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Adaptations in Radiosurgery Practice during COVID Crisis.
Manjul Tripathi1, Harsh Deora2, Nishanth Sadashiva2
1Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Neurology India
|October 28, 2020
Summary
During the COVID-19 pandemic, neurosurgical practices must adapt. Gamma Knife Radiosurgery (GKRS) requires treating all patients as potential carriers and prioritizing treatments to minimize exposure risks.
Area of Science:
- Neurosurgery
- Radiation Oncology
- Infectious Disease Control
Background:
- The COVID-19 pandemic significantly impacted neurosurgical practices globally.
- Healthcare providers faced unprecedented challenges in patient management and safety.
Purpose of the Study:
- To propose essential adaptations for radiosurgery practices during the COVID-19 pandemic.
- To ensure effective patient management, optimize resource allocation, and protect healthcare personnel.
- To provide guidance for Gamma Knife Radiosurgery (GKRS) protocols.
Main Methods:
- Literature review on COVID-19 impacts on neurosurgery.
- Development of recommendations for GKRS procedures.
- Analysis of patient prioritization and risk mitigation strategies.
Main Results:
- All patients undergoing GKRS must be presumed asymptomatic COVID-19 carriers.
- Patient categorization into urgent, semi-urgent, and elective based on clinical status is crucial.
- Urgent cases are limited to non-responding or enlarging cerebral metastases.
- Gamma gantry procedures pose a high risk for aerosol dispersion.
Conclusions:
- Implementing these recommendations minimizes pathogenic exposure risks for patients and healthcare providers.
- Adapting GKRS protocols is vital for safe neurosurgical care during the pandemic.
