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Mishra D. Editing the Academy's Journal in the Peri-COVID Era - A Different Ball Game Altogether! Indian Pediatr 2023; 60:7-8. [PMID: 36639966 PMCID: PMC9885400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Mishra D. Editing the Academy’s Journal in the Peri-COVID Era — A Different Ball Game Altogether! Indian Pediatr 2023. [PMCID: PMC9885400 DOI: 10.1007/s13312-023-2684-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
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Fonseca Y, Urbina E, Bhutta A. Expanding current guidelines for management of COVID-19 focusing on low- and middle-income countries. J Public Health Afr 2022; 13:1465. [PMID: 36313927 PMCID: PMC9614692 DOI: 10.4081/jphia.2022.1465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Accepted: 05/28/2022] [Indexed: 01/24/2023] Open
Abstract
Within a short time, Coronavirus disease 2019 (COVID-19) has evolved into a pandemic spreading at a speed and scale that has been able to overwhelm even the most advanced health care systems quickly. Multiple guidelines published by organizations such as the WHO and US' CDC address the response to COVID-19 at the international, national, and local levels. Although these guidelines are meant to be globally accessible, implementing them is a challenge given the variability in the health care systems worldwide between low- and middleincome countries (LMIC) and high-income countries and even amongst different regions within each LMIC. We have chosen to evaluate the current guidelines focusing on LMIC and expand on the guidelines as necessary.
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Affiliation(s)
- Yudy Fonseca
- University of Maryland Medical Center, MD, Baltimore, USA
| | - Evangelina Urbina
- Hospitalidad de Especialidades Pediatricas, Tuxtla Gutierrez, Chiapas, Mexico
- University of Maryland Medical Center, MD, Baltimore, USA
| | - Adnan Bhutta
- University of Maryland Medical Center, MD, Baltimore, USA
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Thyagarajan S, Ramachandra G, Jamalpuri V, Calhoun AW, Nadkarni V, Deutsch ES. Simulathon 2020: Integrating Simulation Period Prevalence Methodology Into the COVID-19 Disaster Management Cycle in India. Simul Healthc 2022; 17:183-191. [PMID: 34405824 PMCID: PMC9169606 DOI: 10.1097/sih.0000000000000601] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
SUMMARY STATEMENT The disaster management cycle is an accepted model that encompasses preparation for and recovery from large-scale disasters. Over the past decade, India's Pediatric Simulation Training and Research Society has developed a national-scale simulation delivery platform, termed the Simulathon , with a period prevalence methodology that integrates with core aspects of this model. As an exemplar of the effectiveness of this approach, we describe the development, implementation, and outcomes of the 2020 Simulathon, conducted from April 20 to May 20 in response to the nascent COVID-19 pandemic disaster. We conclude by discussing how aspects of the COVID-19 Simulathon enabled us to address key aspects of the disaster management cycle, as well as challenges that we encountered. We present a roadmap by which other simulation programs in low- and middle-income countries could enact a similar process.
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Affiliation(s)
- Sujatha Thyagarajan
- From the Aster RV Hospital (S.T.), Bangalore; PediSTARS (S.T.); Department of Pediatric Intensive Care (G.R.), Krishna Institute of Medical Science, Secunderabad; Pediatric Simulation Training and Research Society (G.R.); Rainbow Children's Hospital (V.J.), Hyderabad, India; Department of Pediatrics (A.W.C.), Norton Children's Hospital, University of Louisville, Louisville, KC; and Departments of Anesthesiology (V.N., E.S.D.), Critical Care (V.N.), and Pediatrics (V.N.), Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA
| | - Geethanjali Ramachandra
- From the Aster RV Hospital (S.T.), Bangalore; PediSTARS (S.T.); Department of Pediatric Intensive Care (G.R.), Krishna Institute of Medical Science, Secunderabad; Pediatric Simulation Training and Research Society (G.R.); Rainbow Children's Hospital (V.J.), Hyderabad, India; Department of Pediatrics (A.W.C.), Norton Children's Hospital, University of Louisville, Louisville, KC; and Departments of Anesthesiology (V.N., E.S.D.), Critical Care (V.N.), and Pediatrics (V.N.), Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA
| | - Vijayanand Jamalpuri
- From the Aster RV Hospital (S.T.), Bangalore; PediSTARS (S.T.); Department of Pediatric Intensive Care (G.R.), Krishna Institute of Medical Science, Secunderabad; Pediatric Simulation Training and Research Society (G.R.); Rainbow Children's Hospital (V.J.), Hyderabad, India; Department of Pediatrics (A.W.C.), Norton Children's Hospital, University of Louisville, Louisville, KC; and Departments of Anesthesiology (V.N., E.S.D.), Critical Care (V.N.), and Pediatrics (V.N.), Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA
| | - Aaron W. Calhoun
- From the Aster RV Hospital (S.T.), Bangalore; PediSTARS (S.T.); Department of Pediatric Intensive Care (G.R.), Krishna Institute of Medical Science, Secunderabad; Pediatric Simulation Training and Research Society (G.R.); Rainbow Children's Hospital (V.J.), Hyderabad, India; Department of Pediatrics (A.W.C.), Norton Children's Hospital, University of Louisville, Louisville, KC; and Departments of Anesthesiology (V.N., E.S.D.), Critical Care (V.N.), and Pediatrics (V.N.), Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA
| | - Vinay Nadkarni
- From the Aster RV Hospital (S.T.), Bangalore; PediSTARS (S.T.); Department of Pediatric Intensive Care (G.R.), Krishna Institute of Medical Science, Secunderabad; Pediatric Simulation Training and Research Society (G.R.); Rainbow Children's Hospital (V.J.), Hyderabad, India; Department of Pediatrics (A.W.C.), Norton Children's Hospital, University of Louisville, Louisville, KC; and Departments of Anesthesiology (V.N., E.S.D.), Critical Care (V.N.), and Pediatrics (V.N.), Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA
| | - Ellen S. Deutsch
- From the Aster RV Hospital (S.T.), Bangalore; PediSTARS (S.T.); Department of Pediatric Intensive Care (G.R.), Krishna Institute of Medical Science, Secunderabad; Pediatric Simulation Training and Research Society (G.R.); Rainbow Children's Hospital (V.J.), Hyderabad, India; Department of Pediatrics (A.W.C.), Norton Children's Hospital, University of Louisville, Louisville, KC; and Departments of Anesthesiology (V.N., E.S.D.), Critical Care (V.N.), and Pediatrics (V.N.), Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA
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5
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Angurana S, Suthar R. COVID-19 in Indian children: Too much (seen), too little (collaborated), too late (documented). JOURNAL OF PEDIATRIC CRITICAL CARE 2022. [DOI: 10.4103/jpcc.jpcc_17_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Shenoy RD, Nayak P, Jacob AM, Rao SS, Hiremath S. Preparedness for Pediatric COVID-19 Using Systems Approach: Experience of a Health Care Facility from India. JOURNAL OF HEALTH AND ALLIED SCIENCES NU 2021. [DOI: 10.1055/s-0041-1731605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
AbstractA pandemic leads to disruption and stretching of an existing health care system and its resources. Coronavirus disease 2019 (COVID-19) data show distinct and severe manifestations in children necessitating critical care. Children need prioritization as they are susceptible to COVID-19 as part of the family cluster, varied presentations, and mortality. The purpose of this report is to discuss the optimization of the health care system for pediatric care. The key initiatives were to identify our objectives, bring out changes to the organizational processes, and integrate the same into the existing system. A systems approach to health care delivery by optimizing infrastructure, human resources, materials, funding, leadership, and governance was undertaken. This resulted in creation of distinct COVID-19 and non-COVID-19 service areas, management protocols, and trained health care workers. Partnership was forged with the public health system. This preparedness and continued responses to the demands of the health care system helped us manage children ranging from neonates to adolescents efficiently. Though the health care system is mostly open, acting upon the modifiable factors gave better preparedness in a short time.
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Affiliation(s)
- Rathika D. Shenoy
- Department of Pediatrics, K.S. Hegde Medical Academy, Nitte (deemed to be University), Mangaluru, Karnataka, India
| | - Praveen Nayak
- Department of Pediatrics, K.S. Hegde Medical Academy, Nitte (deemed to be University), Mangaluru, Karnataka, India
| | - Ankeeta Menona Jacob
- Department of Community Medicine, K.S. Hegde Medical Academy, Nitte (deemed to be University), Mangaluru, Karnataka, India
| | - Swathi Sunil Rao
- Department of Pediatrics, K.S. Hegde Medical Academy, Nitte (deemed to be University), Mangaluru, Karnataka, India
| | - Shivakumar Hiremath
- Department of Hospital Management, K.S. Hegde Medical Academy, Nitte (deemed to be University), Mangaluru, Karnataka, India
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Gupta P, Bhinder O, Gupta V, Ahuja A, Pandey A, Mandal Ravi RN. Symptomatology and outcome of acute COVID-19 illness in children at Faridabad, India. ACTA MEDICA INTERNATIONAL 2021. [DOI: 10.4103/amit.amit_138_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Bhattacharjee S, Banerjee M, Pal R. COVID-19 Associated Hemophagocytic Lymphohistiocytosis and Coagulopathy: Targeting the Duumvirate. Indian Pediatr 2020. [PMID: 32583809 PMCID: PMC7498551 DOI: 10.1007/s13312-020-1962-z] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Context Preliminary data on coexistence of secondary hemophagocytic lymphohistiocytosis syndrome (HLH) and disseminated intravascular coagulation (DIC) in critically ill children with novel coronavirus disease (COVID-19) are emerging. Herein, we summarize the available literature and fill-in the gaps in this regard. Evidence Acquisition We have performed a literature search for articles in PubMed, EMBASE and Google Scholar databases till May 12, 2020, with following keywords: “COVID-19”, “SARS-CoV-2”, “HLH”, “HScore”, “coagulopathy”, “D-dimer”, “cytokine storm”, “children” and “pediatrics” with interposition of Boolean operator “AND”. Results Children presenting with moderate-severe COVID-19 and Kawasaki disease shock-like syndrome exhibit peripheral blood picture analogous to HLH. HScore, a validated tool to diagnose HLH, has been suggested to screen severe COVID-19 patients for cytokine storm. However, HScore faces certain limitations in this scenario. It may be more pragmatic to use ‘high D-dimer’ (> 3 µg/mL) instead of ‘low fibrinogen’ to facilitate early detection of cytokine storm. COVID-19 associated coagulopathy resembles hypercoagulable form of DIC with bleeding being rarely reported. Although the International Society on Thrombosis and Haemostasis (ISTH) interim guidance recommends low molecular weight heparin in all hospitalized patients, data is lacking in population below 14 years of age. However, in the presence of life-threatening thromboembolic event or symptomatic acro-ischemia, unfractionated heparin (UFH) should be used with caution. Conclusions HScore can be used as a complement to clinical decision for initiating immunosuppression. Children with moderate-to-severe COVID-19, especially those with documented thrombocytopenia or chilblains, should be regularly monitored for coagulopathy.
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Affiliation(s)
- Sukrita Bhattacharjee
- Institute of Hematology and Transfusion Medicine, Medical College and Hospital, Kolkata, West Bengal, India. Correspondence to: Dr Sukrita Bhattacharjee, Department of Hematology, Institute of Hematology and Transfusion Medicine, Medical College and Hospital, Kolkata, India.
| | - Mainak Banerjee
- Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India
| | - Rimesh Pal
- Post Graduate Institute of Medical Education and Research, Chandigarh, India
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Filipe MD, van Deukeren D, Kip M, Doeksen A, Pronk A, Verheijen PM, Heikens JT, Witkamp AJ, Richir MC. Effect of the COVID-19 Pandemic on Surgical Breast Cancer Care in the Netherlands: A Multicenter Retrospective Cohort Study. Clin Breast Cancer 2020; 20:454-461. [PMID: 32888855 PMCID: PMC7413119 DOI: 10.1016/j.clbc.2020.08.002] [Citation(s) in RCA: 41] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2020] [Revised: 08/01/2020] [Accepted: 08/05/2020] [Indexed: 12/24/2022]
Abstract
Background Coronavirus disease 2019 (COVID-19) has put a strain on regular healthcare worldwide. In the Netherlands, the national screening programs, including for breast cancer, were halted temporarily. This posed a challenge to breast cancer care, because ∼40% of cases are detected through national screening. Therefore, the aim of the present study was to evaluate the effects of the COVID-19 pandemic on the surgical care of patients with breast cancer in the Netherlands. Materials and Methods The present multicenter retrospective cohort study investigated the effects of COVID-19 on patients with breast cancer who had undergone surgery from March 9 to May 17, 2020. The primary endpoints were the number of surgical procedures performed during the study period, tumor characteristics, surgery type, and route of referral. The secondary endpoint was the incidence of postoperative complications during the study period. Results A total of 217 consecutive patients with breast cancer requiring surgery were included. We found an overall decrease in the number of patients with breast cancer who were undergoing surgery. The most significant decline was seen in surgery for T1-T2 and N0 tumors. A decline in the number of referrals from both the national screening program and general practitioners was observed. The incidence of postoperative complications remained stable during the study period. Conclusions The temporary halt of the national screening program for breast cancer resulted in fewer surgical procedures during the study period and a pronounced decrease in surgery of the lower tumor stages.
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Affiliation(s)
- Mando D Filipe
- Department of Surgery, Cancer Centre, University Medical Centre Utrecht, Utrecht, Netherlands.
| | | | - Marijn Kip
- Department of Surgery, Diakonessenhuis, Utrecht, Netherlands
| | - Annemiek Doeksen
- Department of Surgery, St Antonius Hospital, Nieuwegein, Netherlands
| | - Apollo Pronk
- Department of Surgery, Diakonessenhuis, Utrecht, Netherlands
| | - Paul M Verheijen
- Department of Surgery, Meander Medical Centre, Amersfoort, Netherlands
| | - Joost T Heikens
- Department of Surgery, St Antonius Hospital, Nieuwegein, Netherlands; Department of Surgery, Rivierenland Hospital, Tiel, Netherlands
| | - Arjen J Witkamp
- Department of Surgery, Cancer Centre, University Medical Centre Utrecht, Utrecht, Netherlands
| | - Milan C Richir
- Department of Surgery, Cancer Centre, University Medical Centre Utrecht, Utrecht, Netherlands
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Kudchadkar SR, Carroll CL. Using Social Media for Rapid Information Dissemination in a Pandemic: #PedsICU and Coronavirus Disease 2019. Pediatr Crit Care Med 2020; 21:e538-e546. [PMID: 32459792 PMCID: PMC7255404 DOI: 10.1097/pcc.0000000000002474] [Citation(s) in RCA: 34] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
OBJECTIVE To describe the impact of a strategy for international collaboration and rapid information dissemination on Twitter among the pediatric critical care community during a global pandemic. DESIGN Analysis of #PedsICU and coronavirus disease 2019 Twitter data in the Symplur Signals Database between February 1, 2020, and May 1, 2020. SETTING Social media platform Twitter. PATIENTS None. INTERVENTIONS Promotion of the joint usage of #PedsICU and #COVID19 throughout the international pediatric critical care community in tweets relevant to the coronavirus disease 2019 pandemic and pediatric critical care. MEASUREMENTS AND MAIN RESULTS We collected data on all tweets containing the hashtag #PedsICU in addition to those containing both #PedsICU and coronavirus disease 2019 hashtags. Tweets including #PedsICU were shared 49,865 times on six continents between February 1, 2020, and May 1, 2020; between February 1 and March 13, only 8% of #PedsICU tweets included a coronavirus disease 2019 hashtag. After a sharp rise during the week of March 14, 2020, coronavirus disease 2019 content has dominated the #PedsICU conversation on Twitter, comprising 69% of both #PedsICU tweets and impressions (p < 0.001). The most commonly used coronavirus disease 2019 hashtag over the study period was #COVID19 (69%). Proportionately, a greater percentage of #PedsICU tweets including the coronavirus disease 2019 hashtag (vs not) had images or videos (45% vs 41%; p < 0.001). In addition, non-physician healthcare providers were the largest group of users (46%) of the combination of #PedsICU and coronavirus disease 2019 hashtags. The most popular tweets shared on Twitter were open-access resources, including links for updated literature, narrative reviews, and educational videos relevant to coronavirus disease 2019 clinical care. Concurrent hashtags and words in tweets containing #PedsICU and coronavirus disease 2019 hashtags spanned several different disciplines and topics in pediatric critical care. CONCLUSION Twitter has been used widely for real-time information sharing and collaboration among the international pediatric critical care community during the coronavirus disease 2019 pandemic. Targeted use of #PedsICU and #COVID19 for engagement on Twitter is a conduit to combat misinformation and optimize reach to pediatric critical care stakeholders across the globe when rapid dissemination is needed.
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Affiliation(s)
- Sapna R Kudchadkar
- Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD
- Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD
- Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD
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Sundaram M, Ravikumar N, Bansal A, Nallasamy K, Basavaraja GV, Lodha R, Gupta D, Odena MP, Ashwath RNR, Jayashree M. Novel Coronavirus 2019 (2019-nCoV) Infection: Part II - Respiratory Support in the Pediatric Intensive Care Unit in Resource-limited Settings. Indian Pediatr 2020; 57:335-342. [PMID: 32238613 PMCID: PMC7182733] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/29/2024]
Abstract
The 2019-novel coronavirus predominantly affects the respiratory system with manifestations ranging from upper respiratory symptoms to full blown acute respiratory distress syndrome (ARDS). It is important to recognize the risk factors, categorize severity and provide early treatment. Use of high flow devices and non-invasive ventilation has been discouraged due to high chances of aerosol generation. Early intubation and mechanical ventilation areessential to prevent complications and worsening, especially in resource-limited settings with very few centers having expertise to manage critical cases. Hydrophobic viral filter in the ventilator circuit minimizes chances of transmission of virus. Strategies to manage ARDS in COVID-19 include low tidal volume ventilation with liberal sedation-analgesia. At the same time, prevention of transmission of the virus to healthcare workers is extremely important in the intensive care setting dealing with severe cases and requiring procedures generating aerosol. We, herein, provide guidance on non-invasive respiratory support, intubation and management of ARDS in a child with COVID-19.
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Affiliation(s)
- Manu Sundaram
- Division of Critical Care Medicine, Sidra Medicine, Doha, Qatar
| | - Namita Ravikumar
- Division of Pediatric Critical Care, Department of Paediatrics, Advanced Paediatrics Centre, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - Arun Bansal
- Division of Pediatric Critical Care, Department of Paediatrics, Advanced Paediatrics Centre, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India. Correspondence to: Dr Arun Bansal, Professor, Department of Pediatrics, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
| | - Karthi Nallasamy
- Division of Pediatric Critical Care, Department of Paediatrics, Advanced Paediatrics Centre, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - G V Basavaraja
- Pediatric Intensive Care Unit, Indira Gandhi Institute of Child Health, Bangalore, Karnataka, India
| | - Rakesh Lodha
- Department of Pediatrics, All India Institute of Medical Sciences, Delhi, India
| | - Dhiren Gupta
- Pediatric Intensive Care Unit, Sir Ganga Ram Hospital, Delhi, India
| | - Marti Pons Odena
- Department of Pediatric Intensive Care, Sant Joan de Due Hospital, Barcelona, Spain
| | - R N Ram Ashwath
- Department of Pediatric Intensive Care, Manipal Hospital, Bangalore, India
| | - Muralidharan Jayashree
- Division of Pediatric Critical Care, Department of Paediatrics, Advanced Paediatrics Centre, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
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Sundaram M, Ravikumar N, Bansal A, Nallasamy K, Basavaraja GV, Lodha R, Gupta D, Odena MP, Ashwath RNR, Jayashree M. Novel Coronavirus 2019 (2019-nCoV) Infection: Part II - Respiratory Support in the Pediatric Intensive Care Unit in Resource-limited Settings. Indian Pediatr 2020. [PMID: 32238613 PMCID: PMC7182733 DOI: 10.1007/s13312-020-1786-x] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
The 2019-novel coronavirus predominantly affects the respiratory system with manifestations ranging from upper respiratory symptoms to full blown acute respiratory distress syndrome (ARDS). It is important to recognize the risk factors, categorize severity and provide early treatment. Use of high flow devices and non-invasive ventilation has been discouraged due to high chances of aerosol generation. Early intubation and mechanical ventilation areessential to prevent complications and worsening, especially in resource-limited settings with very few centers having expertise to manage critical cases. Hydrophobic viral filter in the ventilator circuit minimizes chances of transmission of virus. Strategies to manage ARDS in COVID-19 include low tidal volume ventilation with liberal sedation-analgesia. At the same time, prevention of transmission of the virus to healthcare workers is extremely important in the intensive care setting dealing with severe cases and requiring procedures generating aerosol. We, herein, provide guidance on non-invasive respiratory support, intubation and management of ARDS in a child with COVID-19.
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Affiliation(s)
- Manu Sundaram
- Division of Critical Care Medicine, Sidra Medicine, Doha, Qatar
| | - Namita Ravikumar
- Division of Pediatric Critical Care, Department of Paediatrics, Advanced Paediatrics Centre, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - Arun Bansal
- Division of Pediatric Critical Care, Department of Paediatrics, Advanced Paediatrics Centre, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India. Correspondence to: Dr Arun Bansal, Professor, Department of Pediatrics, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
| | - Karthi Nallasamy
- Division of Pediatric Critical Care, Department of Paediatrics, Advanced Paediatrics Centre, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - G V Basavaraja
- Pediatric Intensive Care Unit, Indira Gandhi Institute of Child Health, Bangalore, Karnataka, India
| | - Rakesh Lodha
- Department of Pediatrics, All India Institute of Medical Sciences, Delhi, India
| | - Dhiren Gupta
- Pediatric Intensive Care Unit, Sir Ganga Ram Hospital, Delhi, India
| | - Marti Pons Odena
- Department of Pediatric Intensive Care, Sant Joan de Due Hospital, Barcelona, Spain
| | - R N Ram Ashwath
- Department of Pediatric Intensive Care, Manipal Hospital, Bangalore, India
| | - Muralidharan Jayashree
- Division of Pediatric Critical Care, Department of Paediatrics, Advanced Paediatrics Centre, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
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