Modification of neurosurgical practice during corona pandemic: Our experience at AIIMS patna and long term guidelines
Background: First case of covid-19 was confirmed on 30th January 2020 in India. Our state, Bihar reported its first confirmed case of covid on 22nd march 2020 at AIIMS Patna. For safety, Electives surgeries and outpatient department was suspended temporary since 25th March. Standard operating proced...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-03-01
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| Series: | Interdisciplinary Neurosurgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751920304564 |
| _version_ | 1818432953319948288 |
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| author | Saraj Kumar Singh, MCh (Neurosurgery) Vishal Abhijit, MCh (Neurosurgery) Vikas Chandra Jha, MCh (Neurosurgery) |
| author_facet | Saraj Kumar Singh, MCh (Neurosurgery) Vishal Abhijit, MCh (Neurosurgery) Vikas Chandra Jha, MCh (Neurosurgery) |
| author_sort | Saraj Kumar Singh, MCh (Neurosurgery) |
| collection | DOAJ |
| description | Background: First case of covid-19 was confirmed on 30th January 2020 in India. Our state, Bihar reported its first confirmed case of covid on 22nd march 2020 at AIIMS Patna. For safety, Electives surgeries and outpatient department was suspended temporary since 25th March. Standard operating procedure (SOP) was framed for covid suspected, covid positive and negative patients. Neurosurgery department formulated their own strategy for successful and covid free management of neurosurgical patients along with zero transmission rate among doctors and staff. Methods: All Neurosurgical patients who got attended, admitted and operated from 25th March to 30th June 2020 (Period of lockdown) were taken in this study. Categorizations of the patients were done according to the urgency and elective nature of pathology after corona screening and RT-PCR testing of covid-19. A proper training to all neurosurgical staff and residents were given for management of patients (admission to operation to discharge). Results: Total 133 patients were attended and 90 were admitted. We operated 76 cases (major – 52, minor – 24) during the lockdown period. Out of this 2 were corona positive (both eventually succumbed) and rest 74 was corona negative. One patient who was operated with corona negative report became positive after 10 days of surgery inward. All the residents, faculty and nursing staff remain asymptomatic throughout the lockdown period with zero infection rate and zero transmission rate. Conclusion: Following a properly made standard operating procedure and strictly implementing it can avoid any type of misadventure in neurosurgery during corona pandemic. |
| first_indexed | 2024-12-14T16:13:23Z |
| format | Article |
| id | doaj.art-c8d615ee508142038dda0bc884628022 |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-12-14T16:13:23Z |
| publishDate | 2021-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-c8d615ee508142038dda0bc8846280222022-12-21T22:54:57ZengElsevierInterdisciplinary Neurosurgery2214-75192021-03-0123100895Modification of neurosurgical practice during corona pandemic: Our experience at AIIMS patna and long term guidelinesSaraj Kumar Singh, MCh (Neurosurgery)0Vishal Abhijit, MCh (Neurosurgery)1Vikas Chandra Jha, MCh (Neurosurgery)2Corresponding author at: Department of Neurosurgery, Aiims Patna 801507, India.; Department of Neurosurgery, AIIMS Patna, Bihar, IndiaDepartment of Neurosurgery, AIIMS Patna, Bihar, IndiaDepartment of Neurosurgery, AIIMS Patna, Bihar, IndiaBackground: First case of covid-19 was confirmed on 30th January 2020 in India. Our state, Bihar reported its first confirmed case of covid on 22nd march 2020 at AIIMS Patna. For safety, Electives surgeries and outpatient department was suspended temporary since 25th March. Standard operating procedure (SOP) was framed for covid suspected, covid positive and negative patients. Neurosurgery department formulated their own strategy for successful and covid free management of neurosurgical patients along with zero transmission rate among doctors and staff. Methods: All Neurosurgical patients who got attended, admitted and operated from 25th March to 30th June 2020 (Period of lockdown) were taken in this study. Categorizations of the patients were done according to the urgency and elective nature of pathology after corona screening and RT-PCR testing of covid-19. A proper training to all neurosurgical staff and residents were given for management of patients (admission to operation to discharge). Results: Total 133 patients were attended and 90 were admitted. We operated 76 cases (major – 52, minor – 24) during the lockdown period. Out of this 2 were corona positive (both eventually succumbed) and rest 74 was corona negative. One patient who was operated with corona negative report became positive after 10 days of surgery inward. All the residents, faculty and nursing staff remain asymptomatic throughout the lockdown period with zero infection rate and zero transmission rate. Conclusion: Following a properly made standard operating procedure and strictly implementing it can avoid any type of misadventure in neurosurgery during corona pandemic.http://www.sciencedirect.com/science/article/pii/S2214751920304564NeurosurgeryCovid-19PPE (personal protection equipment)RT – PCR |
| spellingShingle | Saraj Kumar Singh, MCh (Neurosurgery) Vishal Abhijit, MCh (Neurosurgery) Vikas Chandra Jha, MCh (Neurosurgery) Modification of neurosurgical practice during corona pandemic: Our experience at AIIMS patna and long term guidelines Interdisciplinary Neurosurgery Neurosurgery Covid-19 PPE (personal protection equipment) RT – PCR |
| title | Modification of neurosurgical practice during corona pandemic: Our experience at AIIMS patna and long term guidelines |
| title_full | Modification of neurosurgical practice during corona pandemic: Our experience at AIIMS patna and long term guidelines |
| title_fullStr | Modification of neurosurgical practice during corona pandemic: Our experience at AIIMS patna and long term guidelines |
| title_full_unstemmed | Modification of neurosurgical practice during corona pandemic: Our experience at AIIMS patna and long term guidelines |
| title_short | Modification of neurosurgical practice during corona pandemic: Our experience at AIIMS patna and long term guidelines |
| title_sort | modification of neurosurgical practice during corona pandemic our experience at aiims patna and long term guidelines |
| topic | Neurosurgery Covid-19 PPE (personal protection equipment) RT – PCR |
| url | http://www.sciencedirect.com/science/article/pii/S2214751920304564 |
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