Mont'alverne Francisco José Arruda, Lima Fabrício Oliveira, Nogueira Raul Gomes, Freitas Carlos Clayton Macedo de, Neto Octávio Marques Pontes, Silva Gisele Sampaio, Oliveira Maura Salaroli de, Frudit Michel, Caldas Jose Guilherme Mendes Pereira, Abud Daniel Giansante, Conforto Adriana Bastos, Carvalho Fernanda Martins Maia, Dias Francisco Antunes, Bazan Rodrigo, Avelar Wagner Mauad, Moro Carla Heloísa Cabral, MagalhÃes Pedro Silva Correa de, Miranda Maramelia, Barbosa Leandro de Assis
Departamento de Neurorradiologia Intervencionista, Hospital Geral de Fortaleza, Fortaleza, CE, Brazil.
Unidade de AVC, Hospital Geral de Fortaleza, Fortaleza, CE, Brazil.
Arq Neuropsiquiatr. 2020 Jul;78(7):440-449. doi: 10.1590/0004-282x20200053. Epub 2020 Jul 31.
Although the 2019 severe acute respiratory syndrome coronavirus 2 infection (SARS-CoV-2, COVID-19) pandemic poses new challenges to the healthcare system to provide support for thousands of patients, there is special concern about common medical emergencies, such as stroke, that will continue to occur and will require adequate treatment. The allocation of both material and human resources to fight the pandemic cannot overshadow the care for acute stroke, a time-sensitive emergency that with an inefficient treatment will further increase mortality and long-term disability.
This paper summarizes the recommendations from the Scientific Department on Cerebrovascular Diseases of the Brazilian Academy of Neurology, the Brazilian Society of Cerebrovascular Diseases and the Brazilian Society of Neuroradiology for management of acute stroke and urgent neuro-interventional procedures during the COVID-19 pandemic, including proper use of screening tools, personal protective equipment (for patients and health professionals), and patient allocation.
尽管2019年严重急性呼吸综合征冠状病毒2感染(SARS-CoV-2,新型冠状病毒肺炎)大流行给医疗系统带来了新的挑战,需要为数千名患者提供支持,但对于诸如中风等常见医疗紧急情况仍需特别关注,这些情况将持续发生且需要适当治疗。用于抗击疫情的物资和人力资源分配不能掩盖对急性中风的救治,急性中风是一种对时间敏感的紧急情况,治疗效率低下会进一步增加死亡率和长期残疾率。
本文总结了巴西神经病学学会脑血管病科学部、巴西脑血管病学会和巴西神经放射学会针对新型冠状病毒肺炎大流行期间急性中风管理及紧急神经介入程序的建议,包括筛查工具、个人防护装备(针对患者和医护人员)的正确使用以及患者分配。