patients with COVID-19 in order to optimize clinical care and minimize the exposure of patients and staff.
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Details
- Title
- Minimizing SARS-CoV-2 exposure when performing surgical interventions during the COVID-19 pandemic
- Creators
- Aditya S Pandey - University of Michigan–Ann ArborAndrew J Ringer - University of CincinnatiAnsaar T Rai - West Virginia UniversityPeter Kan - Baylor College of MedicinePascal Jabbour - Thomas Jefferson UniversityAdnan H Siddiqui - Buffalo State CollegeElad I Levy - Neurosurgery and Radiology and Canon Stroke and Vascular Research CenterKenneth V Snyder - NeurosurgeryHoward Riina - New York UniversityOmar Tanweer - New York UniversityMichael R Levitt - University of WashingtonLouis J Kim - University of WashingtonErol Veznedaroglu - Drexel UniversityMandy J Binning - Drexel UniversityAdam S Arthur - University of Tennessee Health Science CenterJ Mocco - Mount Sinai Medical CenterClemens Schirmer - Department of Neurosurgery and Neuroscience InstituteByron Gregory Thompson - University of Michigan–Ann ArborDavid Langer - Lenox Hill HospitalEndovasc Neurosurg Res Grp ENRG
- Publication Details
- Journal of neurointerventional surgery, v 12(7), pp 643-647
- Publisher
- British Medical Journal (BMJ)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Neurology; Neurosurgery
- Web of Science ID
- WOS:000544078400004
- Scopus ID
- 2-s2.0-85086524130
- Other Identifier
- 991019168754204721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Neuroimaging
- Surgery