Emergency neurological procedures during COVID-19 pandemic: Practical issues

J Anaesthesiol Clin Pharmacol. 2020 Aug;36(Suppl 1):S104-S109. doi: 10.4103/joacp.JOACP_243_20. Epub 2020 Jul 24.

Abstract

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.

Keywords: Corona Virus Disease 2019 (COVID-19); neuroanesthesia; neuroradiologic intervention; neurosurgical emergency.

Publication types

  • Review