In this letter from the Neurosurgical Health Care System of Northern Italy, the authors addressed the COVID-19 crisis and how to continue operating neurooncological cases that cannot wait for surgery.
The authors explain honestly and clearly how to organize the intraoperative neurophysiological team. They propose a system to optimize the IONM capacity, in the middle of the pandemic, in a stressed and overload health system with COVID-19 cases.
They tried to keep the standard of IONM from the neurooncological standpoint, to resect as much as a tumor as possible, minimizing the neurological damage.
Unfortunately, this issue is still relevant. We are currently facing a second wave of the pandemic that is striking the northern hemisphere, and in a few weeks, the southern hemisphere.
Past President of the ISIN
ISIN SEP Recommendations
- This article reviews and forms recommendations for intraoperative SEPs.
- It endorses SEP optimization to enhance surgical feedback speed and accuracy.
- It supports an adaptive warning criterion to adjust for baseline drift and variability.