PEDIATRIC NEUROSURGERY

Is the neurosurgery procedure urgent or emergent?

recommenda)on during COVID-19 Outbreak

Infection? Matheus F. M. Ballestero, MD, MsC

Hydrocephalus? Ricardo S. de Oliveira, MD, PhD
Neoplasm?
Trauma?
No Vascular disorders? Yes

COVID-19 diagnosis/
Consider re- No COVID-19 pre-op test
Clinical signs and
scheduling after available?
symptoms for COVID-19
discussion with
hospital management
and parents* Yes Is the child symptomatic
to COVID-19 or in No Yes
quarantine ?
Re-evaluate the pa)ent:
urgent or emergent
opera)on? No COVID-19 test nega)ve?

No

No Yes Yes

Cancel/Delay un)l Consider current and

pa)ent recover and/or Avoid emergency surgical projected COVID-19
COVID-19 test nega)ve procedures at night when cases in the facility and
possible due to limited region.
team staffing

Operative management
with full Opera)ve management,
airborne/droplet/contact standard precau)ons
isolation precautions
* Elec)ve surgeries and non-essen)al medical and surgical procedures should be delayed un)l the COVID-19 outbreak ends. Consider a range of factors when
deciding whether to postpone a surgery or procedure, including pa)ent risk factors, bed availability, staffing and personal protec)ve equipment supplies