Arquivos de Neuro-Psiquiatria (Jul 2020)

Management of acute stroke and urgent neurointerventional procedures during COVID-19 pandemic: recommendations on the Scientific Department on Cerebrovascular Diseases of the Brazilian Academy of Neurology, Brazilian Society of Cerebrovascular Diseases and Brazilian Society of Neuroradiology

  • Francisco José Arruda MONT’ALVERNE,
  • Fabrício Oliveira LIMA,
  • Raul Gomes NOGUEIRA,
  • Carlos Clayton Macedo de FREITAS,
  • Octávio Marques Pontes NETO,
  • Gisele Sampaio SILVA,
  • Maura Salaroli de OLIVEIRA,
  • Michel FRUDIT,
  • Jose Guilherme Mendes Pereira CALDAS,
  • Daniel Giansante ABUD,
  • Adriana Bastos CONFORTO,
  • Fernanda Martins Maia CARVALHO,
  • Francisco Antunes DIAS,
  • Rodrigo BAZAN,
  • Wagner Mauad AVELAR,
  • Carla Heloísa Cabral MORO,
  • Pedro Silva Correa de MAGALHÃES,
  • Maramelia MIRANDA,
  • Leandro de Assis BARBOSA,
  • José Antonio FIOROT JUNIOR,
  • Fabrício Buchdid CARDOSO,
  • Leticia Costa REBELLO,
  • Bruno de Sousa Mendes PARENTE,
  • Mário de Barros FARIA,
  • Gabriel Rodriguez de FREITAS,
  • Viviane de Hiroki Flumignan ZÉTOLA,
  • Jamary OLIVEIRA-FILHO,
  • Daniel da Cruz BEZERRA,
  • Jorge Luis Nobre RODRIGUES,
  • Gustavo KUSTER,
  • Sheila MARTINS,
  • João José Freitas de CARVALHO

DOI
https://doi.org/10.1590/0004-282x20200053
Journal volume & issue
Vol. 78, no. 7
pp. 440 – 449

Abstract

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ABSTRACT Introduction: Although the 2019 severe acute respiratory syndrome coronavirus 2 infection (SARS-CoV-2, COVID-19) pandemic poses new challenges to the healthcare system to provide support for thousands of patients, there is special concern about common medical emergencies, such as stroke, that will continue to occur and will require adequate treatment. The allocation of both material and human resources to fight the pandemic cannot overshadow the care for acute stroke, a time-sensitive emergency that with an inefficient treatment will further increase mortality and long-term disability. Objective: This paper summarizes the recommendations from the Scientific Department on Cerebrovascular Diseases of the Brazilian Academy of Neurology, the Brazilian Society of Cerebrovascular Diseases and the Brazilian Society of Neuroradiology for management of acute stroke and urgent neuro-interventional procedures during the COVID-19 pandemic, including proper use of screening tools, personal protective equipment (for patients and health professionals), and patient allocation.

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