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Perioperative Course of COVID-19 in Pediatric Patients Undergoing Emergency Surgeries

OBJECTIVE: Adults with COVID-19 infection undergoing surgery have an increased risk of complications and mortality. However, literature mentioning the perioperative course and outcome of children with COVID-19 infection undergoing emergency surgery is still lacking. Therefore, we planned this study...

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Autores principales: Kundal, Raksha, Singh, Ranju, Kant, Vishal, Pandey, Maitree, Sarin, Yogesh Kumar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9757800/
https://www.ncbi.nlm.nih.gov/pubmed/36530798
http://dx.doi.org/10.4103/jiaps.jiaps_209_21
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author Kundal, Raksha
Singh, Ranju
Kant, Vishal
Pandey, Maitree
Sarin, Yogesh Kumar
author_facet Kundal, Raksha
Singh, Ranju
Kant, Vishal
Pandey, Maitree
Sarin, Yogesh Kumar
author_sort Kundal, Raksha
collection PubMed
description OBJECTIVE: Adults with COVID-19 infection undergoing surgery have an increased risk of complications and mortality. However, literature mentioning the perioperative course and outcome of children with COVID-19 infection undergoing emergency surgery is still lacking. Therefore, we planned this study to observe the need for postoperative ventilation, oxygen requirements, and postoperative mortality in pediatric patients with COVID-19 infection scheduled for emergency surgery. METHODS: After ethical committee approval, all the COVID-19-infected pediatric patients who underwent an emergency surgery from April 2020 to May 2021 were included. Data collected included details of COVID-19 disease, American Society of Anesthesiology (ASA) grading, comorbidities, perioperative details such as tachycardia or bradycardia, any oxygen desaturation (SpO2<90), need for postoperative oxygen therapy, postoperative ventilation, and recovery/death. RESULTS: A total of 22 COVID-19-infected pediatric patients underwent emergency surgery in the study period. Fourteen (63.6%) were asymptomatic at the time of admission. Nineteen patients (86.4%) belonged to ASA grade IE and three (13.6%) patients belonged to ASA grade III E. Three patients (13.6%) had comorbidities. Only one patient had hypotension and tachycardia intraoperatively. The same patient needed postoperative ventilation and succumbed. CONCLUSION: Our study shows that pediatric surgical patients with COVID-19 infection do not exhibit an increased need for oxygen or postoperative ventilation, postoperative pulmonary complications, or high mortality unless there is associated comorbidity.
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spelling pubmed-97578002022-12-17 Perioperative Course of COVID-19 in Pediatric Patients Undergoing Emergency Surgeries Kundal, Raksha Singh, Ranju Kant, Vishal Pandey, Maitree Sarin, Yogesh Kumar J Indian Assoc Pediatr Surg Original Article OBJECTIVE: Adults with COVID-19 infection undergoing surgery have an increased risk of complications and mortality. However, literature mentioning the perioperative course and outcome of children with COVID-19 infection undergoing emergency surgery is still lacking. Therefore, we planned this study to observe the need for postoperative ventilation, oxygen requirements, and postoperative mortality in pediatric patients with COVID-19 infection scheduled for emergency surgery. METHODS: After ethical committee approval, all the COVID-19-infected pediatric patients who underwent an emergency surgery from April 2020 to May 2021 were included. Data collected included details of COVID-19 disease, American Society of Anesthesiology (ASA) grading, comorbidities, perioperative details such as tachycardia or bradycardia, any oxygen desaturation (SpO2<90), need for postoperative oxygen therapy, postoperative ventilation, and recovery/death. RESULTS: A total of 22 COVID-19-infected pediatric patients underwent emergency surgery in the study period. Fourteen (63.6%) were asymptomatic at the time of admission. Nineteen patients (86.4%) belonged to ASA grade IE and three (13.6%) patients belonged to ASA grade III E. Three patients (13.6%) had comorbidities. Only one patient had hypotension and tachycardia intraoperatively. The same patient needed postoperative ventilation and succumbed. CONCLUSION: Our study shows that pediatric surgical patients with COVID-19 infection do not exhibit an increased need for oxygen or postoperative ventilation, postoperative pulmonary complications, or high mortality unless there is associated comorbidity. Wolters Kluwer - Medknow 2022 2022-09-09 /pmc/articles/PMC9757800/ /pubmed/36530798 http://dx.doi.org/10.4103/jiaps.jiaps_209_21 Text en Copyright: © 2022 Journal of Indian Association of Pediatric Surgeons https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Kundal, Raksha
Singh, Ranju
Kant, Vishal
Pandey, Maitree
Sarin, Yogesh Kumar
Perioperative Course of COVID-19 in Pediatric Patients Undergoing Emergency Surgeries
title Perioperative Course of COVID-19 in Pediatric Patients Undergoing Emergency Surgeries
title_full Perioperative Course of COVID-19 in Pediatric Patients Undergoing Emergency Surgeries
title_fullStr Perioperative Course of COVID-19 in Pediatric Patients Undergoing Emergency Surgeries
title_full_unstemmed Perioperative Course of COVID-19 in Pediatric Patients Undergoing Emergency Surgeries
title_short Perioperative Course of COVID-19 in Pediatric Patients Undergoing Emergency Surgeries
title_sort perioperative course of covid-19 in pediatric patients undergoing emergency surgeries
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9757800/
https://www.ncbi.nlm.nih.gov/pubmed/36530798
http://dx.doi.org/10.4103/jiaps.jiaps_209_21
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