Organizational aspects of pediatric anesthesia and surgery between two waves of Covid‐19
Background The initial wave of the Covid‐19 pandemic has hit Italy, and Lombardy in particular, with violence, forcing to reshape all hospitals' activities; this happened even in pediatric hospitals, although the young population seemed initially spared from the disease. “Vittore Buzzi” Childre...
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| Veröffentlicht in: | Acta anaesthesiologica Scandinavica 2021-07, Vol.65 (6), p.755-760 |
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| container_title | Acta anaesthesiologica Scandinavica |
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| creator | Camporesi, Anna Melloni, Giorgio E. M. Diotto, Veronica Bertani, Patrizia La Pergola, Enrico Pelizzo, Gloria |
| description | Background
The initial wave of the Covid‐19 pandemic has hit Italy, and Lombardy in particular, with violence, forcing to reshape all hospitals' activities; this happened even in pediatric hospitals, although the young population seemed initially spared from the disease. “Vittore Buzzi” Children's Hospital, which is a pediatric/maternal hospital located in Milan (Lombardy Region), had to stop elective procedures—with the exception of urgent/emergent ones—between February and May 2020 to leave space and resources to adults' care. We describe the challenges of reshaping the hospital's identity and structure, and restarting pediatric surgery and anesthesia, from May on, in the most hit area of the world, with the purpose to avoid and contain infections. Both patients and caregivers admitted to hospital have been tested for Sars‐CoV‐2 in every case.
Methods
Observational cohort study via review of clinical charts of patients undergoing surgery between 16th May and 30th September 2020, together with SARS‐CoV ‐2 RT‐PCR testing outcomes, and comparison to same period surgeries in 2019.
Results
An increase of approximately 70% in pediatric surgeries (OR 1.68 [1.33‐2.13], P |
| doi_str_mv | 10.1111/aas.13802 |
| format | Article |
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The initial wave of the Covid‐19 pandemic has hit Italy, and Lombardy in particular, with violence, forcing to reshape all hospitals' activities; this happened even in pediatric hospitals, although the young population seemed initially spared from the disease. “Vittore Buzzi” Children's Hospital, which is a pediatric/maternal hospital located in Milan (Lombardy Region), had to stop elective procedures—with the exception of urgent/emergent ones—between February and May 2020 to leave space and resources to adults' care. We describe the challenges of reshaping the hospital's identity and structure, and restarting pediatric surgery and anesthesia, from May on, in the most hit area of the world, with the purpose to avoid and contain infections. Both patients and caregivers admitted to hospital have been tested for Sars‐CoV‐2 in every case.
Methods
Observational cohort study via review of clinical charts of patients undergoing surgery between 16th May and 30th September 2020, together with SARS‐CoV ‐2 RT‐PCR testing outcomes, and comparison to same period surgeries in 2019.
Results
An increase of approximately 70% in pediatric surgeries (OR 1.68 [1.33‐2.13], P < .001) and a higher increase in the number of surgeries were reported (OR 1.75 (1.43‐2.15), P < .001). Considering only urgent procedures, a significant difference in the distribution of the type of surgery was observed (Chi‐squared P‐value < .001). Sars‐CoV‐2‐positive patients have been 0.8% of total number; 14% of these was discovered through caregiver's positivity.
Conclusion
We describe our pathway for safe pediatric surgery and anesthesia and the importance of testing both patient and caregiver.</description><identifier>ISSN: 0001-5172</identifier><identifier>EISSN: 1399-6576</identifier><identifier>DOI: 10.1111/aas.13802</identifier><identifier>PMID: 33619727</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Aggression ; Anesthesia ; Caregivers ; Children ; COVID-19 ; General Anaesthesia ; healthcare workers' safety ; Hospitals ; Organizational aspects ; Original ; Pandemics ; patient safety ; Patients ; pediatric anesthesia ; pediatric surgery ; Pediatrics ; Restarting ; Severe acute respiratory syndrome coronavirus 2 ; Surgery</subject><ispartof>Acta anaesthesiologica Scandinavica, 2021-07, Vol.65 (6), p.755-760</ispartof><rights>2021 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd</rights><rights>2021 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.</rights><rights>Copyright © 2021 The Acta Anaesthesiologica Scandinavica Foundation</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4432-7aed6ef0b3d9694f38d2e2f3c44841d568beff43b22af43ce12a9d702d9b0c643</citedby><cites>FETCH-LOGICAL-c4432-7aed6ef0b3d9694f38d2e2f3c44841d568beff43b22af43ce12a9d702d9b0c643</cites><orcidid>0000-0002-1160-1456</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Faas.13802$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Faas.13802$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33619727$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Camporesi, Anna</creatorcontrib><creatorcontrib>Melloni, Giorgio E. M.</creatorcontrib><creatorcontrib>Diotto, Veronica</creatorcontrib><creatorcontrib>Bertani, Patrizia</creatorcontrib><creatorcontrib>La Pergola, Enrico</creatorcontrib><creatorcontrib>Pelizzo, Gloria</creatorcontrib><title>Organizational aspects of pediatric anesthesia and surgery between two waves of Covid‐19</title><title>Acta anaesthesiologica Scandinavica</title><addtitle>Acta Anaesthesiol Scand</addtitle><description>Background
The initial wave of the Covid‐19 pandemic has hit Italy, and Lombardy in particular, with violence, forcing to reshape all hospitals' activities; this happened even in pediatric hospitals, although the young population seemed initially spared from the disease. “Vittore Buzzi” Children's Hospital, which is a pediatric/maternal hospital located in Milan (Lombardy Region), had to stop elective procedures—with the exception of urgent/emergent ones—between February and May 2020 to leave space and resources to adults' care. We describe the challenges of reshaping the hospital's identity and structure, and restarting pediatric surgery and anesthesia, from May on, in the most hit area of the world, with the purpose to avoid and contain infections. Both patients and caregivers admitted to hospital have been tested for Sars‐CoV‐2 in every case.
Methods
Observational cohort study via review of clinical charts of patients undergoing surgery between 16th May and 30th September 2020, together with SARS‐CoV ‐2 RT‐PCR testing outcomes, and comparison to same period surgeries in 2019.
Results
An increase of approximately 70% in pediatric surgeries (OR 1.68 [1.33‐2.13], P < .001) and a higher increase in the number of surgeries were reported (OR 1.75 (1.43‐2.15), P < .001). Considering only urgent procedures, a significant difference in the distribution of the type of surgery was observed (Chi‐squared P‐value < .001). Sars‐CoV‐2‐positive patients have been 0.8% of total number; 14% of these was discovered through caregiver's positivity.
Conclusion
We describe our pathway for safe pediatric surgery and anesthesia and the importance of testing both patient and caregiver.</description><subject>Aggression</subject><subject>Anesthesia</subject><subject>Caregivers</subject><subject>Children</subject><subject>COVID-19</subject><subject>General Anaesthesia</subject><subject>healthcare workers' safety</subject><subject>Hospitals</subject><subject>Organizational aspects</subject><subject>Original</subject><subject>Pandemics</subject><subject>patient safety</subject><subject>Patients</subject><subject>pediatric anesthesia</subject><subject>pediatric surgery</subject><subject>Pediatrics</subject><subject>Restarting</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><subject>Surgery</subject><issn>0001-5172</issn><issn>1399-6576</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp1kc9O3DAQhy1UBAvtgRdAkbiUQ8B_Eie-IK1WhVZaiQP00os1iSeLUTbe2smutqc-As_Ik2DYBVGk-mJb8_nTjH-EHDF6xuI6BwhnTJSU75ARE0qlMi_kJzKilLI0ZwXfJwch3MeryJTaI_tCSKYKXozIr2s_g87-gd66DtoEwgLrPiSuSRZoLPTe1gl0GPo7DBbi0SRh8DP066TCfoXYJf3KJStY4suriVta8_j3ganPZLeBNuCX7X5Ifl5-u518T6fXVz8m42laZ5ngaQFoJDa0EkZJlTWiNBx5I2K1zJjJZVlh02Si4hziViPjoExBuVEVrWUmDsnFxrsYqjmaGrveQ6sX3s7Br7UDq_-tdPZOz9xSl5SJXNEo-LoVePd7iKPquQ01tm2c2w1B80xxKXleqIiefEDv3eDjx0Uqj7KC5opF6nRD1d6F4LF5a4ZR_ZyYjonpl8Qie_y--zfyNaIInG-AlW1x_X-THo9vNsonnTOh8g</recordid><startdate>202107</startdate><enddate>202107</enddate><creator>Camporesi, Anna</creator><creator>Melloni, Giorgio E. M.</creator><creator>Diotto, Veronica</creator><creator>Bertani, Patrizia</creator><creator>La Pergola, Enrico</creator><creator>Pelizzo, Gloria</creator><general>Wiley Subscription Services, Inc</general><general>John Wiley and Sons Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1160-1456</orcidid></search><sort><creationdate>202107</creationdate><title>Organizational aspects of pediatric anesthesia and surgery between two waves of Covid‐19</title><author>Camporesi, Anna ; Melloni, Giorgio E. M. ; Diotto, Veronica ; Bertani, Patrizia ; La Pergola, Enrico ; Pelizzo, Gloria</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4432-7aed6ef0b3d9694f38d2e2f3c44841d568beff43b22af43ce12a9d702d9b0c643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aggression</topic><topic>Anesthesia</topic><topic>Caregivers</topic><topic>Children</topic><topic>COVID-19</topic><topic>General Anaesthesia</topic><topic>healthcare workers' safety</topic><topic>Hospitals</topic><topic>Organizational aspects</topic><topic>Original</topic><topic>Pandemics</topic><topic>patient safety</topic><topic>Patients</topic><topic>pediatric anesthesia</topic><topic>pediatric surgery</topic><topic>Pediatrics</topic><topic>Restarting</topic><topic>Severe acute respiratory syndrome coronavirus 2</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Camporesi, Anna</creatorcontrib><creatorcontrib>Melloni, Giorgio E. M.</creatorcontrib><creatorcontrib>Diotto, Veronica</creatorcontrib><creatorcontrib>Bertani, Patrizia</creatorcontrib><creatorcontrib>La Pergola, Enrico</creatorcontrib><creatorcontrib>Pelizzo, Gloria</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Acta anaesthesiologica Scandinavica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Camporesi, Anna</au><au>Melloni, Giorgio E. M.</au><au>Diotto, Veronica</au><au>Bertani, Patrizia</au><au>La Pergola, Enrico</au><au>Pelizzo, Gloria</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Organizational aspects of pediatric anesthesia and surgery between two waves of Covid‐19</atitle><jtitle>Acta anaesthesiologica Scandinavica</jtitle><addtitle>Acta Anaesthesiol Scand</addtitle><date>2021-07</date><risdate>2021</risdate><volume>65</volume><issue>6</issue><spage>755</spage><epage>760</epage><pages>755-760</pages><issn>0001-5172</issn><eissn>1399-6576</eissn><abstract>Background
The initial wave of the Covid‐19 pandemic has hit Italy, and Lombardy in particular, with violence, forcing to reshape all hospitals' activities; this happened even in pediatric hospitals, although the young population seemed initially spared from the disease. “Vittore Buzzi” Children's Hospital, which is a pediatric/maternal hospital located in Milan (Lombardy Region), had to stop elective procedures—with the exception of urgent/emergent ones—between February and May 2020 to leave space and resources to adults' care. We describe the challenges of reshaping the hospital's identity and structure, and restarting pediatric surgery and anesthesia, from May on, in the most hit area of the world, with the purpose to avoid and contain infections. Both patients and caregivers admitted to hospital have been tested for Sars‐CoV‐2 in every case.
Methods
Observational cohort study via review of clinical charts of patients undergoing surgery between 16th May and 30th September 2020, together with SARS‐CoV ‐2 RT‐PCR testing outcomes, and comparison to same period surgeries in 2019.
Results
An increase of approximately 70% in pediatric surgeries (OR 1.68 [1.33‐2.13], P < .001) and a higher increase in the number of surgeries were reported (OR 1.75 (1.43‐2.15), P < .001). Considering only urgent procedures, a significant difference in the distribution of the type of surgery was observed (Chi‐squared P‐value < .001). Sars‐CoV‐2‐positive patients have been 0.8% of total number; 14% of these was discovered through caregiver's positivity.
Conclusion
We describe our pathway for safe pediatric surgery and anesthesia and the importance of testing both patient and caregiver.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>33619727</pmid><doi>10.1111/aas.13802</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-1160-1456</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Aggression Anesthesia Caregivers Children COVID-19 General Anaesthesia healthcare workers' safety Hospitals Organizational aspects Original Pandemics patient safety Patients pediatric anesthesia pediatric surgery Pediatrics Restarting Severe acute respiratory syndrome coronavirus 2 Surgery |
| title | Organizational aspects of pediatric anesthesia and surgery between two waves of Covid‐19 |
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