• Min Zeng, Shu Li, Muhan Li, Xiang Yan, Ruowen Li, Jia Dong, Yuewei Zhang, Zhongrong Miao, Wang Shuo S Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China., Yuming Peng, and Ruquan Han.
• Department of Anesthesiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
• World Neurosurg. 2020 Nov 1; 143: 502-506.e1.

BackgroundFor most of the international community outside the epicenter, coronavirus disease 2019 (COVID-19) containment is normalizing, and daily medical practice runs parallel to preventing and treating COVID-19. This experience of simultaneously conducting emergent surgery and infection control for COVID-19 disease is useful outside the epicenter during the pandemic.Case DescriptionIn this single-center retrospective observational study, we enrolled patients with subarachnoid hemorrhage (SAH) who were emergently admitted from January 23 to April 8, 2020. Based on the COVID-19 triage, patients with SAH were divided into 3 categories: positive, negative, and under investigation. During 77 days, 90 patients with SAH were admitted at the center. The median age was 55 years (range, 18-80 years) and 40 patients (44.4%) were male. None was positive, 42 patients were negative, and 48 patients were under investigation for COVID-19 before surgery. During the same period, 9 patients were diagnosed with COVID-19 without nosocomial infection.ConclusionsRescuing patients with SAH and containment of COVID-19 benefit from joint prevention and control, a centralized system of equipment distribution and personnel assignment, and quick workflow establishment.Copyright © 2020 Elsevier Inc. All rights reserved.

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