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