Timing of general anesthesia for pediatric patients recovering from COVID-19: a prospective cohort study
Abstract Objective To explore the timing of general anesthesia for pediatric patients who have recovered from novel coronavirus infection and summarize anesthesia-related complications. Methods We summarized the perioperative management of children under 14 years of age who underwent general anesthe...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | BMC Anesthesiology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12871-023-02390-9 |
| _version_ | 1797362955877089280 |
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| author | Dinghuan Zhao Wei Liu Zhao Zhang Yuting Li Jun Luo Weiqiang Zheng Ruiqiang Sun |
| author_facet | Dinghuan Zhao Wei Liu Zhao Zhang Yuting Li Jun Luo Weiqiang Zheng Ruiqiang Sun |
| author_sort | Dinghuan Zhao |
| collection | DOAJ |
| description | Abstract Objective To explore the timing of general anesthesia for pediatric patients who have recovered from novel coronavirus infection and summarize anesthesia-related complications. Methods We summarized the perioperative management of children under 14 years of age who underwent general anesthesia in our hospital according to national epidemic prevention and control requirements. We compared the incidence of postoperative pulmonary complications within 2 weeks (Group A), 3–4 weeks (Group B), and 5–6 weeks (Group C) after COVID-19 recovery. Results There were differences among the three groups in terms of decreased blood oxygen saturation (< 94%), secretions, and coughing during the PACU period. The risk of low blood oxygen saturation during PACU decreased as the time of COVID-19 recovery extended in the three groups. Compared to Group A, the risk of low blood oxygen saturation was lower in Group B. The presence of respiratory symptoms and a body temperature above 40℃ increased the risk of decreased blood oxygen saturation. The proportion of children aged 11–14 years and children with high fever experiencing decreased blood oxygen saturation during PACU was higher in Groups A and B. Among the three groups, children with respiratory symptoms and longer illness duration had a higher proportion of decreased blood oxygen saturation during PACU. Conclusion Pediatric patients who have recovered from COVID-19 for more than 2 weeks have a lower risk of postoperative complications after general anesthesia. For children with respiratory system symptoms or high fever, there is a higher risk of transient blood oxygen saturation decrease during PACU. For older children, those with high fever, respiratory system symptoms, or longer illness duration, it is recommended to appropriately extend the time from COVID-19 recovery to surgery. |
| first_indexed | 2024-03-08T16:14:51Z |
| format | Article |
| id | doaj.art-f3a7b986fdbc41519eaf39a5a69bed29 |
| institution | Directory Open Access Journal |
| issn | 1471-2253 |
| language | English |
| last_indexed | 2024-03-08T16:14:51Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Anesthesiology |
| spelling | doaj.art-f3a7b986fdbc41519eaf39a5a69bed292024-01-07T12:41:49ZengBMCBMC Anesthesiology1471-22532024-01-012411810.1186/s12871-023-02390-9Timing of general anesthesia for pediatric patients recovering from COVID-19: a prospective cohort studyDinghuan Zhao0Wei Liu1Zhao Zhang2Yuting Li3Jun Luo4Weiqiang Zheng5Ruiqiang Sun6Department of Anesthesiology, Tianjin Eye HospitalDepartment of Anesthesiology, Tianjin Eye HospitalDepartment of Anesthesiology, Tianjin Eye HospitalDepartment of Anesthesiology, Tianjin Eye HospitalDepartment of Anesthesiology, Tianjin Eye HospitalDepartment of Anesthesiology, Tianjin Eye HospitalDepartment of Anesthesiology, Tianjin Eye HospitalAbstract Objective To explore the timing of general anesthesia for pediatric patients who have recovered from novel coronavirus infection and summarize anesthesia-related complications. Methods We summarized the perioperative management of children under 14 years of age who underwent general anesthesia in our hospital according to national epidemic prevention and control requirements. We compared the incidence of postoperative pulmonary complications within 2 weeks (Group A), 3–4 weeks (Group B), and 5–6 weeks (Group C) after COVID-19 recovery. Results There were differences among the three groups in terms of decreased blood oxygen saturation (< 94%), secretions, and coughing during the PACU period. The risk of low blood oxygen saturation during PACU decreased as the time of COVID-19 recovery extended in the three groups. Compared to Group A, the risk of low blood oxygen saturation was lower in Group B. The presence of respiratory symptoms and a body temperature above 40℃ increased the risk of decreased blood oxygen saturation. The proportion of children aged 11–14 years and children with high fever experiencing decreased blood oxygen saturation during PACU was higher in Groups A and B. Among the three groups, children with respiratory symptoms and longer illness duration had a higher proportion of decreased blood oxygen saturation during PACU. Conclusion Pediatric patients who have recovered from COVID-19 for more than 2 weeks have a lower risk of postoperative complications after general anesthesia. For children with respiratory system symptoms or high fever, there is a higher risk of transient blood oxygen saturation decrease during PACU. For older children, those with high fever, respiratory system symptoms, or longer illness duration, it is recommended to appropriately extend the time from COVID-19 recovery to surgery.https://doi.org/10.1186/s12871-023-02390-9ChildCOVID-19AnesthesiaGeneralLaryngeal masks |
| spellingShingle | Dinghuan Zhao Wei Liu Zhao Zhang Yuting Li Jun Luo Weiqiang Zheng Ruiqiang Sun Timing of general anesthesia for pediatric patients recovering from COVID-19: a prospective cohort study BMC Anesthesiology Child COVID-19 Anesthesia General Laryngeal masks |
| title | Timing of general anesthesia for pediatric patients recovering from COVID-19: a prospective cohort study |
| title_full | Timing of general anesthesia for pediatric patients recovering from COVID-19: a prospective cohort study |
| title_fullStr | Timing of general anesthesia for pediatric patients recovering from COVID-19: a prospective cohort study |
| title_full_unstemmed | Timing of general anesthesia for pediatric patients recovering from COVID-19: a prospective cohort study |
| title_short | Timing of general anesthesia for pediatric patients recovering from COVID-19: a prospective cohort study |
| title_sort | timing of general anesthesia for pediatric patients recovering from covid 19 a prospective cohort study |
| topic | Child COVID-19 Anesthesia General Laryngeal masks |
| url | https://doi.org/10.1186/s12871-023-02390-9 |
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