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

doi:10.1016/j.jstrokecerebrovasdis.2020.105010

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

^*Corresponding author for this work

Neurology

Research output: Contribution to journal › Review article › peer-review

15 Scopus citations

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 language	English (US)
Article number	105010
Journal	Journal of Stroke and Cerebrovascular Diseases
Volume	29
Issue number	9
DOIs	https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105010
State	Published - Sep 2020

Funding

Dr Chou receives research support from the National Institute of Health (1 R21 NS113037-01), from the University of Pittsburgh School of Medicine, the Neurocritical Care Society, and University of Pittsburgh CTSI. Dr. Chou serves as site principal investigator (PI) for INTREPID study (BARD) and SleepSMART (NIH StrokeNET).

Keywords

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

ASJC Scopus subject areas

Clinical Neurology
Cardiology and Cardiovascular Medicine
Rehabilitation
Surgery

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10.1016/j.jstrokecerebrovasdis.2020.105010

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), Article 105010. https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105010

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

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.",

keywords = "Aneurysm, COVID-19, Critical care, Endovascular, Fever, PPE, Subarachnoid hemorrhage, Vasospasm",

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

note = "Publisher Copyright: {\textcopyright} 2020 Elsevier Inc.",

year = "2020",

month = sep,

doi = "10.1016/j.jstrokecerebrovasdis.2020.105010",

language = "English (US)",

volume = "29",

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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, SHY 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, vol. 29, no. 9, 105010. https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105010

Subarachnoid hemorrhage guidance in the era of the COVID-19 pandemic – An opinion to mitigate exposure and conserve personal protective equipment. / Nguyen, Thanh N.; Jadhav, Ashutosh P.; Dasenbrock, Hormuzdiyar H. et al.
In: Journal of Stroke and Cerebrovascular Diseases, Vol. 29, No. 9, 105010, 09.2020.

Research output: Contribution to journal › Review article › peer-review

TY - JOUR

T1 - Subarachnoid hemorrhage guidance in the era of the COVID-19 pandemic – An opinion to mitigate exposure and conserve personal protective equipment

AU - Nguyen, Thanh N.

AU - Jadhav, Ashutosh P.

AU - Dasenbrock, Hormuzdiyar H.

AU - Nogueira, Raul G.

AU - Abdalkader, Mohamad

AU - Ma, Alice

AU - Cervantes-Arslanian, Anna M.

AU - Greer, David M.

AU - Daneshmand, Ali

AU - Yavagal, Dileep R.

AU - Jovin, Tudor G.

AU - Zaidat, Osama O.

AU - Chou, Sherry Hsiang Yi

PY - 2020/9

Y1 - 2020/9

N2 - 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.

AB - 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.

KW - Aneurysm

KW - COVID-19

KW - Critical care

KW - Endovascular

KW - Fever

KW - PPE

KW - Subarachnoid hemorrhage

KW - Vasospasm

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DO - 10.1016/j.jstrokecerebrovasdis.2020.105010

M3 - Review article

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AN - SCOPUS:85086357747

SN - 1052-3057

VL - 29

JO - Journal of Stroke and Cerebrovascular Diseases

JF - Journal of Stroke and Cerebrovascular Diseases

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ER -

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

Abstract

Funding

Keywords

ASJC Scopus subject areas

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