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Anaesthetic challenges in a child with perforated appendicitis and COVID-19 Co-Infection: A case report

BACKGROUND: The deadly coronavirus disease 2019 (COVID-19) wreaked havoc globally in early 2020 and caused lives to a standstill. Healthcare workers (HCW) handling patients infected with COVID-19 wore protective equipment to defend themselves from cross infection and curbing further spread. Neverthe...

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Autores principales: Maxwell, Annie, Teah, Kai Ming, Soe, May Zaw, Yeap, Boon Tat
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8506575/
https://www.ncbi.nlm.nih.gov/pubmed/34659746
http://dx.doi.org/10.1016/j.amsu.2021.102931
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author Maxwell, Annie
Teah, Kai Ming
Soe, May Zaw
Yeap, Boon Tat
author_facet Maxwell, Annie
Teah, Kai Ming
Soe, May Zaw
Yeap, Boon Tat
author_sort Maxwell, Annie
collection PubMed
description BACKGROUND: The deadly coronavirus disease 2019 (COVID-19) wreaked havoc globally in early 2020 and caused lives to a standstill. Healthcare workers (HCW) handling patients infected with COVID-19 wore protective equipment to defend themselves from cross infection and curbing further spread. Nevertheless, these do hamper their dexterity, especially during surgical procedures. CASE PRESENTATION: A child presented to our centre needing an emergency open appendicectomy during the coronavirus disease 2019 (COVID-19) pandemic in June 2021. Prior to the surgery, her initial test for COVID-19 was negative but subsequently became positive on the second test. Fortunately, all HCW during the care for the patient, donned full personal protective equipment (PPE), and avoided cross-infection. DISCUSSION: HCW handling patients with COVID-19 should wear adequate PPE to. However, these pose detrimental effects to their dexterity during routine care of such patients. Good teamwork and communication among HCW and parents are important during the safe management of a young child with COVID-19. CONCLUSION: HCW should have low index of suspicion of COVID-19 in children with upper respiratory tract infection. Prompt and pro-active measures should be rapidly taken to prevent exposure and co-infection. Wearing multi layers of PPE do negatively affect the mood and agility of HCW handling young children with COVID-19. Thus, they should practice good team work, receive regular simulation and scenario-based training to be better prepared for pressurised situations.
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spelling pubmed-85065752021-10-12 Anaesthetic challenges in a child with perforated appendicitis and COVID-19 Co-Infection: A case report Maxwell, Annie Teah, Kai Ming Soe, May Zaw Yeap, Boon Tat Ann Med Surg (Lond) Case Report BACKGROUND: The deadly coronavirus disease 2019 (COVID-19) wreaked havoc globally in early 2020 and caused lives to a standstill. Healthcare workers (HCW) handling patients infected with COVID-19 wore protective equipment to defend themselves from cross infection and curbing further spread. Nevertheless, these do hamper their dexterity, especially during surgical procedures. CASE PRESENTATION: A child presented to our centre needing an emergency open appendicectomy during the coronavirus disease 2019 (COVID-19) pandemic in June 2021. Prior to the surgery, her initial test for COVID-19 was negative but subsequently became positive on the second test. Fortunately, all HCW during the care for the patient, donned full personal protective equipment (PPE), and avoided cross-infection. DISCUSSION: HCW handling patients with COVID-19 should wear adequate PPE to. However, these pose detrimental effects to their dexterity during routine care of such patients. Good teamwork and communication among HCW and parents are important during the safe management of a young child with COVID-19. CONCLUSION: HCW should have low index of suspicion of COVID-19 in children with upper respiratory tract infection. Prompt and pro-active measures should be rapidly taken to prevent exposure and co-infection. Wearing multi layers of PPE do negatively affect the mood and agility of HCW handling young children with COVID-19. Thus, they should practice good team work, receive regular simulation and scenario-based training to be better prepared for pressurised situations. Elsevier 2021-10-12 /pmc/articles/PMC8506575/ /pubmed/34659746 http://dx.doi.org/10.1016/j.amsu.2021.102931 Text en © 2021 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Maxwell, Annie
Teah, Kai Ming
Soe, May Zaw
Yeap, Boon Tat
Anaesthetic challenges in a child with perforated appendicitis and COVID-19 Co-Infection: A case report
title Anaesthetic challenges in a child with perforated appendicitis and COVID-19 Co-Infection: A case report
title_full Anaesthetic challenges in a child with perforated appendicitis and COVID-19 Co-Infection: A case report
title_fullStr Anaesthetic challenges in a child with perforated appendicitis and COVID-19 Co-Infection: A case report
title_full_unstemmed Anaesthetic challenges in a child with perforated appendicitis and COVID-19 Co-Infection: A case report
title_short Anaesthetic challenges in a child with perforated appendicitis and COVID-19 Co-Infection: A case report
title_sort anaesthetic challenges in a child with perforated appendicitis and covid-19 co-infection: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8506575/
https://www.ncbi.nlm.nih.gov/pubmed/34659746
http://dx.doi.org/10.1016/j.amsu.2021.102931
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