| ORIGINAL ARTICLE
|Year : 2022 | Volume
| Issue : 5 | Page : 561-564
Perioperative course of COVID-19 in pediatric patients undergoing emergency surgeries
Raksha Kundal1, Ranju Singh1, Vishal Kant1, Maitree Pandey1, Yogesh Kumar Sarin2
1 Department of Anesthesiology, Lady Hardinge Medical College, Kalawati Saran Children Hospital, New Delhi, India
2 Department of Pediatric Surgery, Lady Hardinge Medical College, Kalawati Saran Children Hospital, New Delhi, India
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.
Department of Anesthesiology, Lady Hardinge Medical College, New Delhi
Source of Support: None, Conflict of Interest: None
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