For most of the international community outside the epicenter, coronavirus disease 2019 (COVID-19) containment is normalizing, and daily medical practice runs parallel to preventing and treating COVID-19. This experience of simultaneously conducting emergent surgery and infection control for COVID-19 disease is useful outside the epicenter during the pandemic.
Case Description
In this single-center retrospective observational study, we enrolled patients with subarachnoid hemorrhage (SAH) who were emergently admitted from January 23 to April 8, 2020. Based on the COVID-19 triage, patients with SAH were divided into 3 categories: positive, negative, and under investigation. During 77 days, 90 patients with SAH were admitted at the center. The median age was 55 years (range, 18–80 years) and 40 patients (44.4%) were male. None was positive, 42 patients were negative, and 48 patients were under investigation for COVID-19 before surgery. During the same period, 9 patients were diagnosed with COVID-19 without nosocomial infection.
Conclusions
Rescuing patients with SAH and containment of COVID-19 benefit from joint prevention and control, a centralized system of equipment distribution and personnel assignment, and quick workflow establishment.
Key words
Coronavirus disease 2019
Perioperative management
Subarachnoid hemorrhage
Abbreviations and Acronyms
COVID-19
Coronavirus disease 2019
OR
Operating room
SAH
Subarachnoid hemorrhage
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Supplementary digital content available online.
Conflict of interest statement: Funding was received from the Beijing Municipal Science and Technology Commission (Z191100006619068) and Beijing Municipal Administration of Hospitals (DFL20180502).