key: cord-343322-vx3lub3s
authors: LUBANSU, Alphonse; HADWE, Salim EL.
title: Reply to the Letter to the Editor Regarding " COVID-19 impact on neurosurgical practice: lockdown attitude and experience of a European academic center ".
date: 2020-11-02
journal: World Neurosurg
DOI: 10.1016/j.wneu.2020.10.143
sha: 
doc_id: 343322
cord_uid: vx3lub3s

nan

We appreciate Goyal et al. for their interest and valuable questions regarding our recently published paper "COVID-19 impact on neurosurgical practice: lockdown attitude and experience of a European academic center".

We noted and appreciated that the protocol and workflow for the management of neurosurgical patients that we applied at the early onset of the COVID 19 pandemic, at our institute, seems to be also effectively applied in larger and different countries such as India.

As in Belgium and many other countries including USA 1 , China 2 , or Italy 3 , they implement in their current daily practice measures of social-distancing including the use of telemedicine and replacement of meetings and physical classes with videoconferences. They anticipate any potential health care congestion according to the national and institutional forecasts by suspending non-urgent elective surgeries and outpatient activities and re-deployed wards, resources, and teams. 

On pandemics: the impact of COVID-19 on the practice of neurosurgery

Preliminary Recommendations for Surgical Practice of Neurosurgery Department in the Central Epidemic Area of 2019 Coronavirus Infection

Critical Care Utilization for the COVID-19 Outbreak in Lombardy, Italy: Early Experience and Forecast During an Emergency Response

Countries where Coronavirus has spread -Worldometer

Deployment of Neurosurgeons at the Warfront Against Coronavirus Disease of 2019 (COVID-19)

False-negative results of initial rt-pcr assays for covid-19: a systematic review. medRxiv

J o u r n a l P r e -p r o o f