EVALUATION OF ANESTHESIA DURING EMERGENCY PROCEDURE IN ANESTHETIC MANAGEMENT OF PEDIATRIC PATIENTS WITH COVID-19 INFECTION

Mohammad Makbul Hossain*, Sabarin Ahamed, Khalifa Mahmud Tarik, Shakil Mahmud Chowdhury, Naima Islam Trisna

ABSTRACT

Introduction: COVID-19 is a highly transmissible novel viral illness caused by SARS CoV-2.This disease poses a huge challenge to healthcare systems around the world. The fatality rate is higher among the pediatric population with the presence of coexisting diseases. Objective: To evaluate the anesthesia during emergency procedure in Anesthetic management of pediatric patients with covid-19 infection. Method: This prospective study was done at Bangladesh Shishu hospital and Institute where relevant information was obtained from pediatric surgeons & anesthesiologists currently practicing a pretested questionnaire and transcribed to Google form where 60 pediatric patients information were collected from June 2020 to March 2021. Results: During the study, majority belonged to 6-9 years age group, 60% and 40% were male and female respectively. 70% surgery cases were under emergency condition. In addition, 65% had asymptomatic condition of covid-19 infection. Day cases was performed in only 21% of the patients. In addition, general surgery undergone in 41% cases followed by 11% were of burn and plastic surgery, 13% were of cardiac surgery. In addition, orthopaedics and spine surgery cases were of 11%. Apart from this 49% had overall good ASA score, and majority (50%) got anesthesia for ≤ 1 hour. Conclusion: Due to pandemic situation in our hospital, majority cases were emergency surgery. Because of a specialized care team, we were able to maintain good communication with the whole team and the patients’ family. This, combined with experience gained from the high volume of cases performed, made our approach successful.

Keywords: Covid-19 pandemic, covid-19 infection, Anesthesia managements.