Table 6

Strategies for children’s surgical care during COVID-19

ThemeKey examples
Diagnostics and operative triageFacility triage
Preoperative screening
Assumption that every patient is an asymptomatic carrier until proven otherwise
Increased imaging use
Cancellation of all surgery
More use of watchful waiting
Use of multi-institutional guidelines
Intraoperative precautionsUse of a laparoscopic viral filter
Use of the ‘Taiwan box’ intraoperatively
Increased use of laparoscopy/videoendoscopy
Increased use of open procedures.
Special post anesthesia precaution time
Limiting staff in the operating room
Limiting resident/trainee involvement
Postoperative managementUse of telemedicine for follow-up visits
Dedicated spaces or reserved isolation rooms for patients suspected of having or positive for COVID-19
COVID-19 ward for postoperative care
Expedited discharge
Longer follow-up care
Personal protective equipment and sterilizationRequired use of masks in the hospital
Dedicated operating room for children positive for COVID-19
Disinfecting all ORs with UV light
Reserving PPE like new N95 for surgeries or intubation for patients suspected of having COVID-19 or positive for COVID-19
Use of an N95, controlled air purifying respirator or powered air purifying respirator in the operating room
  • COVID-19, the coronavirus disease 2019; OR, oral rehydration; PPE, personal protective equipment; UV, ultraviolet.