Urgent surgery for COVID-19–positive pediatric patient

JA Clinical Reports

Carl Lo¹  Sang Le¹  Makoto Nagoshi¹  Franchesca Rivera-Calonje¹  Shiu-Yi Emily Chen¹ 

[1] Department of Anesthesiology and Critical Care Medicine, Children’s Hospital Los Angeles, University of Southern California, 4650 Sunset Blvd, 90027, Los Angeles, CA, USA;

关键词: COVID-19;    Pediatric anesthesia;    Spinal anesthesia;    Airway management;    Perioperative management;   

DOI  :  10.1186/s40981-021-00461-9

来源: Springer

【 摘 要 】

BackgroundWe present a case of COVID-19–positive pediatric patient for urgent urological surgery by spinal anesthesia to avoid aerosolizing procedure.Case presentationA 12-year-old, COVID-19–positive boy presented for urgent wound incision and drainage at the circumcision site. Our anesthetic plan consisted of spinal anesthesia with sedation. He was transported from the COVID-19 isolation floor to the negative pressure operating room. He was placed in lateral decubitus position and oxygen was delivered through facemask. Under sedation, spinal anesthesia was achieved at first attempt. The patient maintained spontaneous ventilation without airway intervention. Patient was recovered in the operation room then transported back to the floor.ConclusionSpinal anesthesia is a safe alternative to general endotracheal anesthesia for many pediatric urology procedures. Effective team communication and preparation are keys when caring COVID-19–positive patient in perioperative setting to avoid minimize the risk to healthcare providers.

【 授权许可】

CC BY