MONITORED ANESTHESIA DURING EMERGENCY PROCEDURE IN ANESTHETIC MANAGEMENT OF PEDIATRIC PT WITH COVID-19 INFECTION
Dr. Md. Monwar Hossain*, Dr. Md. Abdullah-Hel-Baki, Dr. Jaitun Neher, Dr. Nirmal Kumar Barman, Dr. Rizowana Akter, Dr. Milon Kumar Roy, Dr. Shiladitya Shil
ABSTRACT
Background: When it comes to caring for patients who have been diagnosed with or are at risk for contracting COVID19, pediatric anesthesiologists play a crucial role. Anesthetists serve as the proceduralists on many hospitals' COVID19 intubation teams, and these professionals may be found in the Intensive Care Unit (ICU) and Emergency Room (ER). Objective: In this study our main goal is to evaluate the anesthesia during emergency procedure in Anesthetic management of pediatric patients with covid-19 infection. Method: This prospective study done at tertiary medical college and hospital where relevant information was obtained from pediatric surgeons (consultants and senior registrars) currently practicing in tertiary hospital using a pretested questionnaire and transcribed to Google form where 100 pediatric patients information were collected from May 2020 to March 2021. Results: During the study, majority were belong to 6-9 years age group, 55% and 60% were male. 70% surgery cases were under emergency condition. In addition, 65% had asymptomatic condition of covid-19 infection. Whereas day cases seen in only 21%. In addition, general surgery seen in 31% cases followed by 21% were burns and plastics, 13% were cardiac surgery, Orthopaedics and spinal in 11% cases. Apart from this 49% had overall good ASA score, and majority got anesthesia for ≤ 15 min, 50%. Conclusion: Due to pandemic situation our hospital majority cases were emergency surgery however because of a specialized care team that we are able to maintains good communication with the whole team and the patients’ family. This, combined with experience gained from the high volume of cases performed make our approach successful.
Keywords: Covid-19 pandemic, covid-19 infection, Anesthesia managements.
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