Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 276: Perioperative URIs in Kids with Rita Saynhalath

Feb 25, 2024

Pediatric anesthesiologist Rita Saynhalath shares insights on managing kids with URIs before surgery, discussing risks, COVID impact, anesthetic choices, and preoperative care strategies. Highlights include recommended approaches for high-risk patients, timing surgeries around fevers, and the importance of tailored assessments for pediatric surgical outcomes.

41:47

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Episode notes

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Quick takeaways

Children with recent URIs pose higher risks during surgery, requiring careful preoperative assessment to minimize complications.

IV propofol is preferred over inhaled agents for pediatric surgery to reduce airway irritability and complications, emphasizing perioperative safety.

Deep dives

Pediatric URI and Surgery Risk Factors

Children with recent Upper Respiratory Infections (URI) present increased risks during surgery due to multiple factors such as airway reactivity post-URI, history of URI-related complications, and risk factors like copious secretions, younger age, prematurity, and parental smoking. Respiratory complications, including bronchospasm and laryngospasm, are significantly heightened in children with recent URIs, emphasizing careful preoperative assessment to minimize adverse events.

Introduction

2min

Pediatric Upper Respiratory Infections in Surgery

17min

Anesthetic Choice in Pediatric Patients Undergoing Surgery

2min

Optimizing Preoperative Care in Kids with Upper Respiratory Infections

3min

Management of High-Risk Pediatric Patients with URIs in Perioperative Settings

17min

Recommendation of 'This American Life' Episode and Information Sharing

3min

In this 276th episode I welcome pediatric anesthesiologist Dr. rita Saynhalath to the show to discuss how to manage kids presenting for surgery with a recent URI. We discuss the evidence for proceeding versus postponing, whether the type of virus matters, and how to handle COVID infections.

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