Subarachnoid hemorrhage guidance in the era of the COVID-19 pandemic – An opinion to mitigate exposure and conserve personal protective equipment

Thanh N. Nguyen, Ashutosh P. Jadhav, Hormuzdiyar H. Dasenbrock, Raul G. Nogueira, Mohamad Abdalkader, Alice Ma, Anna M. Cervantes-Arslanian, David M. Greer, Ali Daneshmand, Dileep R. Yavagal, Tudor G. Jovin, Osama O. Zaidat, Sherry Hsiang Yi Chou

Research output: Contribution to journalReview article

Abstract

Aneurysmal subarachnoid hemorrhage (SAH) patients require frequent neurological examinations, neuroradiographic diagnostic testing and lengthy intensive care unit stay. Previously established SAH treatment protocols are impractical to impossible to adhere to in the current COVID-19 crisis due to the need for infection containment and shortage of critical care resources, including personal protective equipment (PPE). Centers need to adopt modified protocols to optimize SAH care and outcomes during this crisis. In this opinion piece, we assembled a multidisciplinary, multicenter team to develop and propose a modified guidance algorithm that optimizes SAH care and workflow in the era of the COVID-19 pandemic. This guidance is to be adapted to the available resources of a local institution and does not replace clinical judgment when faced with an individual patient.

Original languageEnglish (US)
Article number105010
JournalJournal of Stroke and Cerebrovascular Diseases
Volume29
Issue number9
DOIs
StatePublished - Sep 2020

Keywords

  • Aneurysm
  • COVID-19
  • Critical care
  • Endovascular
  • Fever
  • PPE
  • Subarachnoid hemorrhage
  • Vasospasm

ASJC Scopus subject areas

  • Surgery
  • Rehabilitation
  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine

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  • Cite this

    Nguyen, T. N., Jadhav, A. P., Dasenbrock, H. H., Nogueira, R. G., Abdalkader, M., Ma, A., Cervantes-Arslanian, A. M., Greer, D. M., Daneshmand, A., Yavagal, D. R., Jovin, T. G., Zaidat, O. O., & Chou, S. H. Y. (2020). Subarachnoid hemorrhage guidance in the era of the COVID-19 pandemic – An opinion to mitigate exposure and conserve personal protective equipment. Journal of Stroke and Cerebrovascular Diseases, 29(9), [105010]. https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105010