Implications in Neuroanesthesia during the COVID-19 pandemic

Implications in Neuroanesthesia of the neurosurgical and neurocritical patient during the COVID-19 pandemic

Keywords: Neuroanesthesia, Neurosurgery, Neurocritical, COVID-19, SARS-CoV-2, Safety

Abstract

COVID-19, declared a pandemic by the World Health Organization in March 2020, has generated more than 11,000,000 cases and 500,000 deaths worldwide. The risk of operation in aerosol-generating procedures and length of stay in procedures has impacted neurosurgical and endovascular care, generating unique implications for neuroanesthesiologists and perioperative care in general.

Aim

Present a series of recommendations based on current evidence on the implications for neuroanesthesiologists and the perioperative management of the neurocritical and neurosurgical patient during the COVID-19 pandemic.

Material and methods

Retrospective study, of bibliographic review through systematic search of keywords related to neuroanesthesiology and perioperative management of the neurosurgical and neurocritical patient during the COVID-19 pandemic reported in the literature from January 2020 to October 2020.

Results

The neurosurgical and neurocritical patient poses important challenges that imply rapid response capacity, establishment of management protocols, multidisciplinary stratification, availability of infrastructure, PPE and personnel to ensure their care.

Conclusions

The role of the neuroanesthesiologist is fundamental in the organization and management of the pandemic; it must be kept safe, protected and up-to-date in the specific considerations of the neurocritical patient in this “new normal” state.

Key Words: Neuroanesthesia, neurosurgery, neurocritical, COVID-19, SARS-CoV-2, safety.

Author Biography

César Alejandro Martínez de los Santos, Instituto Nacional de Neurología y Neurocirugía

Tesis de Subespecialidad “Ensayo Clínico: Evaluación del sangrado perioperatorio en resección de meningiomas con el uso de ácido tranexámico comparado con placebo”.
· Tesis de Maestría “Ensayo clínico de Intubación Endotraqueal con y sin el uso de Bloqueador Neuromuscular en niños” Junio 2016.
· Asesor de Tesis de Especialidad: Comparación De Tres Pautas De Sedación Con Ketamina. Febrero 2019.
· Asesor de Tesina Hemorragia obstétrica y periparto: uterotónicos y Anestesia del XX Diplomado de Analgesia y Anestesia en Ginecología y Obstetricia de la SMAGO A.C. Octubre 2016.
· Martínez-de los Santos CA, et al. Análisis del comportamiento de infecciones nosocomiales y evaluación de dos esquemas de profilaxis pre-quirúrgica en un centro de referencia neurológica. Archivos de Neurociencias 2019:24(2);59-66.
· Monárez -Prieto D, Villacobos- Granados S, Martínez-de los Santos CA. Comparación De Tres Pautas De Sedación Con Ketamina. Rev Med Torreón 2019:11;6-11.
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· Cruz-Cruz EF, Peralta-Sánchez C, Valdivia-Chiñas H, Martínez-de los Santos CA. Paciente con hemofilia tipo A: sometido a drenaje de hematoma intraparenquimatoso: Manejo anestésico. Anestesia en Mexico 2019: 32(2);88-90.
· Vaca Aguirre L, Martínez-de los Santos CA, Islas Álvarez M. Correcta colocación de catéter venoso central guiado por electrocardiografía. Anestesia en Mexico 2019:31(1);97-98.
· Martínez-de los Santos CA, Espinoza de los Monteros-Estrada I. Alternativas en el manejo de la hemorragia aguda en el transoperatorio. Rev Mex Anest 2016: 39(S1);S276-S280

Published
2021-12-27
How to Cite
Martínez de los Santos, C. A. (2021). Implications in Neuroanesthesia during the COVID-19 pandemic: Implications in Neuroanesthesia of the neurosurgical and neurocritical patient during the COVID-19 pandemic. Archivos De Neurociencias, 26(4), 32-39. https://doi.org/10.31157/archneurosciencesmex.v26i4.293
Section
Review Articles