| INDIAN PERSPECTIVE
|Year : 2020 | Volume
| Issue : 5 | Page : 1008--1011
Adaptations in Radiosurgery Practice during COVID Crisis
Manjul Tripathi1, Harsh Deora2, Nishanth Sadashiva2, Aman Batish1, Sandeep Mohindra1, Sunil K Gupta1
1 Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India
2 Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India
Background: The world is in the midst of the COVID crisis, which has forced the neurosurgical community to change its practices.
Objective: To advocate the necessary adaptations in radio surgical practices to effectively manage the radio surgical patients, resource utilization, and protecting the healthcare provider during the COVID pandemic.
Material and Methods: In addition to the literature review, pertinent recommendations are made in respect to the gamma knife radiosurgery (GKRS).
Results: Every patient presenting to GKRS treatment should be considered as a potential asymptomatic COVID carrier. Patients should be categorized based on the priority (urgent, semi-urgent, or elective) on the basis of pathological and clinical status. The only urgent indication is a non-responding or enlarging cerebral metastasis. There is a high risk of aerosol dispersion during gamma radiation delivery in the gamma gantry.
Conclusion: These recommendations should be used to minimize the chances of pathogenic exposure to the patient and caregivers both.
Dr. Manjul Tripathi
Associate Professor, Department of Neurosurgery, Neurosurgery Office, Nehru Hospital, 5th Floor, Post Graduate Institute of Medical Education and Research, Chandigarh - 160 012
Source of Support: None, Conflict of Interest: None
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