Cargando…

The impact of imposed delay in elective pediatric neurosurgery: an informed hierarchy of need in the time of mass casualty crisis

SARS-CoV-2 COVID-19, coronavirus, has created unique challenges for the medical community after national guidelines called for the cancellation of all elective surgery. While there are clear cases of elective surgery (benign cranial cosmetic defect) and emergency surgery (hemorrhage, fracture, traum...

Descripción completa

Detalles Bibliográficos
Autores principales: Ahluwalia, Ranbir, Rocque, Brandon G., Shannon, Chevis N., Blount, Jeffrey P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7239607/
https://www.ncbi.nlm.nih.gov/pubmed/32435890
http://dx.doi.org/10.1007/s00381-020-04671-x
_version_ 1783536723294158848
author Ahluwalia, Ranbir
Rocque, Brandon G.
Shannon, Chevis N.
Blount, Jeffrey P.
author_facet Ahluwalia, Ranbir
Rocque, Brandon G.
Shannon, Chevis N.
Blount, Jeffrey P.
author_sort Ahluwalia, Ranbir
collection PubMed
description SARS-CoV-2 COVID-19, coronavirus, has created unique challenges for the medical community after national guidelines called for the cancellation of all elective surgery. While there are clear cases of elective surgery (benign cranial cosmetic defect) and emergency surgery (hemorrhage, fracture, trauma, etc.), there is an unchartered middle ground in pediatric neurosurgery. Children, unlike adults, have dynamic anatomy and are still developing neural networks. Delaying seemingly elective surgery can affect a child’s already vulnerable health state by further impacting their neurocognitive development, neurologic functioning, and potential long-term health states. The purpose of this paper is to demonstrate that “elective” pediatric neurosurgery should be risk-stratified, and multi-institutional informed guidelines established.
format Online
Article
Text
id pubmed-7239607
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Springer Berlin Heidelberg
record_format MEDLINE/PubMed
spelling pubmed-72396072020-05-21 The impact of imposed delay in elective pediatric neurosurgery: an informed hierarchy of need in the time of mass casualty crisis Ahluwalia, Ranbir Rocque, Brandon G. Shannon, Chevis N. Blount, Jeffrey P. Childs Nerv Syst Review Article SARS-CoV-2 COVID-19, coronavirus, has created unique challenges for the medical community after national guidelines called for the cancellation of all elective surgery. While there are clear cases of elective surgery (benign cranial cosmetic defect) and emergency surgery (hemorrhage, fracture, trauma, etc.), there is an unchartered middle ground in pediatric neurosurgery. Children, unlike adults, have dynamic anatomy and are still developing neural networks. Delaying seemingly elective surgery can affect a child’s already vulnerable health state by further impacting their neurocognitive development, neurologic functioning, and potential long-term health states. The purpose of this paper is to demonstrate that “elective” pediatric neurosurgery should be risk-stratified, and multi-institutional informed guidelines established. Springer Berlin Heidelberg 2020-05-20 2020 /pmc/articles/PMC7239607/ /pubmed/32435890 http://dx.doi.org/10.1007/s00381-020-04671-x Text en © Springer-Verlag GmbH Germany, part of Springer Nature 2020 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Review Article
Ahluwalia, Ranbir
Rocque, Brandon G.
Shannon, Chevis N.
Blount, Jeffrey P.
The impact of imposed delay in elective pediatric neurosurgery: an informed hierarchy of need in the time of mass casualty crisis
title The impact of imposed delay in elective pediatric neurosurgery: an informed hierarchy of need in the time of mass casualty crisis
title_full The impact of imposed delay in elective pediatric neurosurgery: an informed hierarchy of need in the time of mass casualty crisis
title_fullStr The impact of imposed delay in elective pediatric neurosurgery: an informed hierarchy of need in the time of mass casualty crisis
title_full_unstemmed The impact of imposed delay in elective pediatric neurosurgery: an informed hierarchy of need in the time of mass casualty crisis
title_short The impact of imposed delay in elective pediatric neurosurgery: an informed hierarchy of need in the time of mass casualty crisis
title_sort impact of imposed delay in elective pediatric neurosurgery: an informed hierarchy of need in the time of mass casualty crisis
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7239607/
https://www.ncbi.nlm.nih.gov/pubmed/32435890
http://dx.doi.org/10.1007/s00381-020-04671-x
work_keys_str_mv AT ahluwaliaranbir theimpactofimposeddelayinelectivepediatricneurosurgeryaninformedhierarchyofneedinthetimeofmasscasualtycrisis
AT rocquebrandong theimpactofimposeddelayinelectivepediatricneurosurgeryaninformedhierarchyofneedinthetimeofmasscasualtycrisis
AT shannonchevisn theimpactofimposeddelayinelectivepediatricneurosurgeryaninformedhierarchyofneedinthetimeofmasscasualtycrisis
AT blountjeffreyp theimpactofimposeddelayinelectivepediatricneurosurgeryaninformedhierarchyofneedinthetimeofmasscasualtycrisis
AT ahluwaliaranbir impactofimposeddelayinelectivepediatricneurosurgeryaninformedhierarchyofneedinthetimeofmasscasualtycrisis
AT rocquebrandong impactofimposeddelayinelectivepediatricneurosurgeryaninformedhierarchyofneedinthetimeofmasscasualtycrisis
AT shannonchevisn impactofimposeddelayinelectivepediatricneurosurgeryaninformedhierarchyofneedinthetimeofmasscasualtycrisis
AT blountjeffreyp impactofimposeddelayinelectivepediatricneurosurgeryaninformedhierarchyofneedinthetimeofmasscasualtycrisis