Acta Scientific Neurology (ISSN: 2582-1121)

Letter to EditorVolume 4 Issue 7

Virtual Adaptation in Corona Pandemic in Neurosurgical Practice

Md Moshiur Rahman1* and Sabrina Rahman2

1Assistant Professor, Neurosurgery Department, Holy Family Red Crescent Medical College, Dhaka, Bangladesh
2Department of Public Health, Independent University-Bangladesh, Dhaka, Bangladesh

*Corresponding Author: Md Moshiur Rahman, Assistant Professor, Neurosurgery Department, Holy Family Red Crescent Medical College, Dhaka, Bangladesh.

Received: June 05, 2021; Published: June 29, 2021

Citation: Md Moshiur Rahman and Sabrina Rahman. “Virtual Adaptation in Corona Pandemic in Neurosurgical Practice”. Acta Scientific Neurology 4.7 (2021): 78-79.

Virtual adaptation in corona pandemic in neurosurgical practice

  The coronavirus disease 2019 (COVID-19) pandemic, which was caused by a novel coronavirus (severe acute respiratory syndrome coronavirus 2), has threatened human civilization. This pandemic has imposed a significant impact on the field of neurosurgery.

  During the COVID-19 pandemic, there were many improvements in neurosurgical training worldwide [1,2]. According to recent studies, the number of neurosurgical operations performed worldwide decreased by more than half during the pandemic [3]. According to one report, neurosurgical electives were the most affected by the pandemic since OPDs and elective surgery was entirely shut down during the lockdown period as per government guidelines, and Telemedicine OPDs were later developed to assist neurosurgical patients [4]. This harmed resident neurosurgery training modules and practice. A few studies from the developing world have recently identified neurosurgeons' perceptions of the pandemic as well as improvements in neurosurgical practice [5,6].

  Even though neurosurgery is not at the forefront of the medical response to this pandemic, neurosurgical practice and preparation are not exempt. All neurosurgical communities worldwide have updated their procedures and reorganized their neurosurgical techniques in response to the pandemic [7,8]. In insufficient resources, a rating method for triaging patients for spine surgery has also been established [9]. In most developed countries, telemedicine has increasingly replaced outdoor visits to neurosurgery departments as the primary form of patient follow-up [8]. The surgical team rigorously analyses surgical signs in China to assess emergency conditions [5]. Telemedicine care has reportedly increased by up to 33% in some centers [10]. Even though virtual neurosurgical teaching cannot replace practical training, many centers have used day-to-day techniques to incorporate educational, clinical, and surgical knowledge using teleconferences on relevant neurosurgical topics to continue student assessment [11,12]. All academic programs implemented virtual sessions through video conferencing technology or Neurocampus sessions to reduce the risk of exposure.

  The COVID-19 pandemic has a significant effect on healthcare facilities around the world. Elective surgical procedures should be regulated to save money. This pandemic has also harmed resident training programs in neurosurgery and both neurosurgical units and patients' psychology. A strategic plan for handling emergent neurosurgical cases should be developed, considering the limitations so that neurosurgeons can continue to support their patients without endangering them neurologically by deferring medical or surgical procedures.

Bibliography

  1. Bambakidis NC and Tomei KL. “Editorial. Impact of COVID-19 on neurosurgery resident training and education”. Journal of Neurosurgery1 (2020): 10-11.
  2. Carter BS and Chiocca EA. “Editorial. COVID-19 and academic neurosurgery”. Journal of Neurosurgery1 (2020): 8-9.
  3. Jean WC., et al. “The impact of COVID-19 on neurosurgeons and the strategy for triaging non-emergent operations: a global neurosurgery study”. Acta Neurochirica (Wien)6 (2020): 1229-1240.
  4. Deora Harsh., et al. “Adapting Neurosurgery Practice During the COVID-19 Pandemic in the Indian Subcontinent”. World Neurosurgery 142 (2020): e396-e406.
  5. Chang D., et al. “Protecting healthcare workers from subclinical coronavirus infection”. Lancet Respiratory Medicine3 (2020): e13.
  6. Tan BYQ., et al. “Psychological impact of the COVID-19 pandemic on health care workers in Singapore”. Annals of Internal Medicine 4 (2020): 317-320.
  7. Ansari A., et al. “Letter to the editor: neurosurgical practice in COVID-19 pandemic: from the view of academic departments in India, Japan and China”. British Journal of Neurosurgery 34 (2020): 355-356.
  8. Bray DP., et al. “Letter: maintaining neurosurgical resident education and safety during the COVID-19 pandemic”. Neurosurgery2 (2020): 189-191.
  9. Sciubba DM., et al. “Scoring system to triage patients for spine surgery in the setting of limited resources: application to the coronavirus disease 2019 (COVID-19) pandemic and beyond”. World Neurosurgery 140 (2020): e373-e380.
  10. Joubert C., et al. “Indirect effects of the COVID19 pandemic in patients requiring neurosurgical care: will the second wave carry more severe neurosurgical patients?” British Journal of Neurosurgery (2020).
  11. Szmuda T., et al. “Telemedicine in neurosurgery during the novel coronavirus (COVID-19) pandemic”. Neurologia i Neurochirurgia Polska2 (2020): 207-208.
  12. Dawoud RA., et al. “Letter to the editor "Virtual neurosurgery clerkship for medical students”. World Neurosurgery 139 (2020): 456-459.

Copyright: © 2021 Md Moshiur Rahman and Sabrina Rahman. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



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