Neurosurgical Outcomes, Protocols, and Resource Management During Lockdown: Early Institutional Experience from One of the World's Largest COVID 19 Hotspots
| Autor: | Manoharan Dwark Sudhan, Lingappa Moolya Sandhya, Rahul Yadav, SS Mathai, Rajeev Sivasankar, Rupesh Kumar Singh, Ramakrishnan Shankaran, Sachin Narayan Kulkarni, Cherukuri Prakash Shanthanu, Azimuddin Shaikh |
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| Rok vydání: | 2021 |
| Předmět: |
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medicine.medical_specialty MAC Monitored anesthesia care India Disease Neurosurgical Procedures Tertiary Care Centers COVID-19 Testing Clinical Protocols Neurosurgery protocols Intervention (counseling) Pandemic Health care medicine Humans Resource management Monitored anesthesia care Stroke Retrospective Studies GA General anesthesia SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 business.industry COVID-19 Workload medicine.disease Hydrocephalus ICU Intensive care unit ELISA Enzyme-linked immunosorbent assay Treatment Outcome Communicable Disease Control Emergency medicine Health Resources Original Article Female Surgery Neurology (clinical) PPE Personal protection equipment business |
| Zdroj: | World Neurosurgery |
| ISSN: | 1878-8750 |
| Popis: | Background As the COVID-19 pandemic completes 1 year, it is prudent to reflect on the challenges faced and the management strategies employed to tackle this overwhelming health care crisis. We undertook this study to validate our institutional protocols, which were formulated to cater to the change in volume and pattern of neurosurgical cases during the raging pandemic. Methods All admitted patients scheduled to undergo major neurosurgical intervention during the lockdown period (15 March 2020 to 15 September 2020) were included in the study. The data involving surgery outcomes, disease pattern, anesthesia techniques, patient demographics, as well as COVID-19 status, were analyzed and compared with similar retrospective data of neurosurgical patients operated during the same time period in the previous year (15 March 2019 to 15 September 2019). Results Barring significant increase in surgery for stroke (P = 0.008) and hydrocephalus (P |
| Databáze: | OpenAIRE |
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