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Neurosurgical Practice During Coronavirus Disease 2019 (COVID-19) Pandemic
Baris Ozoner1, Abuzer Gungor2, Teyyup Hasanov1
1Department of Neurosurgery, School of Medicine, Bahcesehir University, Istanbul, Turkey.
World Neurosurgery
|June 1, 2020
Summary
Neurosurgical practice requires significant modifications due to Coronavirus disease 2019 (COVID-19). Recommendations include telemedicine, adjusted personal protective equipment (PPE), and stringent patient screening to mitigate risks associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).
Area of Science:
- Neurosurgery
- Infectious Diseases
- Public Health
Background:
- Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, has profoundly impacted global healthcare systems.
- Neurosurgical practice has faced unprecedented challenges, necessitating major adaptations in scheduling, patient management, and academic activities.
Purpose of the Study:
- To outline essential modifications and recommendations for neurosurgical practice during the COVID-19 pandemic.
- To ensure the safety of healthcare workers and patients while maintaining essential neurosurgical services.
Main Methods:
- Implementation of telemedicine for outpatient appointments.
- Stratification of personal protective equipment (PPE) levels based on patient COVID-19 status.
- Mandatory COVID-19 screening for all surgical candidates.
- Modification of surgical techniques to minimize aerosol generation.
Main Results:
- Telemedicine adoption for outpatient care is recommended.
- Different levels of PPE (Level 1, 2, and 3) are advised for non-COVID, COVID-negative, and COVID-positive/emergency cases, respectively.
- COVID-19 screening via nasopharyngeal swab and CT scan is crucial for surgical patients.
- Reducing aerosol-generating procedures during surgery is advised.
- Virtual webinars are recommended for academic conferences.
Conclusions:
- Adaptations in neurosurgical practice, including telemedicine, PPE protocols, and screening, are vital for managing the COVID-19 pandemic.
- Minimizing transmission risks and ensuring patient safety are paramount.
- The high mortality associated with COVID-19 in surgical patients underscores the importance of screening and protective measures.
