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  1. Article ; Online: Management of neurological care during the COVID-19 pandemic.

    Matías-Guiu, J / Porta-Etessam, J / Lopez-Valdes, E / Garcia-Morales, I / Guerrero-Solá, A / Matias-Guiu, J A

    Neurologia (Barcelona, Spain)

    2020  Volume 35, Issue 4, Page(s) 233–237

    Abstract: ... to maintain the provision of neurological care. This article addresses operational decision-making during ... Introduction: The COVID-19 epidemic has led to the need for unprecedented decisions to be made ... to maintain neurological care, provision of care at a unit outside the hospital for priority patients ...

    Title translation La gestión de la asistencia neurológica en tiempos de la pandemia de Covid-19.
    Abstract Introduction: The COVID-19 epidemic has led to the need for unprecedented decisions to be made to maintain the provision of neurological care. This article addresses operational decision-making during the epidemic.
    Development: We report the measures taken, including the preparation of a functional reorganisation plan, strategies for hospitalisation and emergency management, the use of telephone consultations to maintain neurological care, provision of care at a unit outside the hospital for priority patients, decisions about complementary testing and periodic in-hospital treatments, and the use of a specific telephone service to prioritise patients with epileptic seizures.
    Conclusion: Despite the situation of confinement, neurology departments must continue to provide patient care through different means of operation. Like all elements of management, these must be evaluated.
    MeSH term(s) COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Decision Making ; Disease Management ; Emergency Medical Services/organization & administration ; Health Priorities ; Home Care Services/organization & administration ; Hospital Departments/organization & administration ; Hospitalization ; Humans ; Nervous System Diseases/diagnosis ; Nervous System Diseases/therapy ; Neurology/organization & administration ; Outpatient Clinics, Hospital/organization & administration ; Pandemics/prevention & control ; Patient Isolation ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Risk Assessment ; Telemedicine/organization & administration
    Keywords covid19
    Language Spanish
    Publishing date 2020-04-10
    Document type Journal Article ; Review
    ISSN 2173-5808
    ISSN (online) 2173-5808
    DOI 10.1016/j.nrl.2020.04.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Management of neurological care during the COVID-19 pandemic

    Matías-Guiu, J. / Porta-Etessam, J. / Lopez-Valdes, E. / Garcia-Morales, I. / Guerrero-Solá, A. / Matias-Guiu, J.A.

    Neurología (English Edition)

    2020  Volume 35, Issue 4, Page(s) 233–237

    Keywords covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ISSN 2173-5808
    DOI 10.1016/j.nrleng.2020.04.001
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Management of neurological care during the COVID-19 pandemic

    J. Matías-Guiu / J. Porta-Etessam / E. Lopez-Valdes / I. Garcia-Morales / A. Guerrero-Solá / J.A. Matias-Guiu

    Neurología (English Edition), Vol 35, Iss 4, Pp 233-

    2020  Volume 237

    Abstract: ... maintain the provision of neurological care. This article addresses operational decision-making during the ... to maintain neurological care, provision of care at a unit outside the hospital for priority patients ... Introduction: The COVID-19 epidemic has led to the need for unprecedented decisions to be made to ...

    Abstract Introduction: The COVID-19 epidemic has led to the need for unprecedented decisions to be made to maintain the provision of neurological care. This article addresses operational decision-making during the epidemic. Development: We report the measures taken, including the preparation of a functional reorganisation plan, strategies for hospitalisation and emergency management, the use of telephone consultations to maintain neurological care, provision of care at a unit outside the hospital for priority patients, decisions about complementary testing and periodic in-hospital treatments, and the use of a specific telephone service to prioritise patients with epileptic seizures. Conclusion: Despite the situation of confinement, neurology departments must continue to provide patient care through different means of operation. Like all elements of management, these must be evaluated. Resumen: Introducción: La pandemia de Covid-19 ha supuesto la necesidad de tomar decisiones para mantener la asistencia neurológica, sin precedentes. En este artículo se analiza esa toma de decisiones operativas. Desarrollo: Los autores refieren las fórmulas empleadas como son la realización de un plan de reorganización funcional, estrategias para la hospitalización y urgencias, la realización de consultas telefónicas para el mantenimiento de la atención neurológica, la asistencia en un área externa al hospital para pacientes preferentes, las decisiones sobre exploraciones complementarias y tratamientos intrahospitalarios periódicos o implantar un teléfono para la priorización de crisis epilépticas. Conclusión: A pesar de la situación de aislamiento, los servicios de neurología deben mantener la atención de sus pacientes a través de distintas fórmulas operativas, que como cualquier elemento de gestión, deberán evaluarse.
    Keywords Covid 19 ; SARS2-CoV ; Asistencia neurológica ; Gestión sanitaria ; Departamento de neurología ; Neurology. Diseases of the nervous system ; RC346-429 ; covid19
    Language English
    Publishing date 2020-05-01T00:00:00Z
    Publisher Elsevier España
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article: Management of neurological care during the COVID-19 pandemic

    Matías-Guiu, J. / Porta-Etessam, J. / Lopez-Valdes, E. / Garcia-Morales, I. / Guerrero-Solá, A. / Matias-Guiu, J. A.

    Neurología (English Edition)

    Abstract: ... maintain the provision of neurological care This article addresses operational decision-making during the ... maintain neurological care, provision of care at a unit outside the hospital for priority patients ... Like all elements of management, these must be evaluated Resumen Introducción La pandemia de Covid-19 ...

    Abstract Introduction The COVID-19 epidemic has led to the need for unprecedented decisions to be made to maintain the provision of neurological care This article addresses operational decision-making during the epidemic Development We report the measures taken, including the preparation of a functional reorganisation plan, strategies for hospitalisation and emergency management, the use of telephone consultations to maintain neurological care, provision of care at a unit outside the hospital for priority patients, decisions about complementary testing and periodic in-hospital treatments, and the use of a specific telephone service to prioritise patients with epileptic seizures Conclusion Despite the situation of confinement, neurology departments must continue to provide patient care through different means of operation Like all elements of management, these must be evaluated Resumen Introducción La pandemia de Covid-19 ha supuesto la necesidad de tomar decisiones para mantener la asistencia neurológica, sin precedentes En este artículo se analiza esa toma de decisiones operativas Desarrollo Los autores refieren las fórmulas empleadas como son la realización de un plan de reorganización funcional, estrategias para la hospitalización y urgencias, la realización de consultas telefónicas para el mantenimiento de la atención neurológica, la asistencia en un área externa al hospital para pacientes preferentes, las decisiones sobre exploraciones complementarias y tratamientos intrahospitalarios periódicos o implantar un teléfono para la priorización de crisis epilépticas Conclusión A pesar de la situación de aislamiento, los servicios de neurología deben mantener la atención de sus pacientes a través de distintas fórmulas operativas, que como cualquier elemento de gestión, deberán evaluarse
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #108888
    Database COVID19

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  5. Article: La gestión de la asistencia neurológica en tiempos de la pandemia de Covid-19./ La gestión de la asistencia neurológica en tiempos de la pandemia de Covid-19./ Management of neurological care during the COVID-19 pandemic

    Matías-Guiu, J / Porta-Etessam, J / Lopez-Valdes, E / Garcia-Morales, I / Guerrero-Solá, A / Matias-Guiu, J A

    Neurologia

    Abstract: ... to maintain the provision of neurological care. This article addresses operational decision-making during ... INTRODUCTION: The COVID-19 epidemic has led to the need for unprecedented decisions to be made ... to maintain neurological care, provision of care at a unit outside the hospital for priority patients ...

    Abstract INTRODUCTION: The COVID-19 epidemic has led to the need for unprecedented decisions to be made to maintain the provision of neurological care. This article addresses operational decision-making during the epidemic. DEVELOPMENT: We report the measures taken, including the preparation of a functional reorganisation plan, strategies for hospitalisation and emergency management, the use of telephone consultations to maintain neurological care, provision of care at a unit outside the hospital for priority patients, decisions about complementary testing and periodic in-hospital treatments, and the use of a specific telephone service to prioritise patients with epileptic seizures. CONCLUSION: Despite the situation of confinement, neurology departments must continue to provide patient care through different means of operation. Like all elements of management, these must be evaluated.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #47011
    Database COVID19

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  6. Article ; Online: Anesthetic Management of Endovascular Treatment of Acute Ischemic Stroke During COVID-19 Pandemic: Consensus Statement From Society for Neuroscience in Anesthesiology & Critical Care (SNACC): Endorsed by Society of Vascular & Interventional Neurology (SVIN), Society of NeuroInterventional Surgery (SNIS), Neurocritical Care Society (NCS), European Society of Minimally Invasive Neurological Therapy (ESMINT) and American Association of Neurological Surgeons (AANS) and Congress of Neurological Surgeons (CNS) Cerebrovascular Section.

    Sharma, Deepak / Rasmussen, Mads / Han, Ruquan / Whalin, Matthew K / Davis, Melinda / Kofke, W Andrew / Venkatraghvan, Lakshmikumar / Raychev, Radoslav / Fraser, Justin F

    Journal of neurosurgical anesthesiology

    2020  Volume 32, Issue 3, Page(s) 193–201

    Abstract: ... for acute ischemic stroke during the COVID-19 pandemic. The goal of this consensus statement is to provide ... care) for a given patient and offers suggestions for best practices for anesthesia care during the pandemic. Institutions ... The pandemic of coronavirus disease 2019 (COVID-19) has unique implications for the anesthetic ...

    Abstract The pandemic of coronavirus disease 2019 (COVID-19) has unique implications for the anesthetic management of endovascular therapy for acute ischemic stroke. The Society for Neuroscience in Anesthesiology and Critical Care appointed a task force to provide timely, consensus-based expert recommendations using available evidence for the safe and effective anesthetic management of endovascular therapy for acute ischemic stroke during the COVID-19 pandemic. The goal of this consensus statement is to provide recommendations for anesthetic management considering the following (and they are): (1) optimal neurological outcomes for patients; (2) minimizing the risk for health care professionals, and (3) facilitating judicious use of resources while accounting for existing variability in care. It provides a framework for selecting the optimal anesthetic technique (general anesthesia or monitored anesthesia care) for a given patient and offers suggestions for best practices for anesthesia care during the pandemic. Institutions and health care providers are encouraged to adapt these recommendations to best suit local needs, considering existing practice standards and resource availability to ensure safety of patients and providers.
    MeSH term(s) Anesthesiology/methods ; Betacoronavirus ; Brain Ischemia/complications ; Brain Ischemia/surgery ; COVID-19 ; Consensus ; Coronavirus Infections/prevention & control ; Critical Care ; Endovascular Procedures/methods ; Europe ; Humans ; Minimally Invasive Surgical Procedures ; Neurosciences ; Neurosurgery ; Pandemics/prevention & control ; Pneumonia, Viral/prevention & control ; SARS-CoV-2 ; Societies, Medical ; Stroke/complications ; Stroke/surgery ; United States
    Keywords covid19
    Language English
    Publishing date 2020-04-01
    Publishing country United States
    Document type Journal Article ; Practice Guideline
    ZDB-ID 1018119-2
    ISSN 1537-1921 ; 0898-4921
    ISSN (online) 1537-1921
    ISSN 0898-4921
    DOI 10.1097/ANA.0000000000000688
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Anesthetic Management of Endovascular Treatment of Acute Ischemic Stroke During COVID-19 Pandemic: Consensus Statement From Society for Neuroscience in Anesthesiology & Critical Care (SNACC): Endorsed by Society of Vascular & Interventional Neurology (SVIN), Society of NeuroInterventional Surgery (SNIS), Neurocritical Care Society (NCS), European Society of Minimally Invasive Neurological Therapy (ESMINT) and American Association of Neurological Surgeons (AANS) and Congress of Neurological Surgeons (CNS) Cerebrovascular Section

    Sharma, Deepak / Rasmussen, Mads / Han, Ruquan / Whalin, Matthew K / Davis, Melinda / Kofke, W Andrew / Venkatraghvan, Lakshmikumar / Raychev, Radoslav / Fraser, Justin F

    J Neurosurg Anesthesiol

    Abstract: ... for acute ischemic stroke during the COVID-19 pandemic. The goal of this consensus statement is to provide ... care) for a given patient and offers suggestions for best practices for anesthesia care during the pandemic. Institutions ... The pandemic of coronavirus disease 2019 (COVID-19) has unique implications for the anesthetic ...

    Abstract The pandemic of coronavirus disease 2019 (COVID-19) has unique implications for the anesthetic management of endovascular therapy for acute ischemic stroke. The Society for Neuroscience in Anesthesiology and Critical Care appointed a task force to provide timely, consensus-based expert recommendations using available evidence for the safe and effective anesthetic management of endovascular therapy for acute ischemic stroke during the COVID-19 pandemic. The goal of this consensus statement is to provide recommendations for anesthetic management considering the following (and they are): (1) optimal neurological outcomes for patients; (2) minimizing the risk for health care professionals, and (3) facilitating judicious use of resources while accounting for existing variability in care. It provides a framework for selecting the optimal anesthetic technique (general anesthesia or monitored anesthesia care) for a given patient and offers suggestions for best practices for anesthesia care during the pandemic. Institutions and health care providers are encouraged to adapt these recommendations to best suit local needs, considering existing practice standards and resource availability to ensure safety of patients and providers.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #32282614
    Database COVID19

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  8. Article: Dysphagia Severity and Management in Patients with COVID-19.

    Printza, Athanasia / Tedla, Miroslav / Frajkova, Zofia / Sapalidis, Konstantinos / Triaridis, Stefanos

    Current health sciences journal

    2021  Volume 47, Issue 2, Page(s) 147–156

    Abstract: COVID-19 has resulted in unprecedented numbers of patients treated at intensive care units (ICUs ... 19 and the need to adapt practices to provide efficient care. We reviewed the literature on COVID-19 ... worse in COVID-19 than in other etiologies of critical care. In awake patients, respiratory compromise ...

    Abstract COVID-19 has resulted in unprecedented numbers of patients treated at intensive care units (ICUs). Dysphagia is a key concern in critical illness survivors. We investigated the severity of dysphagia in COVID-19 and the need to adapt practices to provide efficient care. We reviewed the literature on COVID-19, post-critical-illness dysphagia, and dysphagia and tracheostomy guidelines during the pandemic. Critically ill COVID-19 patients present a high incidence of dysphagia, aggravated by respiratory distress, deconditioning, and neurological complications. Mechanical ventilation (MV), delirium, sedation and weakness are worse in COVID-19 than in other etiologies of critical care. In awake patients, respiratory compromise impairs breathing-swallowing-coughing coordination. Tracheostomy reduces laryngopharyngeal trauma, sedation, delirium, ICU stay and improves swallowing rehabilitation. Tracheostomy weaning and swallowing evaluation is complex in COVID-19 due to respiratory instability and a team discussion will guide adaptations. Patients assessed in the ICU were 67% recommended to be nil by mouth (were aspirating). Two months following hospital discharge, 83% of those who had undergone tracheostomy were managing a normal diet. Severely ill COVID-19 patients are expected to regain swallow function. Dysphagia care is based on adaptation of practices to the patients' multiple impairments.
    Language English
    Publishing date 2021-06-30
    Publishing country Romania
    Document type Journal Article ; Review
    ZDB-ID 2708703-7
    ISSN 2069-4032 ; 2067-0656
    ISSN (online) 2069-4032
    ISSN 2067-0656
    DOI 10.12865/CHSJ.47.02.01
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Changes in neurorehabilitation management during the COVID-19 pandemic: A scoping review.

    Tramontano, Marco / Polo, Nicoletta / Bustos, Amaranta Orejel / Lisi, Danilo / Galeoto, Giovanni / Farsetti, Pasquale

    NeuroRehabilitation

    2022  Volume 51, Issue 1, Page(s) 23–32

    Abstract: ... To investigate the management changes in the neurorehabilitation services during the COVID-19 pandemic ... Conclusions: Different organizational models were adopted in neurorehabilitation during the COVID-19 pandemic ... Reviews. All studies on organizational and welfare changes resulting from the COVID-19 pandemic ...

    Abstract Background: The SARS-CoV-2 infection (COVID-19) has generated a threat to global health, determining the need for healthcare for large numbers of people in an extremely short timeOBJECTIVE:To investigate the management changes in the neurorehabilitation services during the COVID-19 pandemic.
    Methods: An electronic search was conducted in September 2021 by 2 independent reviewers in the following databases: MEDLINE (PubMed), the Physiotherapy Evidence Database, and the Cochrane Database of Systematic Reviews. All studies on organizational and welfare changes resulting from the COVID-19 pandemic in neurorehabilitation services were included. Screening of titles, abstracts, and full texts and data extraction were undertaken independently by pairs of reviewers.
    Results: The summary of results was reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews.Electronic searches after the screening of title and abstract identified 80 studies, 13 studies met the inclusion criteria. A narrative summary of results of all included studies were reported in a tabular format.
    Conclusions: Different organizational models were adopted in neurorehabilitation during the COVID-19 pandemic impacting the therapies time frame, the physical and mental health of healthcare professionals and the caregiver's workload. There is still uncertainty about the effectiveness of these new therapeutic strategies on the management of neurorehabilitation services and future studies should explore the effect on the patients' needs.
    MeSH term(s) COVID-19/epidemiology ; Health Personnel ; Humans ; Neurological Rehabilitation ; Pandemics/prevention & control ; SARS-CoV-2
    Language English
    Publishing date 2022-04-11
    Publishing country Netherlands
    Document type Journal Article ; Review ; Systematic Review
    ZDB-ID 1087912-2
    ISSN 1878-6448 ; 1053-8135
    ISSN (online) 1878-6448
    ISSN 1053-8135
    DOI 10.3233/NRE-220014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 3328: Show issues Location:
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    ab Jg. 2022: Lesesaal (EG)

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  10. Article ; Online: Ethical Management of COVID-19 Pandemic at a Neurological Hospital: The Ethicovid Report.

    Engrand, Nicolas / Sene, Thomas / Caputo, Georges / Sabben, Candice / Gregoire, Charles / Blanc, Raphael / Aldea, Sorin / Chauvet, Dorian / Vo-Thanh, Sophie / Teissier, Séverine / Versace, Nathalie / Rohou, Léa / Piotin, Michel / Gueguen, Antoine

    Journal of neurosurgical anesthesiology

    2022  Volume 35, Issue 4, Page(s) 417–422

    Abstract: Background: During the first wave of the coronavirus disease-2019 (COVID-19) pandemic, it was ... pandemic wave; 111 with COVID-19 and 184 with neurological emergencies. The ethical unit's expertise was ... of an ethical consulting unit to support care clinical decisions during the first wave of the pandemic (March 16 to April ...

    Abstract Background: During the first wave of the coronavirus disease-2019 (COVID-19) pandemic, it was necessary to prepare for the possibility of triaging patients who could benefit from access to an intensive care unit (ICU). In our neuroscience institution, the challenge was to continue to manage usual neurological emergencies as well as the influx of COVID-19 patients.
    Methods: We report the experience of an ethical consulting unit to support care clinical decisions during the first wave of the pandemic (March 16 to April 30, 2020). Three objective evaluation criteria were defined: 2 of these criteria, patient's factors and general disease severity (Simplified Acute Physiology Score II), were common to all patients, and the third was the specific severity of the disease (neurological for brain injury, respiratory for COVID-19). Given our scarce resources, we used a high probability of a 3-month modified Rankin Scale ≤3 as the criterion for further resuscitation and management.
    Results: A total of 295 patients were admitted during the first pandemic wave; 111 with COVID-19 and 184 with neurological emergencies. The ethical unit's expertise was sought for 75 clinical situations in 56 patients (35 COVID-19 and 21 neurological). Decisions were as follows: 11% no limitation on care, 5% expectant care with reassessment (maximum therapy to assess possible progress pending decision), 67% partial limitation (no intensification of care or no transfer to ICU), and 17% limitation of curative care. At no time did a lack of availability of ICU beds require the ethical unit to advise against admission to the ICU.
    Conclusions: Our ethical consulting unit allowed for collegial ethical decision-making in line with international recommendations. This model could be easily transferred to other triage situations, provided it is adapted to the local context.
    MeSH term(s) Humans ; COVID-19 ; Pandemics ; Emergencies ; Intensive Care Units ; Hospitals
    Language English
    Publishing date 2022-05-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1018119-2
    ISSN 1537-1921 ; 0898-4921
    ISSN (online) 1537-1921
    ISSN 0898-4921
    DOI 10.1097/ANA.0000000000000849
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 2656: Show issues Location:
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