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Management of the Normal and Difficult Pediatric Airway: Unique Challenges in the Time of COVID-19

PURPOSE OF REVIEW: This review focuses on the challenges faced by acute care healthcare workers in the management of the normal and difficult pediatric airway during the COVID-19 pandemic and how these protocols and practices evolved during the pandemic. The current state of knowledge on timing of s...

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Autores principales: Kiss, Edgar, Garcia-Marcinkiewicz, Annery, Zhong, John, Roberts, Matthew, Chandran, Neethu, Battles, Rhae, Saynhalath, Rita, Agdgomelashvili, Iamze, Olomu, Patrick
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9984748/
https://www.ncbi.nlm.nih.gov/pubmed/37125393
http://dx.doi.org/10.1007/s40137-023-00359-8
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author Kiss, Edgar
Garcia-Marcinkiewicz, Annery
Zhong, John
Roberts, Matthew
Chandran, Neethu
Battles, Rhae
Saynhalath, Rita
Agdgomelashvili, Iamze
Olomu, Patrick
author_facet Kiss, Edgar
Garcia-Marcinkiewicz, Annery
Zhong, John
Roberts, Matthew
Chandran, Neethu
Battles, Rhae
Saynhalath, Rita
Agdgomelashvili, Iamze
Olomu, Patrick
author_sort Kiss, Edgar
collection PubMed
description PURPOSE OF REVIEW: This review focuses on the challenges faced by acute care healthcare workers in the management of the normal and difficult pediatric airway during the COVID-19 pandemic and how these protocols and practices evolved during the pandemic. The current state of knowledge on timing of surgery and anesthesia is also discussed. RECENT FINDINGS: In the early days of the pandemic, information about the SARS-CoV-2 virus and disease process was scarce. Governmental, healthcare, and professional organizations created several guidelines to protect invaluable healthcare workers from the contagious virus while also delivering appropriate care to children with COVID-19. With the emergence of new studies and the deployment of new life-saving COVID-19 vaccines and other therapies, these guidelines evolved. The use of aerosol containment devices such as aerosol boxes and flexible barrier techniques was found to be ineffective in reliably containing virus particles while posing potential harm to both healthcare workers and patients. Also, the definition of aerosol-generating and dispersing medical procedures was vastly broadened. To date, use of appropriate personal protection equipment and COVID-19 vaccination are the most effective ways to protect healthcare workers and safely manage children infected with SARS-CoV-2 who require airway intervention. SUMMARY: Evidence-based public health measures and appropriate personal protective equipment remain the best way to protect both healthcare workers and patients. As the virus and population evolve and COVID-19 vaccines become more widely available, clinicians must be willing to adapt to the emerging evidence of their impact on how safe pediatric perioperative care is delivered.
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spelling pubmed-99847482023-03-06 Management of the Normal and Difficult Pediatric Airway: Unique Challenges in the Time of COVID-19 Kiss, Edgar Garcia-Marcinkiewicz, Annery Zhong, John Roberts, Matthew Chandran, Neethu Battles, Rhae Saynhalath, Rita Agdgomelashvili, Iamze Olomu, Patrick Curr Surg Rep Pediatric Surgery (A. Fischer, Section Editor) PURPOSE OF REVIEW: This review focuses on the challenges faced by acute care healthcare workers in the management of the normal and difficult pediatric airway during the COVID-19 pandemic and how these protocols and practices evolved during the pandemic. The current state of knowledge on timing of surgery and anesthesia is also discussed. RECENT FINDINGS: In the early days of the pandemic, information about the SARS-CoV-2 virus and disease process was scarce. Governmental, healthcare, and professional organizations created several guidelines to protect invaluable healthcare workers from the contagious virus while also delivering appropriate care to children with COVID-19. With the emergence of new studies and the deployment of new life-saving COVID-19 vaccines and other therapies, these guidelines evolved. The use of aerosol containment devices such as aerosol boxes and flexible barrier techniques was found to be ineffective in reliably containing virus particles while posing potential harm to both healthcare workers and patients. Also, the definition of aerosol-generating and dispersing medical procedures was vastly broadened. To date, use of appropriate personal protection equipment and COVID-19 vaccination are the most effective ways to protect healthcare workers and safely manage children infected with SARS-CoV-2 who require airway intervention. SUMMARY: Evidence-based public health measures and appropriate personal protective equipment remain the best way to protect both healthcare workers and patients. As the virus and population evolve and COVID-19 vaccines become more widely available, clinicians must be willing to adapt to the emerging evidence of their impact on how safe pediatric perioperative care is delivered. Springer US 2023-03-04 2023 /pmc/articles/PMC9984748/ /pubmed/37125393 http://dx.doi.org/10.1007/s40137-023-00359-8 Text en © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Pediatric Surgery (A. Fischer, Section Editor)
Kiss, Edgar
Garcia-Marcinkiewicz, Annery
Zhong, John
Roberts, Matthew
Chandran, Neethu
Battles, Rhae
Saynhalath, Rita
Agdgomelashvili, Iamze
Olomu, Patrick
Management of the Normal and Difficult Pediatric Airway: Unique Challenges in the Time of COVID-19
title Management of the Normal and Difficult Pediatric Airway: Unique Challenges in the Time of COVID-19
title_full Management of the Normal and Difficult Pediatric Airway: Unique Challenges in the Time of COVID-19
title_fullStr Management of the Normal and Difficult Pediatric Airway: Unique Challenges in the Time of COVID-19
title_full_unstemmed Management of the Normal and Difficult Pediatric Airway: Unique Challenges in the Time of COVID-19
title_short Management of the Normal and Difficult Pediatric Airway: Unique Challenges in the Time of COVID-19
title_sort management of the normal and difficult pediatric airway: unique challenges in the time of covid-19
topic Pediatric Surgery (A. Fischer, Section Editor)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9984748/
https://www.ncbi.nlm.nih.gov/pubmed/37125393
http://dx.doi.org/10.1007/s40137-023-00359-8
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