Pediatric Anesthesia Advisory: What should we know as a pediatric anesthetist when a COVID-19 patient needs an operation?
DOI:
https://doi.org/10.46831/jpas.v1i1.17Keywords:
COVID-19, Corona virus, Anesthesia, Health care workers, Safety, Anesthesia guidelines, Pediatric anesthesia, PakistanAbstract
We are living in a developing country with limited resources in the context of PCR testing, personal protective equipment, and negative pressure operating room availability; so facing a serious challenge for the continuation of surgical services especially in the context of anesthesia services and personnel safety during this COVID pandemic. As anesthesia provision is highly aerosol-generating thus predisposes both surgical and anesthesia teams to COVID. This demands a change in our anesthesia practice to provide a safe and comfortable atmosphere for the continuation of surgical services, as anesthesia is the backbone of surgery. We have developed this advisory for pediatric anesthetists especially relating to developing countries to guide them for providing safe anesthesia services keeping in mind the limited resources based on our practices and experiences gained during this pandemic along with reviewing national and international literature.
Downloads
Metrics
References
Tran K, Cimon K, Severn M, Pessoa-Silva CL, Conly J. Aerosol generating procedures and risk of transmission of acute respiratory infections to healthcare workers: A systematic review. PLoS One. 2012; 7:e35797.
Lie SA, Wong SW, Wong LT, Wong TGL, Chong SY. Practical considerations for performing regional anesthesia: lessons learned from the COVID-19 pandemic. Can J Anesth. 2020; 1-8.
Scott L, Charles WA Jr., Brian KW, Ronald JD, George CD, Wayne Strasser JSW. Preliminary findings of control of dispersion of aerosols and droplets during high velocity nasal. Chest. 2020; 10.1016/j.chest.2020.03.043.
Sadiq M, Saleem M, Alvi MY, Junaid Rashid. Hand Book of Pediatric COVID-19 and Standard Operating Procedure. Hand B Pediatr COVID-19. 2020;2:1–64.
Peng PWH, Ho PL, Hota SS. Outbreak of a new coronavirus: what anesthetists should know. Br J Anaesth. 2020;124:497–501.
Ahmed S, Tan WLG, Chong YL. Surgical Response to COVID-19 Pandemic: A Singapore Perspective. J Am Coll Surg. 2020;230:1074–7.
World Health Organization (WHO). Rational use of personal protective equipment for coronavirus disease 2019 (COVID-19) and considerations during severe shortages. WHO. 2020;2019:1–28.
Ti LK, Ang LS, Foong TW, Ng BSW. What we do when a COVID-19 patient needs an operation: operating room preparation and guidance. Can J Anesth [Internet]. 2020;19–21. Available from: https://doi.org/10.1007/s12630-020-01617-4
Malhotra N, Joshi M, Datta R, Bajwa SJ ML. Indian Society of Anaesthesiologists (ISA National) Advisory and Position Statement regarding COVID-19. Indian J Anaesth. 2020;64:257–63.
Malhotra N, Bajwa SJS, Joshi, M, Mehdiratta L AT. COVID Operation Theatre‑ Advisory and Position Statement of Indian Society of Anaesthesiologists (ISA National). Indian J Anaesth [Internet]. 2020;64:355-62. Available from: doi: 10.4103/ija.IJA_454_20
Lee‐Archer P, von Ungern‐Sternberg BS. Paediatric Anaesthetic implications of COVID‐19 – A Review of Current Literature. Pediatr Anesth. 2020:1–6.
Brown S, Patrao F, Verma S, Lean A, Flack S, Polaner D. Barrier System for Airway Management of COVID-19 Patients. Anesth Analg. 2020;131:e34–5.
Pakistan G of. National Action Plan for Corona virus disease ( COVID-19 ) Pakistan. Minist Natl Heal Serv Regul Coord Gov Pakistan [Internet]. 2020;1–136. Available from: https://app.adpc.net/index.php/publications/national-action-plan-coronavirus-disease-covid-19-pakistan
EPA. List N : Products with Emerging Viral Pathogens AND Human Coronavirus claims for use against SARS-CoV-2. Environ Prot Agency. 2020;1–38.
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Saira Usman, Saleem, Aima Zahid, Azka , Uzma Ather, Muhammad Ali
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
