Intubation precautions in a pediatric patient with severe COVID-19

Robert Shaw; Nathaniel Tighe; Kirsten C Odegard; Peta Alexander; Sitaram Emani; Koichi Yuki

doi:10.1016/j.epsc.2020.101495

Intubation precautions in a pediatric patient with severe COVID-19

J Pediatr Surg Case Rep. 2020 Jul:58:101495. doi: 10.1016/j.epsc.2020.101495. Epub 2020 May 18.

Authors

Robert Shaw¹, Nathaniel Tighe¹, Kirsten C Odegard¹, Peta Alexander^{2

3}, Sitaram Emani⁴, Koichi Yuki¹

Affiliations

¹ Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, USA.
² Department of Cardiology Boston Children's Hospital, USA.
³ Department of Pediatrics Harvard Medical School, USA.
⁴ Department of Surgery, Cardiac Surgery, Boston Children's Hospital, USA.

Abstract

We present the case of a child diagnosed with COVID-19 soon after open-heart surgery who required an urgent second surgery. The patient suffered from severe COVID-19 disease. The utility of preoperative COVID-19 testing, determination of recovery by an array of inflammatory markers and perioperative management are described.

Keywords: ARDS, Acute respiratory distress syndrome; ASD, Atrial septal defect; COVID-19; COVID-19, Coronavirus disease 19; CRP, C-reactive protein; ICU, Intensive care unit; Lung injury; OR, Operating room; POD, Post-operative day; PPE, Personal protective equipment; Surgery; VSD, Ventricular septal defect.

Publication types

Case Reports