<scp>SARS‐CoV</scp>‐2 airway reactivity in children: more of the same?

Karlsson, Jacob; Johansen, Mathias; Engelhardt, Thomas

doi:10.1111/anae.15760

Cited by 2 publications

(5 citation statements)

References 12 publications

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“…American hospitals performed from March to October 2020. Our report confirms that locally SARS-CoV-2 infection in children imposes neither an excessive burden on the healthcare system nor a special risk for patients -especially asymptomatic -so perhaps the suggestion that there is no need for a delay in surgery should be seriously considered [21,23].…”

Section: Discussionsupporting

confidence: 71%

Anaesthesia in SARS-CoV-2 infected children – single-centre experience. A case-control study

Jarymowicz,

Baranowski,

Pietrzyk

et al. 2023

ait

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The severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) pandemic has caused a unique burden on healthcare facilities and a substantial organisational challenge. Due to the extremely high contagiousness of the disease, governments and healthcare authorities face the problem of limiting spread of the infection in the society, especially in healthcare workers. The problem has particularly impacted perioperative medicine, especially anaesthesiology due to the potential risk for patients and threat of staff contamination during aerosol generating procedures [1][2][3][4]. Children represent 1-5% of total coronavirus disease 2019 (COVID-19) cases [1,5].

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Section: Discussionsupporting

confidence: 71%

Anaesthesia in SARS-CoV-2 infected children – single-centre experience. A case-control study

Jarymowicz,

Baranowski,

Pietrzyk

et al. 2023

ait

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“…Additionally, current data concur with Karlsson et al. [ 1 ], that the omicron variant has resulted in less severe illness [ 5 ]. However, the correlation of these findings with studies describing peri‐operative risk in children with non‐severe infection of the omicron variant is warranted.…”

supporting

confidence: 91%

“…Additionally, current data concur with Karlsson et al [1], that the omicron variant has resulted in less severe illness To ensure efficiency, the service must run independently from other clinical areas and, as a result, will be heavily reliant on resources, which is somewhat unrealistic in our health service overall, particularly at a time when retention of adequately trained staff is an issue. Ultimately, the focus must be on patient safety and operating theatre productivity rather than surgeon-specific productivity.…”

supporting

confidence: 82%

“…We read with interest the editorial by Karlsson et al. [ 1 ] contextualising the study by Peterson et al. [ 2 ], who present a valuable analysis of peri‐operative risk during the initial months of the SARS‐CoV‐2 pandemic.…”

mentioning

confidence: 99%

“…Karlsson et al. [ 1 ] suggest applying existing management strategies used for children with symptomatic viral infection to those with confirmed SARS‐CoV‐2; using SARS‐CoV‐2 data to inform responses in future pandemics, and moving beyond data collection for children with SARS‐CoV‐2 undergoing general anaesthesia. We would like to add some alternative perspectives to some of these conclusions.…”

mentioning

confidence: 99%

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SARS‐CoV‐2 and paediatric anaesthesia: similar risk to classic viral upper respiratory tract infection, but still more to learn

2022

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contextualising the study by Peterson et al. [2], who present a valuable analysis of peri-operative risk during the initial months of the SARS-CoV-2 pandemic. Karlsson et al. [1] suggest applying existing management strategies used for children with symptomatic viral infection to those with confirmed SARS-CoV-2; using SARS-CoV-2 data to inform responses in future pandemics, and moving beyond data collection for children with SARS-CoV-2 undergoing general anaesthesia. We would like to add some alternative perspectives to some of these conclusions. We agree that the published evidence and anecdotal experience suggest the current risk of peri-operative respiratory adverse events in children with non-severe SARS-CoV-2 is similar to the risk with symptomatic viral upper respiratory tract infection [2, 3]. Therefore, we agree that current management of children with non-severe SARS-CoV-2 who present for anaesthesia should be consistent with established practice with other symptomatic viral upper respiratory tract infections. This may include discontinuation of universal pre-operative testing for SARS-CoV-2 and replacement with symptoms or history-based assessment, as has already occurred in many hospitals.

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SARS‐CoV‐2 airway reactivity in children: more of the same?

Cited by 2 publications

References 12 publications

Anaesthesia in SARS-CoV-2 infected children – single-centre experience. A case-control study

Anaesthesia in SARS-CoV-2 infected children – single-centre experience. A case-control study

SARS‐CoV‐2 and paediatric anaesthesia: similar risk to classic viral upper respiratory tract infection, but still more to learn

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