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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2022
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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. |
format | Online Article Text |
id | pubmed-9757800 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
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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