Neurosurgical activity during COVID-19 pandemic: an expert opinion from china, South Korea, Italy, United Stated of America, Colombia and United Kingdom

Vista sencilla de ítem
dc.contributor.authorFontanella, marco
dc.contributor.authorSaraceno, Giorgio
dc.contributor.authorLei, Ting
dc.contributor.authorBederson, Joshua B.
dc.contributor.authorYou, Namkyu
dc.contributor.authorRubiano escobar, Andres mariano
dc.contributor.authorHutchinson, Peter John A.
dc.contributor.authorWiemeijer-Timmer, Frédérique
dc.contributor.authorServadei, Franco
dc.contributor.orcidRubiano, Andrés M. [0000-0001-8931-3254]
dc.date.accessioned2020-07-10T19:14:03Z
dc.date.available2020-07-10T19:14:03Z
dc.date.issued2020
dc.description.abstractenglishBackground: More than a million and a half people are infected worldwide with more than 90.000 casualties. The ongoing COVID-19 pandemic is radically altering both socio-economic and health care scenarios. Methods: On April 4, 2020, at 13.30 CET, a webinar was broadcasted, organized by Global Neuro and supported by WFNS. Expert neurosurgeons from 6 different countries (China, Italy, South Korea, USA, Colombia and United Kingdom) reported on the impact of the COVID-19 pandemic on their health care systems and neurosurgical activity. Results: The first part focused on the epidemiology until that date. The USA were the most affected State with 450.000 cases, followed by Italy (140.000 cases and 19.000 casualties), China (83.305 cases and 3.345 had died), South Korea (10.156 cases with 177 casualties), the UK (38.168 cases and 3.605 deaths) and Colombia (1.267 cases and 25 deaths). The second part concerned Institution and staff reorganization. In every country all surgical plans have been modified. In Wuhan the staff was enrolled in COVID-units. In New York, the Mount Sinai Health System was in lockdown mode. In South Korea, sterilizing chambers have been placed. In Italy some Departments were reorganized in a Hub and Spoke fashion. In the Latin American region, they adopted special measures for every case. In the UK a conference center has been used to accommodate intensive care unit (ICU) beds. The third part was about neurosurgical practice during the COVID-19 pandemic. In Wuhan the main hospital was used for urgent non-COVID patients. In New York the neurosurgeon staff work in ICU as advanced practitioner (APP). In South Korea every patient is screened. In Italy the on-duty Hub neurosurgeons have been doubled. In the Latin American region recommendations have been developed by some neurosurgical societies. In the UK local non-specialists and traumatologists neurosurgical experts are collaborating in terms of best practice. The final part touched upon how to perform safe surgery and re-start after the pandemic. In China elective surgical procedures are performed very carefully. In New York, surgery planning will be based on patient's viral load. In South Korea and in Italy disinfection plans and negative-pressure O.R. were created. In the Latin American region, the aim is to have a rapid testing system. In the UK they have developed flowcharts to guide trauma patient management. Conclusions: In general, the pandemic scenario was presented as a thought-provoking challenge in all countries which requires tireless efforts for both maintaining emergency and elective neurosurgical procedures.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.23736/s0390-5616.20.04994-2
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn1827-1855
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlhttps://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/3442
dc.language.isoeng
dc.publisherEdizioni Minerva Medicaspa
dc.publisher.journalJournal of neurosurgical sciencesspa
dc.relation.ispartofseriesJournal of neurosurgical sciences, 1827-1855, 2020spa
dc.relation.urihttps://www.minervamedica.it/en/journals/neurosurgical-sciences/article.php?cod=R38Y9999N00A20042912
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightsAcceso abierto
dc.rights.creativecommons2020-04-29
dc.rights.localAcceso abiertospa
dc.subject.decsNeurocirugiaspa
dc.subject.decsPandemiasspa
dc.subject.decsCOVID-19spa
dc.titleNeurosurgical activity during COVID-19 pandemic: an expert opinion from china, South Korea, Italy, United Stated of America, Colombia and United Kingdomspa
dc.title.translatedNeurosurgical activity during COVID-19 pandemic: an expert opinion from china, South Korea, Italy, United Stated of America, Colombia and United Kingdomspa
dc.type.coarhttps://purl.org/coar/resource_type/c_6501
dc.type.driverinfo:eu-repo/semantics/article
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localArtículo de revista

Archivos

Bloque de licencias
Mostrando 1 - 1 de 1
No hay miniatura disponible
Nombre:
license.txt
Tamaño:
1.71 KB
Formato:
Item-specific license agreed upon to submission
Descripción:
Descargar

Colecciones

Artículos