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Anaesthetic challenges in a child with perforated appendicitis and COVID-19 Co-Infection: A case report

Annie Maxwell1, Kai Ming Teah2, May Zaw Soe3

  • 1Department of Anaesthesiology and Intensive Care, Hospital Queen Elizabeth, 88350, Kota Kinabalu, Sabah, Malaysia.

Annals of Medicine and Surgery (2012)
|October 18, 2021
PubMed

Insights

Healthcare workers (HCW) caring for pediatric patients during the COVID-19 pandemic must use personal protective equipment (PPE), which can impair dexterity. Effective teamwork and communication are crucial for managing children with COVID-19 safely.

Area of Science:

  • Pediatric Surgery
  • Infectious Diseases
  • Occupational Health

Background:

  • The COVID-19 pandemic necessitated stringent protective measures for healthcare workers (HCW).
  • Personal protective equipment (PPE) is essential for preventing cross-infection but can impede dexterity during procedures.
  • The impact of PPE on HCW performance in pediatric surgical settings during the pandemic requires examination.

Observation:

  • A pediatric patient undergoing emergency appendicectomy tested positive for COVID-19 post-admission.
  • All HCW involved in the patient's care utilized full PPE, successfully preventing cross-infection.
  • The use of multiple layers of PPE was noted to negatively affect HCW mood and agility.

Findings:

  • Adequate PPE is vital for HCW managing COVID-19 patients, including children.
  • Enhanced dexterity challenges arise from PPE use in routine pediatric care during infectious disease outbreaks.
  • Strong teamwork and communication are paramount for the safe management of pediatric cases.

Implications:

  • Healthcare institutions should implement strategies to mitigate PPE-related dexterity issues in HCW.
  • Regular simulation and scenario-based training can enhance HCW preparedness for high-pressure situations.
  • Maintaining a low threshold for suspecting COVID-19 in children with respiratory symptoms is recommended.
Abstract

Keywords:
AppendicectomyCOVID-19ChildPerforated appendicitisPersonal protective equipmentProblem

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