COVID-19 Pandemic and Its Impact on Neurosurgery Practice in Malaysia: Academic Insights, Clinical Experience and Protocols from March till August 2020
Azman Raffiq,Liew Boon Seng,Lim Swee San,Zaitun Zakaria,Ang Song Yee,Diana Noma Fitzrol,Wan Mohd Nazaruddin Wan Hassan,Zamzuri Idris,Abdul Rahman Izaini Ghani,Azmin Kass Rosman,Jafri Malin Abdullah +10 more
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Various measures put in place as the new operational protocols for neurosurgical services in Malaysia are described.Abstract:
The newly discovered coronavirus disease 2019 (COVID-19) is an infectious disease introduced to humans for the first time. Following the pandemic of COVID-19, there is a major shift of practices among surgical departments in response to an unprecedented surge in reducing the transmission of disease. With pooling and outsourcing of more health care workers to emergency rooms, public health care services and medical services, further in-hospital resources are prioritised to those in need. It is imperative to balance the requirements of caring for COVID-19 patients with imminent risk of delay to others who need care. As Malaysia now approaches the recovery phase following the pandemic, the crisis impacted significantly on neurosurgical services throughout the country. Various emergency measures taken at the height of the crisis may remain as the new normal in the provision of neurosurgical services and practices in Malaysia. The crisis has certainly put a strain on the effective delivery of services and as we approach the recovery era, what may have been a strain may prove to be a silver lining in neurosurgical services in Malaysia. The following details are various measures put in place as the new operational protocols for neurosurgical services in Malaysia.read more
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References
More filters
Journal ArticleDOI
Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association.
William J. Powers,Alejandro A. Rabinstein,Teri Ackerson,Opeolu Adeoye,Nicholas C. Bambakidis,Kyra J. Becker,José Biller,Michael D. Brown,Bart M. Demaerschalk,Brian L. Hoh,Edward C. Jauch,Chelsea S. Kidwell,Thabele M Leslie-Mazwi,Bruce Ovbiagele,Phillip A. Scott,Kevin N. Sheth,Andrew M. Southerland,Deborah V. Summers,David L. Tirschwell +18 more
TL;DR: These guidelines detail prehospital care, urgent and emergency evaluation and treatment with intravenous and intra-arterial therapies, and in-hospital management, including secondary prevention measures that are appropriately instituted within the first 2 weeks.
Journal ArticleDOI
Guidelines for the Management of Spontaneous Intracerebral Hemorrhage. A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association
J. Claude Hemphill,Steven M. Greenberg,Craig S. Anderson,Kyra J. Becker,Bernard R. Bendok,Mary Cushman,Gordon L. Fung,Joshua N. Goldstein,R. Loch Macdonald,Pamela H. Mitchell,Phillip A. Scott,Magdy Selim,Daniel Woo +12 more
TL;DR: In this article, the authors present current and comprehensive recommendations for the diagnosis and treatment of acute spontaneous intracerebral hemorrhage, including diagnosis, hemostasis, blood pressure management, inpatient and nursing management, preventing medical comorbidities, surgical treatment, outcome prediction, rehabilitation, prevention of recurrence and future considerations.
Journal ArticleDOI
Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association
E. Sander Connolly,Alejandro A. Rabinstein,J. Ricardo Carhuapoma,Colin P. Derdeyn,Jacques E. Dion,Randall T. Higashida,Brian L. Hoh,Catherine J. Kirkness,Andrew M. Naidech,Christopher S. Ogilvy,Aman B. Patel,B. Gregory Thompson,Paul M. Vespa +12 more
TL;DR: Evidence-based guidelines are presented for the care of patients presenting with aneurysmal subarachnoid hemorrhage and offer a framework for goal-directed treatment of the patient with aSAH.
Journal ArticleDOI
Evidence of the COVID-19 Virus Targeting the CNS: Tissue Distribution, Host–Virus Interaction, and Proposed Neurotropic Mechanisms
TL;DR: The density of the expression levels of ACE2 in the CNS, the host–virus interaction and relate it to the pathogenesis and complications seen in the recent cases resulting from the COVID-19 outbreak are investigated.
Journal ArticleDOI
A first case of meningitis/encephalitis associated with SARS-Coronavirus-2.
Takeshi Moriguchi,Norikazu Harii,Junko Goto,Daiki Harada,Hisanori Sugawara,Junichi Takamino,Masateru Ueno,Hiroki Sakata,Kengo Kondo,Natsuhiko Myose,Atsuhito Nakao,Masayuki Takeda,Hirotaka Haro,Osamu Inoue,Katsue Suzuki-Inoue,Kayo Kubokawa,Shinji Ogihara,Tomoyuki Sasaki,Hiroyuki Kinouchi,Hiroyuki Kojin,Masami Ito,Hiroshi Onishi,Tatsuya Shimizu,Yu Sasaki,Nobuyuki Enomoto,Hiroshi Ishihara,Shiomi Furuya,Tomoko Yamamoto,Shinji Shimada +28 more
TL;DR: A brain MRI showed hyperintensity along the wall of right lateral ventricle and hyperintense signal changes in the right mesial temporal lobe and hippocampus, suggesting the possibility of SARS-CoV-2 meningitis, and warns the physicians of patients who have CNS symptoms.