Practice recommendations for neurovascular ultrasound investigations of acute stroke patients in the setting of the COVID-19 pandemic: an expert consensus from the European Society of Neurosonology and Cerebral Hemodynamics
Practice recommendations for neurovascular ultrasound investigations of acute stroke patients in the setting of the COVID-19 pandemic: an expert consensus from the European Society of Neurosonology and Cerebral Hemodynamics
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DOI：
10.1111/ene.14334
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发表时间：
2020-06-18
影响因子：
5.1
通讯作者：
Malojcic, B.
中科院分区：
文献类型：
--
作者：
Baracchini, C.;Pieroni, A.;Malojcic, B.
背景和目的急性缺血性卒中患者是感染COVID-19的高风险人群。此外，包括神经血管超声提供者在内的医疗保健专业人员也有感染SARS-CoV-2病毒的风险。然而，准备继续保证超急性治疗对患者的结果至关重要。鉴于这种情况，欧洲神经超声学和脑血流动力学学会（ESNCH）任命了一个工作组，为COVID-19大流行期间急性缺血性卒中的神经血管超声检查提供共识建议，旨在保护患者和超声提供者。方法ESNCH的“超声在急性脑卒中工作组”使用以下关键词检查文献和综述：“冠状病毒”或“COVID-19”或“SARS-CoV-2病毒”、“急性脑卒中”或“脑血管疾病”和“超声”。此后，与ESNCH的“教育和指导方针工作组”进行了深入的讨论。结果：我们提出了快速最新的建议，为医护人员参与院前和院内评估中风患者，特别注意神经血管超声性能。结论ESNCH为COVID-19时期急性缺血性卒中的神经血管超声检查提供了指导性总结。
Background and purpose Patients with acute ischemic stroke are at high-risk for contracting COVID-19 infection. Additionally, healthcare professionals including neurovascular ultrasound providers are also at risk of being infected by SARS-CoV-2 virus. Yet, preparedness to continue to guarantee hyperacute treatment is vital for patients outcome. In light of this situation, the European Society of Neurosonology and Cerebral Hemodynamic (ESNCH) appointed a task force to provide consensus recommendations for the performance of neurovascular ultrasound investigations in acute ischemic stroke during the COVID-19 pandemic with the aim of protecting both patients and ultrasound providers. Methods The "ultrasound in acute stroke working group" of the ESNCH examined literature articles and reviews using the following key words: "corona virus" or "COVID-19" or "SARS-CoV-2 virus", and "acute stroke" or "cerebrovascular disease", and "ultrasound". Thereafter, a thorough discussion was conducted with the "education and guidelines working group" of the ESNCH. Results We propose rapid up-to-date recommendations for healthcare personnel involved in the pre-hospital and intra-hospital assessment of stroke patients, with a particular attention to neurovascular ultrasound performance. Conclusion The ESNCH provides a guidance summary for the performance of neurovascular ultrasound investigations in acute ischemic stroke in the time of COVID-19.