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Subarachnoid hemorrhage guidance in the era of the COVID-19 pandemic - An opinion
to mitigate exposure and conserve personal protective equipment
#MMPMID32807425
Nguyen TN
; Jadhav AP
; Dasenbrock HH
; Nogueira RG
; Abdalkader M
; Ma A
; Cervantes-Arslanian AM
; Greer DM
; Daneshmand A
; Yavagal DR
; Jovin TG
; Zaidat OO
; Chou SH
J Stroke Cerebrovasc Dis
2020[Sep]; 29
(9
): 105010
PMID32807425
show ga
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.
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