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Pediatric Airway Surgeries in COVID 19 Era

Eshwara V Raman1, Deepa Shivnani1

  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Children's Airway and Swallowing Center, Manipal Hospital, Bangalore, Karnataka India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|August 25, 2020
PubMed

Insights

Pediatric airway surgeries during COVID-19 should be emergency-only. Recommendations focus on minimizing aerosol exposure for surgeons and staff to ensure patient safety and good outcomes.

Area of Science:

  • Pediatric Airway Surgery
  • Infectious Disease Management
  • COVID-19 Pandemic Response

Background:

  • The COVID-19 pandemic presents unique challenges for managing pediatric patients requiring airway surgery.
  • Pediatric COVID-19 cases are generally low-incidence with good prognosis, but surgical procedures pose risks.

Purpose of the Study:

  • To establish evidence-based recommendations for pediatric airway surgery management during the COVID-19 pandemic.
  • To provide guidance for healthcare professionals to minimize risks associated with aerosol-generating procedures.

Main Methods:

  • Review of national and international scientific literature and COVID-19 updates.
  • Implementation of recommendations in a tertiary care setting.
  • Focus on restricting surgeries to emergencies and avoiding aerosol-generating techniques.

Main Results:

  • Pediatric airway surgeries should be limited to emergencies, with postponement decisions made by senior surgeons.
  • Avoidance of flexible laryngoscopy and use of computed tomography scans for foreign body cases are recommended.
  • Measures to prevent aerosol exposure, including protective draping and avoiding powered instruments, are crucial.

Conclusions:

  • Adherence to these recommendations can significantly reduce the risk of COVID-19 transmission to surgical teams and patients.
  • These guidelines aim to ensure high-quality outcomes in pediatric airway surgery amidst the pandemic.
  • Recommendations may require periodic revision due to the evolving nature of COVID-19.

Keywords:
COVID 19Pediatric airway surgeryPrecautionsSurgical drape

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