Pediatric anesthesia-related specification during coronavirus disease 2019 epidemic

Abstract

Coronavirus disease 2019 is highly infectious and generally susceptible to all human beings Pediatric patients, as a special group which is prone to various respiratory infectious diseases, need more people to nurse and care and may cause a higher risk of cross-infection Therefore, greater attention should be paid to this group During the prevention and control of coronavirus disease 2019, it is an urgency to ensure the safety of children and medical staff, avoid cross-infection, reduce anesthesia-related complications, and accelerate the rehabilitation of pediatric patients The article introduces the following aspects based on the problem mentioned above: (1) perioperative treatment of surgery, involving preoperative consultation and assessment, necessity of surgery, arrangement of operating room, precautions during surgery, protection of children and medical staff, and the transportation route planning;(2) anesthesia process, including pick-up of the pediatric patient, preoperative sedation, choice of anesthesia method, anesthesia induction, identification and management of difficult airways, intraoperative management, as well as problems related to the extubation;(3) the disinfection of the ground, air and medical equipment after surgery, and registration and follow-up of the children;(4) protection and preparation of emergency tracheal intubation, selection and performance of intubation, precautions in intubation and judgement after intubation outside the operating room;(5) protection and preparation of central vein catheterization, selection of the catheter, anesthesia management of the central vein catheterization and relevant precautions;(6) protection of medical staff, sedation program and sedation procedure during the comfort treatment in outpatient sedation center;(7) problems of family signature of the in-hospital treatment for pediatric patients during special epidemic period © 2020 Chinese Medical Association