tetano
Editor, Senior Moderator
J Anesth
. 2020 Aug 7.
doi: 10.1007/s00540-020-02837-0. Online ahead of print.
Unique challenges in pediatric anesthesia created by COVID-19
Nan Gai[SUP] 1 [/SUP], Jason T Maynes[SUP] 1 2 [/SUP], Kazuyoshi Aoyama[SUP] 3 4 [/SUP]
Affiliations
Abstract
Coronavirus disease 2019 (COVID-19) has affected anesthetic care worldwide, including the provision of anesthesia for pediatric patients. Hospitals have balanced the risks associated with the potential surges of resource-intensive COVID-19 patients against the probable morbidity of delaying elective surgical procedures. These decisions are complicated by the unclear influence that COVID-19 has on the perioperative risk for disease-positive pediatric patients. We conducted a comprehensive literature search on MEDLINE for publications involving pediatric patients with COVID-19 who underwent general anesthesia. A total of eight publications met inclusion criteria, and together described 20 patients. Nine patients had documented preoperative COVID-19 symptoms and one perioperative death was reported. Overall, further studies are needed to increase patient numbers and properly assess the perioperative risk. As we continue to provide care without clear guiding data, we present a discussion of modified anesthetic techniques for pediatric patients with suspected or confirmed COVID-19.
Keywords: COVID-19; Pediatric anesthesia; Perioperative outcomes; SARS-CoV-2; Transmission risk.
. 2020 Aug 7.
doi: 10.1007/s00540-020-02837-0. Online ahead of print.
Unique challenges in pediatric anesthesia created by COVID-19
Nan Gai[SUP] 1 [/SUP], Jason T Maynes[SUP] 1 2 [/SUP], Kazuyoshi Aoyama[SUP] 3 4 [/SUP]
Affiliations
- PMID: 32770277
- DOI: 10.1007/s00540-020-02837-0
Abstract
Coronavirus disease 2019 (COVID-19) has affected anesthetic care worldwide, including the provision of anesthesia for pediatric patients. Hospitals have balanced the risks associated with the potential surges of resource-intensive COVID-19 patients against the probable morbidity of delaying elective surgical procedures. These decisions are complicated by the unclear influence that COVID-19 has on the perioperative risk for disease-positive pediatric patients. We conducted a comprehensive literature search on MEDLINE for publications involving pediatric patients with COVID-19 who underwent general anesthesia. A total of eight publications met inclusion criteria, and together described 20 patients. Nine patients had documented preoperative COVID-19 symptoms and one perioperative death was reported. Overall, further studies are needed to increase patient numbers and properly assess the perioperative risk. As we continue to provide care without clear guiding data, we present a discussion of modified anesthetic techniques for pediatric patients with suspected or confirmed COVID-19.
Keywords: COVID-19; Pediatric anesthesia; Perioperative outcomes; SARS-CoV-2; Transmission risk.