Ethical Attitudes in Neurosurgery at the Height of the COVID-19 Pandemic

Overview

Journal Brain Spine

Specialty Neurology

Date 2022 Oct 17

PMID 36248163

Authors

Robin Van Der Straeten

Diedrik Peuskens

Frank Weyns

Affiliations

Soon will be listed here.

Abstract

•Pandemic conditions imposed withholding or withdrawing neurosurgical treatment.•Variation exist in the management of intracranial haemorrhage or TBI during a pandemic.•Triaging guidelines for neurosurgical patients need to be established.

References

Perel P, Arango M, Clayton T, Edwards P, Komolafe E, Poccock S . Predicting outcome after traumatic brain injury: practical prognostic models based on large cohort of international patients. BMJ. 2008; 336(7641):425-9. PMC: 2249681. DOI: 10.1136/bmj.39461.643438.25. View

Mathiesen T, Arraez M, Asser T, Balak N, Barazi S, Bernucci C . A snapshot of European neurosurgery December 2019 vs. March 2020: just before and during the Covid-19 pandemic. Acta Neurochir (Wien). 2020; 162(9):2221-2233. PMC: 7343382. DOI: 10.1007/s00701-020-04482-8. View

Steyerberg E, Mushkudiani N, Perel P, Butcher I, Lu J, McHugh G . Predicting outcome after traumatic brain injury: development and international validation of prognostic scores based on admission characteristics. PLoS Med. 2008; 5(8):e165. PMC: 2494563. DOI: 10.1371/journal.pmed.0050165. View

Cohen I, Crespo A, White D . Potential Legal Liability for Withdrawing or Withholding Ventilators During COVID-19: Assessing the Risks and Identifying Needed Reforms. JAMA. 2020; 323(19):1901-1902. DOI: 10.1001/jama.2020.5442. View

Fontanella M, De Maria L, Zanin L, Saraceno G, di Bergamo L, Servadei F . Neurosurgical Practice During the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Pandemic: A Worldwide Survey. World Neurosurg. 2020; 139:e818-e826. PMC: 7198421. DOI: 10.1016/j.wneu.2020.04.204. View

Kelly M, Sulmasy D, Weil R . Spontaneous intracerebral hemorrhage and the challenge of surgical decision making: a review. Neurosurg Focus. 2013; 34(5):E1. DOI: 10.3171/2013.2.FOCUS1319. View

van Essen T, de Ruiter G, Kho K, Peul W . Neurosurgical Treatment Variation of Traumatic Brain Injury: Evaluation of Acute Subdural Hematoma Management in Belgium and The Netherlands. J Neurotrauma. 2016; 34(4):881-889. DOI: 10.1089/neu.2016.4495. View

Honeybul S, Gillett G, Ho K . Futility in neurosurgery: a patient-centered approach. Neurosurgery. 2013; 73(6):917-22. DOI: 10.1227/NEU.0000000000000014. View

Soriano Sanchez J, Perilla Cepeda T, Zenteno M, Campero A, Yampolsky C, Varela M . Early Report on the Impact of COVID-19 Outbreak in Neurosurgical Practice Among Members of the Latin American Federation of Neurosurgical Societies. World Neurosurg. 2020; 140:e195-e202. PMC: 7204692. DOI: 10.1016/j.wneu.2020.04.226. View

10.

White D, Lo B . A Framework for Rationing Ventilators and Critical Care Beds During the COVID-19 Pandemic. JAMA. 2020; 323(18):1773-1774. DOI: 10.1001/jama.2020.5046. View

11.

Emanuel E, Persad G, Upshur R, Thome B, Parker M, Glickman A . Fair Allocation of Scarce Medical Resources in the Time of Covid-19. N Engl J Med. 2020; 382(21):2049-2055. DOI: 10.1056/NEJMsb2005114. View

12.

Myles P, Maswime S . Mitigating the risks of surgery during the COVID-19 pandemic. Lancet. 2020; 396(10243):2-3. PMC: 7259899. DOI: 10.1016/S0140-6736(20)31256-3. View

13.

McMillan J, Hope T . Justice-based obligations in intensive care. Lancet. 2010; 375(9721):1156-7. DOI: 10.1016/s0140-6736(10)60503-x. View

14.

Cooke M . Cost consciousness in patient care--what is medical education's responsibility?. N Engl J Med. 2010; 362(14):1253-5. DOI: 10.1056/NEJMp0911502. View

15.

Hulsbergen A, Eijkholt M, Balak N, Brennum J, Bolger C, Bohrer A . Ethical triage during the COVID-19 pandemic: a toolkit for neurosurgical resource allocation. Acta Neurochir (Wien). 2020; 162(7):1485-1490. PMC: 7220806. DOI: 10.1007/s00701-020-04375-w. View

16.

Jean W, Ironside N, Sack K, Felbaum D, Syed H . The impact of COVID-19 on neurosurgeons and the strategy for triaging non-emergent operations: a global neurosurgery study. Acta Neurochir (Wien). 2020; 162(6):1229-1240. PMC: 7170733. DOI: 10.1007/s00701-020-04342-5. View

17.

Scheunemann L, White D . The ethics and reality of rationing in medicine. Chest. 2011; 140(6):1625-1632. PMC: 3415127. DOI: 10.1378/chest.11-0622. View

18.

DeVivo M, Ivie 3rd C . Life expectancy of ventilator-dependent persons with spinal cord injuries. Chest. 1995; 108(1):226-32. DOI: 10.1378/chest.108.1.226. View

19.

Persad G, Wertheimer A, Emanuel E . Principles for allocation of scarce medical interventions. Lancet. 2009; 373(9661):423-31. DOI: 10.1016/S0140-6736(09)60137-9. View