Fernández-Sánchez V E, Martínez-Martínez M A, Taramundi-Argüeso S, Pérez-Lorensu P J
Hospital Regional Universitario de Málaga, Málaga, España.
Hospital Universitario Marqués de Valdecilla, Santander, España.
Rev Neurol. 2020 Nov 1;71(9):340-350. doi: 10.33588/rn.7109.2020329.
At the end of January, the current outbreak of COVID-19 coronavirus disease was declared an important international public health emergency. In Spain, since the government declared the state of alarm on 14 March 2020, doctors responsible for carrying out neurophysiological tests have been performing them without any consensus criterion or clear safety guidelines for doctors, technicians or patients. The following recommendations, based on current knowledge of the disease and therefore liable to change in the future, are proposed when the pandemic appears to have entered a process of decreasing virulence and, with it, the strict containment measures established to date. However, in view of the possibility of a second wave of the pandemic, it seems necessary to establish basic and minimum recommendations to respect the patient's right to appropriate care, similar to that provided prior to the pandemic, and to maintain minimum safety standards for the patients themselves and for the doctors, technicians and health personnel carrying out these tests. These recommendations concern the constitution of a priority based on the reason for consultation, the establishment of calls to check the patient's clinical situation before going to the outpatient department and the rules for carrying out neurophysiological tests, which are generally based on the preservation of hospital circuits, respect for and observation of the known barriers to contagion of this disease, and the use of disposable material. These recommendations are of particular interest, especially given the uncertainty of not knowing the evolution of the SARS-CoV-2 infection in the coming weeks or months.
1月底,当前的新冠病毒病疫情被宣布为重要的国际突发公共卫生事件。在西班牙,自2020年3月14日政府宣布进入警戒状态以来,负责进行神经生理学检查的医生在进行检查时,对于医生、技术人员或患者而言,没有任何共识标准或明确的安全指南。当疫情似乎已进入毒力下降阶段,以及随之而来的是迄今所制定的严格防控措施有所放松时,基于目前对该疾病的了解,特提出以下建议,不过这些建议可能会在未来发生变化。然而,鉴于疫情可能出现第二波,似乎有必要制定基本的最低限度建议,以尊重患者获得适当治疗的权利,这种权利类似于疫情之前所提供的,同时为患者自身以及进行这些检查的医生、技术人员和医护人员维持最低安全标准。这些建议涉及根据会诊原因确定优先顺序,在前往门诊部之前安排电话询问以了解患者的临床状况,以及进行神经生理学检查的规则,这些规则通常基于维护医院流程、尊重并遵守已知的该疾病传播障碍以及使用一次性材料。鉴于未来几周或几个月内尚不清楚新冠病毒感染的发展情况,这些建议尤其重要。