Awake craniotomy in a Covid-19 positive patient: The challenges and outcome
Background: The SARS-COV-2 is a novel coronavirus which is the etiological agent of the COVID-19 infection. The neurosurgical practice is not exempted from the impact of the COVID-19 pandemic. Awake craniotomy in a COVID-19 positive patient pose a significant risk for theatre staff but intubation of...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-06-01
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| Series: | Interdisciplinary Neurosurgery |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751920306253 |
| _version_ | 1818610211246571520 |
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| author | Abiodun Idowu Okunlola |
| author_facet | Abiodun Idowu Okunlola |
| author_sort | Abiodun Idowu Okunlola |
| collection | DOAJ |
| description | Background: The SARS-COV-2 is a novel coronavirus which is the etiological agent of the COVID-19 infection. The neurosurgical practice is not exempted from the impact of the COVID-19 pandemic. Awake craniotomy in a COVID-19 positive patient pose a significant risk for theatre staff but intubation of a COVID-19 positive patient for surgery under general anesthesia also pose similar risk. Method: Federal Teaching Hospital Ido Ekiti is a tertiary hospital in suburban community in Southwest Nigeria with 300-bed capacity. The hospital is a designated COVID-19 treatment centre. A 69-year-old female patient was referred from a nearby COVID-19 treatment hospital on account of left parieto-occipital high grade glioma. She had awake craniotomy and gross total tumor excision. Result: There was no need to convert to general anesthesia and she had immediate post-operative neurological improvement. Repeat COVID-19 test on post-operative day 4 was negative and she was discharged home. Thirty-day post-operative review confirmed progressive motor gain. Conclusion: Awake craniotomy in COVID-19 positive patient with appropriate use of necessary PPEs is achievable. |
| first_indexed | 2024-12-16T15:10:50Z |
| format | Article |
| id | doaj.art-9e903132a8484855966d1c90a4c18a8f |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-12-16T15:10:50Z |
| publishDate | 2021-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-9e903132a8484855966d1c90a4c18a8f2022-12-21T22:26:58ZengElsevierInterdisciplinary Neurosurgery2214-75192021-06-0124101064Awake craniotomy in a Covid-19 positive patient: The challenges and outcomeAbiodun Idowu Okunlola0Department of Surgery, Federal Teaching Hospital, Ido-Ekiti/Afe Babalola University, Ado-Ekiti, NigeriaBackground: The SARS-COV-2 is a novel coronavirus which is the etiological agent of the COVID-19 infection. The neurosurgical practice is not exempted from the impact of the COVID-19 pandemic. Awake craniotomy in a COVID-19 positive patient pose a significant risk for theatre staff but intubation of a COVID-19 positive patient for surgery under general anesthesia also pose similar risk. Method: Federal Teaching Hospital Ido Ekiti is a tertiary hospital in suburban community in Southwest Nigeria with 300-bed capacity. The hospital is a designated COVID-19 treatment centre. A 69-year-old female patient was referred from a nearby COVID-19 treatment hospital on account of left parieto-occipital high grade glioma. She had awake craniotomy and gross total tumor excision. Result: There was no need to convert to general anesthesia and she had immediate post-operative neurological improvement. Repeat COVID-19 test on post-operative day 4 was negative and she was discharged home. Thirty-day post-operative review confirmed progressive motor gain. Conclusion: Awake craniotomy in COVID-19 positive patient with appropriate use of necessary PPEs is achievable.http://www.sciencedirect.com/science/article/pii/S2214751920306253Awake craniotomyCOVID-19Pandemic |
| spellingShingle | Abiodun Idowu Okunlola Awake craniotomy in a Covid-19 positive patient: The challenges and outcome Interdisciplinary Neurosurgery Awake craniotomy COVID-19 Pandemic |
| title | Awake craniotomy in a Covid-19 positive patient: The challenges and outcome |
| title_full | Awake craniotomy in a Covid-19 positive patient: The challenges and outcome |
| title_fullStr | Awake craniotomy in a Covid-19 positive patient: The challenges and outcome |
| title_full_unstemmed | Awake craniotomy in a Covid-19 positive patient: The challenges and outcome |
| title_short | Awake craniotomy in a Covid-19 positive patient: The challenges and outcome |
| title_sort | awake craniotomy in a covid 19 positive patient the challenges and outcome |
| topic | Awake craniotomy COVID-19 Pandemic |
| url | http://www.sciencedirect.com/science/article/pii/S2214751920306253 |
| work_keys_str_mv | AT abiodunidowuokunlola awakecraniotomyinacovid19positivepatientthechallengesandoutcome |