About: Minimizing SARS-CoV-2 exposure when performing surgical interventions during the COVID-19 pandemic

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About: Minimizing SARS-CoV-2 exposure when performing surgical interventions during the COVID-19 pandemic Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Minimizing SARS-CoV-2 exposure when performing surgical interventions during the COVID-19 pandemic
Creator	Kim, Louis Pandey, Aditya Arthur, Adam Binning, Mandy Jabbour, Pascal Kan, Peter Langer, David Levitt, Michael Mocco, J Rai, Ansaar Riina, Howard Ringer, Andrew Schirmer, Clemens Siddiqui, Adnan Snyder, Kenneth Tanweer, Omar Thompson, Byron Veznedaroglu, Erol Levy,
Source	Medline; PMC
abstract	BACKGROUND: Infection from the SARS-CoV-2 virus has led to the COVID-19 pandemic. Given the large number of patients affected, healthcare personnel and facility resources are stretched to the limit; however, the need for urgent and emergent neurosurgical care continues. This article describes best practices when performing neurosurgical procedures on patients with COVID-19 based on multi-institutional experiences. METHODS: We assembled neurosurgical practitioners from 13 different health systems from across the USA, including those in hot spots, to describe their practices in managing neurosurgical emergencies within the COVID-19 environment. RESULTS: Patients presenting with neurosurgical emergencies should be considered as persons under investigation (PUI) and thus maximal personal protective equipment (PPE) should be donned during interaction and transfer. Intubations and extubations should be done with only anesthesia staff donning maximal PPE in a negative pressure environment. Operating room (OR) staff should enter the room once the air has been cleared of particulate matter. Certain OR suites should be designated as covid ORs, thus allowing for all neurosurgical cases on covid/PUI patients to be performed in these rooms, which will require a terminal clean post procedure. Each COVID OR suite should be attached to an anteroom which is a negative pressure room with a HEPA filter, thus allowing for donning and doffing of PPE without risking contamination of clean areas. CONCLUSION: Based on a multi-institutional collaborative effort, we describe best practices when providing neurosurgical treatment for patients with COVID-19 in order to optimize clinical care and minimize the exposure of patients and staff.
has issue date	2020-05-20(xsd:dateTime)
bibo:doi	10.1136/neurintsurg-2020-016161
bibo:pmid	32434798
has license	no-cc
sha1sum (hex)	06d8d1f2d2eddd4431385dbc3c3b81735ae078dd
schema:url	https://doi.org/10.1136/neurintsurg-2020-016161
resource representing a document's title	Minimizing SARS-CoV-2 exposure when performing surgical interventions during the COVID-19 pandemic
has PubMed Central identifier	PMC7298685
has PubMed identifier	32434798
schema:publication	J Neurointerv Surg
resource representing a document's body	covid:06d8d1f2d2eddd4431385dbc3c3b81735ae078dd#body_text
is schema:about of	named entity 'COVID-19' named entity 'COVID-19 pandemic' named entity 'SARS-CoV-2' named entity 'Operating room' named entity 'SARS-Cov-2 virus' named entity 'N95' named entity 'PPe' named entity 'intubations' named entity 'aneurysms' named entity 'face masks' named entity 'critical care' named entity 'alcohol' named entity 'ultraviolet light' named entity 'supply chains' named entity 'ventilator' named entity 'endotracheal tube' named entity 'elective procedures' named entity 'N95' named entity 'Wuhan' named entity 'Operating room' named entity 'clinical care' named entity 'PPE' named entity 'neurosurgical procedures' named entity 'safe and effective' named entity 'COVID-19' named entity 'N95' named entity 'coronavirus' named entity 'medical devices' named entity 'PPE' named entity 'PPEs' named entity 'ICU beds' named entity 'COviD' named entity 'Cincinnati' named entity 'TriHealth' named entity 'ICU' named entity 'PPE' named entity 'worldwide pandemic' named entity 'tight fit' named entity 'Neurosurgical procedures' named entity 'hydrogen peroxide' named entity 'vascular surgery' named entity 'high-risk' named entity 'COVID' named entity 'routes of transmission' named entity 'Operating room' named entity 'severe acute respiratory syndrome' named entity 'York, Pennsylvania' named entity 'muscle aches' named entity 'PPE' named entity 'extubation' named entity 'particulate matter' named entity 'personal protective equipment' named entity 'COviD-19 pandemic' named entity 'WHO' named entity 'contaminated surfaces' named entity 'SARS-CoV-2 virus' named entity 'HePA' named entity 'ruptured aneurysm' named entity 'infection' named entity 'particulate matter' named entity 'aneurysms' named entity 'COVID' named entity 'COVID'

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