Complications associated with paediatric airway management during the COVID-19 pandemic: an international, multicentre, observational study.
COVID-19
airway
airway adverse events
paediatrics
tracheal intubation
Journal
Anaesthesia
ISSN: 1365-2044
Titre abrégé: Anaesthesia
Pays: England
ID NLM: 0370524
Informations de publication
Date de publication:
23 Mar 2022
23 Mar 2022
Historique:
revised:
26
01
2022
received:
21
12
2021
accepted:
02
03
2022
pubmed:
24
3
2022
medline:
24
3
2022
entrez:
23
3
2022
Statut:
aheadofprint
Résumé
Respiratory adverse events in adults with COVID-19 undergoing general anaesthesia can be life-threatening. However, there remains a knowledge gap about respiratory adverse events in children with COVID-19. We created an international observational registry to collect airway management outcomes in children with COVID-19 who were having a general anaesthetic. We hypothesised that children with confirmed or suspected COVID-19 would experience more hypoxaemia and complications than those without. Between 3 April 2020 and 1 November 2020, 78 international centres participated. In phase 1, centres collected outcomes on all children (age ≤ 18 y) having a general anaesthetic for 2 consecutive weeks. In phase 2, centres recorded outcomes for children with test-confirmed or suspected COVID-19 (based on symptoms) having a general anaesthetic. We did not study children whose tracheas were already intubated. The primary outcome was the incidence of hypoxaemia during airway management. Secondary outcomes included: incidence of other complications; and first-pass success rate for tracheal intubation. In total, 7896 children were analysed (7567 COVID-19 negative and 329 confirmed or presumed COVID-19 positive). The incidence of hypoxaemia during airway management was greater in children who were COVID-19 positive (24 out of 329 (7%) vs. 214 out of 7567 (3%); OR 2.70 (95%CI 1.70-4.10)). Children who had symptoms of COVID-19 had a higher incidence of hypoxaemia compared with those who were asymptomatic (9 out of 51 (19%) vs. 14 out of 258 (5%), respectively; OR 3.7 (95%CI 1.5-9.1)). Children with confirmed or presumed COVID-19 have an increased risk of hypoxaemia during airway management in conjunction with general anaesthesia.
Identifiants
pubmed: 35319088
doi: 10.1111/anae.15716
pmc: PMC9111470
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Investigateurs
P Arnold
(P)
E Schindler
(E)
A Garcia-Marcinkiewicz
(A)
J Peyton
(J)
R Park
(R)
A Sommerfield
(A)
D Sommerfield
(D)
H Griffis
(H)
P Hu
(P)
A Caccioppola
(A)
A Colletti
(A)
A Dato
(A)
A Fernandez
(A)
A Ortiz
(A)
A Sheik
(A)
A Sommerfield
(A)
A Tutuncu
(A)
B Gily
(B)
B Kueppers
(B)
B Taicher
(B)
C Dietrich
(C)
C Gooden
(C)
C Miller
(C)
C Neder Neto
(C)
C Neumann
(C)
C Ulrichs
(C)
D Altun Bingöl
(D)
D Barnes
(D)
D Cumino
(D)
D Özcengiz
(D)
D Pachter
(D)
D Sommerfield
(D)
D Wong
(D)
E Bayliss
(E)
E Ferrari
(E)
E Greenwood
(E)
E Kiss
(E)
E Ng
(E)
E Schindler
(E)
F Izzo
(F)
F Russo
(F)
G Chow
(G)
G Martinez-Mezo
(G)
G Petroz
(G)
G Schälte
(G)
G Soares de Sousa
(G)
G Thomas
(G)
G Wong
(G)
H Barros
(H)
H Gill
(H)
H Lewis
(H)
H Manley
(H)
I Pągowska-Klimek
(I)
J Major
(J)
J Zhong
(J)
K Jonckheer
(K)
K Rubin
(K)
K Saracoglu
(K)
L Bernard
(L)
L Burgoyne
(L)
L Sarmiento
(L)
L Vidaurri
(L)
L Zamora
(L)
M Arellano-Pulido
(M)
M Brooks Peterson
(M)
M Clement
(M)
M Fernández-Jurado
(M)
M Hartley
(M)
M Johansen
(M)
M Lima
(M)
M Malavazzi
(M)
M Matuszczak
(M)
M Molina Torres
(M)
M Nemeth
(M)
M Rodgers McCormick
(M)
M Stein
(M)
M Teen
(M)
M Theroux
(M)
M Vason
(M)
N Hauser
(N)
N Leister
(N)
N Singh
(N)
N Straßberger-Nerschbach
(N)
N Thompson
(N)
N Woodman
(N)
P Cardoso
(P)
P Hu
(P)
P Ingelmo
(P)
P Kendigelen
(P)
P Kovatsis
(P)
P Lane
(P)
P Olomu
(P)
P Reynolds
(P)
R Abujeta Soria
(R)
R Arellano-Pulido
(R)
R Arumainathan
(R)
R Bonfiglio
(R)
R Carlos
(R)
R King
(R)
R McIntyre
(R)
R Sant Anna
(R)
S Abubakra
(S)
S Bhattacharya
(S)
S Black
(S)
S Ferrario
(S)
S Finamore
(S)
S Ghamari
(S)
S Humphreys
(S)
S Neri
(S)
S Shaik
(S)
S Spall
(S)
S Yücetepe
(S)
T Ellimah
(T)
T Engelhardt
(T)
U Trieschmann
(U)
V Quintao
(V)
W Ames
(W)
Z Hatipoglu
(Z)
Z Ustalar Ozgen
(Z)
Informations de copyright
© 2022 Association of Anaesthetists.
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