Dastagirzada Yosef, Klauberg Olga, Sheerin Kathleen, Lieberman Seth, Lebowitz Richard, McMenomey Sean, Sen Chandranath, Roland J Thomas, Golfinos John G, Pacione Donato
Department of Neurosurgery, NYU Langone Health, New York City, New York, United States.
Department of Otolaryngology, NYU Langone Health, New York City, New York, United States.
J Neurol Surg B Skull Base. 2021 Feb 18;83(Suppl 2):e169-e172. doi: 10.1055/s-0041-1722936. eCollection 2022 Jun.
Soon after the World Health Organization declared the severe acute respiratory syndrome coronavirus 2 a global health emergency on January 30, 2020, New York City was plagued by the virus and its health system and economy pushed to their limits. The majority of the limited neurosurgical data in relation to COVID-19 is anecdotal and the higher theoretical risk of transmission of the virus among skull base aerosol generating (SBAG) cases has not been investigated or discussed in a neurosurgical population. We discuss a series of 13 patients who underwent 15 SBAG surgical procedures during the peak of COVID-19 in our hospital system and the protocols use perioperatively for their procedures. Our data support that with proper preoperative testing, a well-delineated surgical algorithm, and appropriate personal protective equipment, emergent/urgent cases can be done safely in hospitals that are currently experiencing high volumes of COVID-19 cases as we did in March to May of 2020.
2020年1月30日，世界卫生组织宣布严重急性呼吸综合征冠状病毒2构成全球卫生紧急事件后不久，纽约市便受到该病毒的困扰，其卫生系统和经济被推至极限。与2019冠状病毒病相关的有限神经外科数据大多是轶事性的，而在神经外科人群中，病毒在颅底气溶胶产生（SBAG）病例之间传播的理论风险更高这一情况尚未得到研究或讨论。我们讨论了在我院系统2019冠状病毒病高峰期接受15例SBAG手术的13例患者，以及围手术期用于其手术的方案。我们的数据支持，通过适当的术前检测、明确的手术算法和合适的个人防护装备，在当前正经历大量2019冠状病毒病病例的医院中，如我们在2020年3月至5月所做的那样，可以安全地完成急诊/紧急病例的手术。
