Neuroendovascular Treatment of Acute Stroke during Covid-19: A Guide from the Frontlines

Autor: Randi Collinson, Melissa McCabe, Ike Thacker, Bryan Pukenas, Colin Hoey, Mougnyan Cox, Robert W. Hurst, Kennith F. Layton, Jessica Lehmann, Preethi Ramchand, David Kung, Neda I. Sedora-Roman
Jazyk: angličtina
Rok vydání: 2020
Předmět:
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19)
acute stroke
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
coronavirus
030204 cardiovascular system & hematology
medicine.disease_cause
Article
030218 nuclear medicine & medical imaging
03 medical and health sciences
mechanical thrombectomy
0302 clinical medicine
PPE
Personal Protective Equipment
ACT
Activated Clotting Time
ICU
Intensive Care Unit
medicine
Advanced and Specialised Nursing
Myocardial infarction
Acute stroke
Coronavirus
Advanced and Specialized Nursing
CTA
Computed Tomography Angiography
Radiological and Ultrasound Technology
business.industry
EMS
Emergency Medical Services
IV
Intravenous Catheter
COVID-19
CT
Computed Tomography
medicine.disease
radiology nurses
NIHSS
National Institutes of Health Stroke Severity Scale
Mechanical thrombectomy
Increased risk
Emergency medicine
tPA
Tissue Plasminogen Activator
business
Loss of life
Zdroj: Journal of Radiology Nursing
ISSN: 1555-9912
1546-0843
Popis: Since the initial reports surfaced of a novel Coronavirus causing illness and loss of life in Wuhan, China, COVID-19 has rapidly spread across the globe infecting millions and leaving hundreds of thousands dead. As hospitals cope with the influx of COVID-19 patients, new challenges have arisen as healthcare systems care for COVID-19 patients while still providing essential emergency care for patients with acute strokes and acute myocardial infarction. Adding to this complex scenario are new reports that COVID-19 patients are at increased risk of thromboembolic complications including strokes. In this paper, we detail our experience caring for acute stroke patients, and provide some insight into neurointerventional workflow modifications that have helped us adapt to the COVID-19 era.
Highlights: • COVID-19 continues its relentless march through the United States and the globe, presenting unique challenges for healthcare providers as they treat other emergent conditions while minimizing the risk of COVID-19 exposure and infection. • Acute stroke is especially challenging during the COVID-19 due to time constraints required for effective mechanical thrombectomy to improve neurologic outcomes and survival in patients whose COVID infection status is unknown. • The institutional protocol for mechanical thrombectomy described in this article may help inform models at other centers as they prepare for their respective COVID peaks
Databáze: OpenAIRE
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