Timing of general anesthesia for pediatric patients recovering from COVID-19: a prospective cohort study.
Anesthesia
COVID-19
Child
General
Laryngeal masks
Journal
BMC anesthesiology
ISSN: 1471-2253
Titre abrégé: BMC Anesthesiol
Pays: England
ID NLM: 100968535
Informations de publication
Date de publication:
02 Jan 2024
02 Jan 2024
Historique:
received:
11
10
2023
accepted:
18
12
2023
medline:
4
1
2024
pubmed:
4
1
2024
entrez:
3
1
2024
Statut:
epublish
Résumé
To explore the timing of general anesthesia for pediatric patients who have recovered from novel coronavirus infection and summarize anesthesia-related complications. 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. 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. 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.
Identifiants
pubmed: 38166732
doi: 10.1186/s12871-023-02390-9
pii: 10.1186/s12871-023-02390-9
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
11Subventions
Organisme : Tianjin Key Medical Discipline (Specialty) Construction Project
ID : TJYXZDXK-016A
Organisme : Tianjin Key Medical Discipline (Specialty) Construction Project
ID : TJYXZDXK-016A
Organisme : Tianjin Key Medical Discipline (Specialty) Construction Project
ID : TJYXZDXK-016A
Organisme : Tianjin Key Medical Discipline (Specialty) Construction Project
ID : TJYXZDXK-016A
Organisme : Tianjin Key Medical Discipline (Specialty) Construction Project
ID : TJYXZDXK-016A
Organisme : Tianjin Key Medical Discipline (Specialty) Construction Project
ID : TJYXZDXK-016A
Organisme : Tianjin Key Medical Discipline (Specialty) Construction Project
ID : TJYXZDXK-016A
Informations de copyright
© 2023. The Author(s).
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