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 SPECIAL NI FEATURE
Year : 2020  |  Volume : 68  |  Issue : 2  |  Page : 246--254

Neurosurgery and Neurology Practices during the Novel COVID-19 Pandemic: A Consensus Statement from India


1 Division of Innovation and Translational Research, ICMR, New Delhi, India
2 Department of Neurosurgery, Devdoss Hospital, Madurai, India
3 Department of Neurological Sciences, CMC, Vellore, India
4 Department of Neurology, AIIMS, New Delhi, India
5 Department of Neurology, SCTIMST, Trivandrum, Kerala, India
6 Department of Neurosurgery, PGIMER, Chandigarh, India
7 Department of Neurology, PGIMER, Chandigarh, India
8 Department of Neurology, NIMHANS, Bengaluru, Karnataka, India
9 Department of Neurosurgery, SGPGI, Lucknow, Uttar Pradesh, India
10 Department of Neurology, SGPGI, Lucknow, Uttar Pradesh, India
11 Department of Neurosurgery, GB Pant, AIIMS, New Delhi, India
12 Department of Neurology, GB Pant Hospital, New Delhi, India
13 Department of Neurology, Institute of Neurology, Madras Medical College, Chennai, Tamil Nadu, India
14 Department of Neurosurgery, NIMHANS, Bengaluru, Karnataka, India
15 Department of Neurology, AIIMS, Jodhpur, Rajasthan, India
16 Department of Neurosurgery, AIIMS, New Delhi, India

Correspondence Address:
P Sarat Chandra
Professor and Head Unit I, Department of Neurosurgery, CN Center, AIIMS, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.283130

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Background: The COVID-19 infection outbreak has aroused increasing attention and affected thousands of people nationwide. The long incubation period, high infectious rate, varied manifestation, and absence of effective treatment make it difficult to manage the disease transmission. Objective: The intended goals are to encourage efficient management of neurological and neurosurgical patients, resource utilization, and protecting the healthcare provider during the COVID-19 epidemic. Herein, we present a consensus statement from various centers in India Methodology: In addition to the literature review, recommendations were included from neurologists and neurosurgeons from various centers in India. Results: Every patient presenting for treatment should be treated as a potential asymptomatic infected case. Patients should be categorized based upon the priority as acute (require immediate treatment/surgery within 24 h), sub-acute (requiring treatment within a maximum of 7–10 days), or chronic (requiring treatment within a month). Non-essential elective surgeries and outpatient clinics should be avoided after informing the patient(s). There is a high risk of aerosol dispersion during intubation and certain neurosurgical procedures particularly those involving drills and endoscopes. These procedures should be performed wearing full personal protective equipment. The workflow of the operating rooms should also be modified significantly. Minor modifications in personal and professional lifestyles and routine training to use the PPE will ensure efficient management of resources. Conclusion: These recommendations could be used to mitigate the risks and reduce exposure to other patients, public, and healthcare staff.






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