Neuroanesthesia Practice during COVID-19: A Single-Center Experience

Author:

Gandhe Rajashree U.1,Bhave Chinmaya P.1,Gedam Neha T.1,Sengupta Rashnita1

Affiliation:

1. Division of Anaesthesiology, Department of Neuroanesthesiology, Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai, Maharashtra, India

Abstract

AbstractThe coronavirus disease 2019 (COVID-19) pandemic is a challenge for all health care providers (HCPs). Anesthesiologists are vulnerable to acquiring the disease during aerosol-generating procedures in operating theater and intensive care units. High index of suspicion, detailed history including travel history, strict hand hygiene, use of face masks, and appropriate personal protective equipment are some ways to minimize the risk of exposure to disease. Neurologic manifestations of COVID-19, modification of anesthesia regimen based on the procedure performed, and HCP safety are some implications relevant to a neuroanesthesiologist. National and international guidelines, recommendations, and position statements help in risk stratification, prioritization, and scheduling of neurosurgery and neurointervention procedures. Institutional protocols can be formulated based on the guidelines wherein each HCP has a definite role in this ever-changing scenario. Mental and physical well-being of HCPs is an integral part of successful management of patients. We present our experience in managing 143 patients during the lockdown period in India.

Publisher

Georg Thieme Verlag KG

Subject

Anesthesiology and Pain Medicine,Neurology (clinical),Critical Care and Intensive Care Medicine

Reference7 articles.

1. Finding the calm in the chaos: an institutional protocol for anesthetic management of a patient for neurosurgery during COVID19 pandemic;A S Nedunchezhian;J Neurosci Rural Pract,2020

2. Indian Society of Neuroanaesthesiology and Critical Care (ISNACC) position statement and advisory for the practice of Neuroanesthesia during COVID-19 pandemic;K Jangra;J Neuroanaesthesiol Crit Care,2020

3. Indian Society of Anaesthesiologists (ISA National) Advisory and Position Statement regarding COVID-19;N Malhotra;Indian J Anaesth,2020

4. Neuroanesthesia practice during the COVID-19 pandemic: recommendations from Society for Neuroscience in Anesthesiology and Critical Care (SNACC);A M Flexman;J Neurosurg Anesthesiol,2020

5. Anaesthetic management of endovascular treatment of acute ischemic stroke during COVID-19 pandemic: Consensus statement from Society for Neuroscience in Anaesthesiology and Critical Care (SNACC);D Sharma;J Neurosurg Anesthesiol,2020

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