Airway Management, COVID19
Conditions
Keywords
COVID19 pediatric, intubation, anesthesia
Brief summary
The COVID-19 pandemic has disrupted anesthesia care all over the world. There remains very little data on current practice patterns and patient outcomes, particularly in anesthetized children. This is a prospective observational, multi-center study to investigate airway management related outcomes in children undergoing anesthesia during this pandemic. The investigators will compare the incidence of complications (particularly hypoxemia) in patients with COVID-19 to those who are COVID-19 negative during airway management. PAWS COVID-19 Registry https://is.gd/PEDICOVID19 Registration link https://is.gd/researchrequest
Interventions
airway management in children receiving sedation or general anesthesia for an elective, emergency, or urgent diagnostic or surgical procedure
Sponsors
Study design
Eligibility
Inclusion criteria
* Undergoing an inpatient or outpatient procedure under general anesthesia with or without regional analgesia * Undergoing a diagnostic procedure under sedation or general anesthesia * Undergoing an urgent or emergent procedure performed during and outside of the regular operating room schedule hours.
Exclusion criteria
* Age \> 18 years. * Children admitted to the operating room already intubated * Children who require tracheal intubation for life-threatening conditions in the emergency department, intensive care, or hospital ward.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| airway complications | throughout duration of anesthetic | incidence of complications (particularly hypoxemia) in patients with COVID-19 to those who are COVID-19 negative during airway management |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| PPE | throughout duration of anesthetic | the type of PPE used by anesthetists and assistants during airway management |
| First pass success | during induction and intubation | compare the first attempt success rate of tracheal intubation in patients with the disease to those without the disease |
| airway device | throughout duration of anesthetic | type of device inserted for airway control |
| failed intubation | during induction of anesthesia | determine the Incidence of failed intubation |
| complication risk factors | during anesthetic management | determine risk factors related to complications (PPE type, Location, Age, Baseline Saturation, Induction technique, clinician type) |
| induction techniques | during induction of anesthesia | variability in practice for induction of anesthesia |
Countries
United States