Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
Department of Neurosurgery, SCTIMST, Trivandrum, Kerala, India.
Neurol India. 2021 Jan-Feb;69(1):21-25. doi: 10.4103/0028-3886.310113.
As the world faces a new viral pandemic, which has spread very rapidly, initial response from most countries was to suspend nonemergent health services so that available resources can be diverted to handle the large numbers of patients with COVID-19 infection. Many societies issued guidelines to suspend or postpone nonemergent surgeries.
We reviewed the emerging evidence regarding the impact of COVID-19 infection in neurosurgery and the postponement of elective surgeries.
COVID-19 infection poses serious threat in hospitals in the form of cross-infection, hospital staff falling sick, with potential risk to overwhelm or paralyze the healthcare. In addition, we have come to realize the significant perioperative morbidity and mortality secondary to active COVID-19 infection. All these strongly favor suspension of elective neurosurgical services. However, these have to be weighed against the fallout due to prolonged postponement of neurosurgical treatment for conditions, which can progress and cause neurological deterioration.
This article discusses the contemporary published literature regarding the perioperative risk of COVID-19 infection, impact of postponed surgeries, challenges, risk assessment and guidelines for elective neurosurgery at this point of time.
随着世界面临一种新的病毒大流行，其传播速度非常快，大多数国家的初步反应是暂停非紧急医疗服务，以便将可用资源转移用于处理大量 COVID-19 感染患者。许多社会发布了暂停或推迟非紧急手术的指南。
我们回顾了有关 COVID-19 感染对神经外科的影响以及择期手术推迟的新出现的证据。
COVID-19 感染以交叉感染、医院工作人员生病的形式对医院构成严重威胁，有潜在风险使医疗保健系统不堪重负或瘫痪。此外，我们已经意识到继发于活动性 COVID-19 感染的重大围手术期发病率和死亡率。所有这些都强烈支持暂停择期神经外科服务。然而，这些必须与因长时间推迟可导致神经功能恶化的疾病的神经外科治疗而产生的后果进行权衡。
本文讨论了有关 COVID-19 感染围手术期风险、推迟手术的影响、挑战、风险评估以及此时择期神经外科手术的指南的当代已发表文献。
