The paradox of COVID-19 and pediatric anesthesiology: opinion of the Pediatric Anesthesia Committee of the Brazilian Society of Anesthesiology

Neville, Mariana Fontes Lima; Vanzillotta, Pedro Paulo; Quintão, Vinícius Caldeira

doi:10.1016/j.bjane.2020.04.025

Cited by 2 publications

(3 citation statements)

References 6 publications

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“…However, the application of positive pressure ventilation after intubation is not recommended due to the formation of aerosol, and it is stated that it carries a high risk for the infection [10]. In a study that presents views on anesthesia management regarding pediatric patients, it is recommended to perform positive pressure ventilation at low pressures such as 10-12 cmH2O [11]. In the airway management guide published jointly by the associations, it is stated that mask ventilation should be applied only if necessary; when applied, it should be with two people, 2-hand mask ventilation technique, low flow, and low pressures [9].…”

Section: Discussionmentioning

confidence: 99%

General Anesthesia Practices During the COVID-19 Pandemic in Turkey: A Cohort Study With a National Survey

Aksu¹,

Cesur²,

Kuş³

et al. 2020

Cureus

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This study aimed to examine the anesthesia practices applied to the cases during the pandemic, to analyze the rate of the precautions taken in emergency/elective operations in non-COVID patients, what precautions were taken, what resources the clinics had, and the patient management in the perioperative period by organizing a survey among anesthesiologist in Turkey. Methods After obtaining approval from the Turkish Ministry of Health (2020-05-04T09_30_03) and the local ethics committee (GOKAEK-2020/10.09), a survey consisting of 21 questions was formed over the online survey inquiry (surveymonkey.com). The survey was conducted in Turkish. Results The survey aimed at reaching the anesthesiologists, who were Turkish Anesthesiology and Reanimation Society (TARD) members, by e-mail, and it was seen that 120 people out of approximately 2700 members who had received our e-mail participated in the survey. After the first case was reported in our country, it was understood that 62.1% of the participants stopped accepting elective cases in their institutions. The anesthesia method preferred in this period was general anesthesia by 47.6%, regional anesthesia by 52.1%, and sedation by 0.3%. The arrival time of coronavirus disease COVID-19 tests (PCR and/or rapid diagnostic kits showing antibodies) to the hospital was questioned; seven people (5.83%) stated that tests were not performed at their hospitals. It was observed that tests arrived and were applied at the hospitals of the remaining participants in an average of 2.7 ± 1.6 weeks. It was determined that 59.32% of the participants avoided positive pressure ventilation after induction, 5.98% of the intubation on the patients were performed by anesthesia technicians, 66.67% by anesthesiologists, 25.64% by senior resident doctors with at least two years of experience, and 1.71% by junior anesthesia assistants with less than two years of experience. The use of personal protective equipment (PPE) is applied by 95% of the participants. 22.69% of the participants stated that they preferred to use supraglottic airway (SGA) devices during this period. While 45.06% of the participants stated that they provided oxygen support to the patient with the mask belonging to the circuit after extubation, 14.8% preferred the nasal cannula, and 33.1% used an oxygen mask. Our results showed that 90% of additional precautions were taken in our country's clinics, and 95% of PPE was used. Also, the use of video laryngoscope (VL) was 75% in this period. Finally, it was found that 50.85% of the patients were taken to the recovery unit after being extubated, and 49.15% were sent directly to the service. Conclusion We can reveal that each clinic made arrangements according to its own conditions. We think that plans should be made to standardize clinical facilities and algorithms throughout the country. Apart from technological and financial facilities, we believe that the continuity of the training organized by national and international associations should be ensured so that anesthesiologists' kno...

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Section: Discussionmentioning

confidence: 99%

General Anesthesia Practices During the COVID-19 Pandemic in Turkey: A Cohort Study With a National Survey

Aksu¹,

Cesur²,

Kuş³

et al. 2020

Cureus

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“…Coughing during the excitation phase of inhalation induction is common and often necessitates positive pressure mask ventilation which can disseminate aerosols into the operating room environment 35 . Premedication in this instance, could help to prevent the child from coughing or crying during venous cannulation 36 . There has been some concern over the possibility of sneezing or coughing with intranasal administration medications, which should be considered prior to administration.…”

Section: Premedicationmentioning

confidence: 99%

“…35 Premedication in this instance, could help to prevent the child from coughing or crying during venous cannulation. 36 There has been some concern over the possibility of sneezing or coughing with intranasal administration medications, which should be considered prior to administration. Additionally, while oral midazolam is a widely used premedication, some concern was raised that its bitter taste may lead to children coughing or crying and thus should be used with caution.…”

Section: Premedic Ationmentioning

confidence: 99%

Anxiety in children: A review on how to address it in the perioperative setting post‐pandemic

Challa¹,

Geng‐Ramos²,

Gray³

et al. 2023

Pediatric Anesthesia

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In this paper, we review the psychological burden of SARS-CoV-2 on children and how health care workers can play a role in mitigating its mental health impact during anesthetic procedures. We evaluate the societal changes that have affected children over 2 years of the pandemic and the subsequent soaring rates of anxiety and depression reported. Unfortunately, the perioperative setting is a stressful experience at baseline and the addition of COVID-19 has only exacerbated the situation. Anxiety and depression are often linked to maladaptive behavior post-surgery, including increased rates of emergence delirium. Providers can utilize techniques based on developmental milestones, Certified Child Life Specialists, parental presence during induction, and medications to reduce anxiety. As health care workers, we need to recognize and address these concerns as untreated mental health issues can leave long-term consequences for children.

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The paradox of COVID-19 and pediatric anesthesiology: opinion of the Pediatric Anesthesia Committee of the Brazilian Society of Anesthesiology

Cited by 2 publications

References 6 publications

General Anesthesia Practices During the COVID-19 Pandemic in Turkey: A Cohort Study With a National Survey

General Anesthesia Practices During the COVID-19 Pandemic in Turkey: A Cohort Study With a National Survey

Anxiety in children: A review on how to address it in the perioperative setting post‐pandemic

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