Singh Gyaninder Pal, Hrishi Ajay Prasad, Rath Girija Prasad
Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
Division of Neuroanaesthesia, Sree Chitra Tirunal Institute of Medical Sciences and Technology (SCTIMST), Thiruvananthapuram, Kerala, India.
J Anaesthesiol Clin Pharmacol. 2020 Aug;36(Suppl 1):S104-S109. doi: 10.4103/joacp.JOACP_243_20. Epub 2020 Jul 24.
The novel coronavirus disease 2019 (COVID-19) has emerged as a global pandemic. A significant number of these patients would present to hospitals with neurological manifestations and neurosurgical emergencies requiring urgent treatment. The anesthesiologists should be prepared to manage these cases in an efficient and timely manner in the operating room, intensive care units, and interventional neuroradiology suites. The clinical course of the disease is in an evolving stage. As we acquire more knowledge about COVID-19, new recommendations and guidelines are being formulated and regularly updated. This article discusses the anesthetic management of urgent neurosurgical and neurointerventional procedures. In addition, a brief overview of intrahospital transport of neurologically injured patients has been addressed.
2019年新型冠状病毒病（COVID-19）已演变成一场全球大流行。相当一部分此类患者会因神经症状和神经外科急症前往医院，需要紧急治疗。麻醉医生应做好准备，在手术室、重症监护病房和介入神经放射科套房中高效、及时地处理这些病例。该疾病的临床过程正处于不断演变的阶段。随着我们对COVID-19了解的增加，新的建议和指南正在制定并定期更新。本文讨论了紧急神经外科和神经介入手术的麻醉管理。此外，还简要概述了神经损伤患者的院内转运。
