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  1. Article ; Online: Surgical Cases in the COVID-19 Era : An Early Institutional Experience.

    Kuo, Susan / Dhillon, Navpreet K / Gewertz, Bruce L / Ley, Eric J

    The American surgeon

    2020  Volume 86, Issue 6, Page(s) 560–561

    MeSH term(s) Aged ; Aged, 80 and over ; Betacoronavirus ; COVID-19 ; COVID-19 Testing ; Clinical Laboratory Techniques ; Coronavirus Infections/diagnosis ; Coronavirus Infections/epidemiology ; Coronavirus Infections/transmission ; Cross Infection/diagnosis ; Elective Surgical Procedures ; Female ; Humans ; Male ; Middle Aged ; Pandemics ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/transmission ; Postoperative Period ; Risk Factors ; SARS-CoV-2 ; Surgical Procedures, Operative
    Keywords covid19
    Language English
    Publishing date 2020-07-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 202465-2
    ISSN 1555-9823 ; 0003-1348
    ISSN (online) 1555-9823
    ISSN 0003-1348
    DOI 10.1177/0003134820925025
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Surgical Cases in the COVID-19 Era ; An Early Institutional Experience

    Kuo, Susan / Dhillon, Navpreet K. / Gewertz, Bruce L. / Ley, Eric J.

    The American Surgeon

    2020  Volume 86, Issue 6, Page(s) 560–561

    Keywords General Medicine ; covid19
    Language English
    Publisher SAGE Publications
    Publishing country us
    Document type Article ; Online
    ZDB-ID 202465-2
    ISSN 1555-9823 ; 0003-1348
    ISSN (online) 1555-9823
    ISSN 0003-1348
    DOI 10.1177/0003134820925025
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Neurosurgical Outcomes, Protocols, and Resource Management During Lockdown: Early Institutional Experience from One of the World's Largest COVID 19 Hotspots.

    Sudhan, Manoharan Dwark / Singh, Rupesh Kumar / Yadav, Rahul / Sivasankar, Rajeev / Mathai, Sheila Samanta / Shankaran, Ramakrishnan / Kulkarni, Sachin Narayan / Shanthanu, Cherukuri Prakash / Sandhya, Lingappa Moolya / Shaikh, Azimuddin

    World neurosurgery

    2021  Volume 155, Page(s) e34–e40

    Abstract: ... awake craniotomy and regional anesthesia facilitate a better outcome in the ongoing COVID-19 era. ... neurosurgical procedures by the anesthesia team in 2020 (P < 0.001). COVID-19 patients had overall poor outcomes (P = 0.003 ... Background: As the COVID-19 pandemic surpasses 1 year, it is prudent to reflect on the challenges ...

    Abstract Background: As the COVID-19 pandemic surpasses 1 year, it is prudent to reflect on the challenges faced and the management strategies employed to tackle this overwhelming health care crisis. We undertook this study to validate our institutional protocols, which were formulated to cater to the change in volume and pattern of neurosurgical cases during the raging pandemic.
    Methods: All admitted patients scheduled to undergo major neurosurgical intervention during the lockdown period (15 March 2020 to 15 September 2020) were included in the study. The data involving surgery outcomes, disease pattern, anesthesia techniques, patient demographics, as well as COVID-19 status, were analyzed and compared with similar retrospective data of neurosurgical patients operated during the same time period in the previous year (15 March 2019 to 15 September 2019).
    Results: Barring significant increase in surgery for stroke (P = 0.008) and hydrocephalus (P <0.001), the overall case load of neurosurgery during the study period in 2020 was 42.75% of that in 2019 (P < 0.001), attributable to a significant reduction in elective spine surgeries (P < 0.001). However, no significant difference was observed in the overall incidence of emergency and essential surgeries undertaken during the 2 time periods (P = 0.482). There was an increased incidence in the use of monitored anesthesia care techniques during emergency and essential neurosurgical procedures by the anesthesia team in 2020 (P < 0.001). COVID-19 patients had overall poor outcomes (P = 0.003), with significant increase in mortality among those subjected to general anesthesia vis-a-vis monitored anesthesia care (P = 0.014).
    Conclusions: Despite a significant decrease in neurosurgical workload during the COVID-19 lockdown period in 2020, the volume of emergency and essential surgeries did not change much compared with the previous year. Surgery in COVID-19 patients is best avoided, unless critical, as the outcome in these patients is not favorable. The employment of monitored anesthesia care techniques like awake craniotomy and regional anesthesia facilitate a better outcome in the ongoing COVID-19 era.
    MeSH term(s) COVID-19/diagnosis ; COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19 Testing/methods ; COVID-19 Testing/trends ; Clinical Protocols ; Communicable Disease Control/methods ; Communicable Disease Control/trends ; Female ; Health Resources/trends ; Humans ; India/epidemiology ; Male ; Neurosurgical Procedures/methods ; Neurosurgical Procedures/trends ; Retrospective Studies ; Tertiary Care Centers/trends ; Treatment Outcome
    Language English
    Publishing date 2021-07-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2534351-8
    ISSN 1878-8769 ; 1878-8750
    ISSN (online) 1878-8769
    ISSN 1878-8750
    DOI 10.1016/j.wneu.2021.07.082
    Database MEDical Literature Analysis and Retrieval System OnLINE

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