{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:32:36Z","timestamp":1747182756587,"version":"3.40.5"},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,3,4]],"date-time":"2021-03-04T00:00:00Z","timestamp":1614816000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The initial wave of the Covid\u201019 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. \u201cVittore Buzzi\u201d Children's Hospital, which is a pediatric\/maternal hospital located in Milan (Lombardy Region), had to stop elective procedures\u2014with the exception of urgent\/emergent ones\u2014between 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\u2010CoV\u20102 in every case.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Observational cohort study via review of clinical charts of patients undergoing surgery between 16th May and 30th September 2020, together with SARS\u2010CoV \u20102 RT\u2010PCR testing outcomes, and comparison to same period surgeries in 2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>An increase of approximately 70% in pediatric surgeries (OR 1.68 [1.33\u20102.13], <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001) and a higher increase in the number of surgeries were reported (OR 1.75 (1.43\u20102.15), <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001). Considering only urgent procedures, a significant difference in the distribution of the type of surgery was observed (Chi\u2010squared <jats:italic>P<\/jats:italic>\u2010value\u00a0&lt;\u00a0.001). Sars\u2010CoV\u20102\u2010positive patients have been 0.8% of total number; 14% of these was discovered through caregiver's positivity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We describe our pathway for safe pediatric surgery and anesthesia and the importance of testing both patient and caregiver.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aas.13802","type":"journal-article","created":{"date-parts":[[2021,2,23]],"date-time":"2021-02-23T07:34:54Z","timestamp":1614065694000},"page":"755-760","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Organizational aspects of pediatric anesthesia and surgery between two waves of Covid\u201019"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1160-1456","authenticated-orcid":false,"given":"Anna","family":"Camporesi","sequence":"first","affiliation":[{"name":"Department of Pediatric Anesthesia and Intensive Care \u201cV. Buzzi\u201d Children's Hospital University of Milan Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giorgio E. M.","family":"Melloni","sequence":"additional","affiliation":[{"name":"TIMI Study Group Division of Cardiovascular Medicine Brigham and Women's Hospital Boston MA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veronica","family":"Diotto","sequence":"additional","affiliation":[{"name":"Department of Pediatric Anesthesia and Intensive Care \u201cV. Buzzi\u201d Children's Hospital University of Milan Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrizia","family":"Bertani","sequence":"additional","affiliation":[{"name":"Operation Theatre Nurse Pediatric Surgery Department Children's Hospital \u201cV. Buzzi\u201d Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enrico","family":"La Pergola","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery \u201cV. Buzzi\u201d Children's Hospital University of Milan Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gloria","family":"Pelizzo","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery \u201cV. Buzzi\u201d Children's Hospital University of Milan Milan Italy"},{"name":"Department of Biomedical and Clinical Sciences \u201cLuigi Sacco\u201d University Hospital Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,3,4]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"https:\/\/github.com\/pcm\u2010dpc\/COVID\u201019\/tree\/master\/schede\u2010riepilogative. 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