The PAWS-COVID-19 (Pediatric AirWay complicationS COVID-19) Registry

Boston Children's Hospital14,835 enrolled

Overview

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

Study Type

OBSERVATIONAL

Enrollment

14,835

Conditions

Airway Management COVID19

Interventions

airway management during sedation or general anesthesiaPROCEDURE

airway management in children receiving sedation or general anesthesia for an elective, emergency, or urgent diagnostic or surgical procedure

Eligibility

Sex: ALLMax age: 18 Years

Medical Language ↔ Plain English

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.

Outcomes

Primary Outcomes

airway complications

incidence of complications (particularly hypoxemia) in patients with COVID-19 to those who are COVID-19 negative during airway management

Time frame: throughout duration of anesthetic

Secondary Outcomes

airway device

type of device inserted for airway control

Time frame: throughout duration of anesthetic

PPE

the type of PPE used by anesthetists and assistants during airway management

Time frame: throughout duration of anesthetic

First pass success

compare the first attempt success rate of tracheal intubation in patients with the disease to those without the disease

Time frame: during induction and intubation

induction techniques

variability in practice for induction of anesthesia

Time frame: during induction of anesthesia

failed intubation

determine the Incidence of failed intubation

Time frame: during induction of anesthesia

complication risk factors

determine risk factors related to complications (PPE type, Location, Age, Baseline Saturation, Induction technique, clinician type)

Time frame: during anesthetic management

The PAWS-COVID-19 (Pediatric AirWay complicationS COVID-19) Registry

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes