{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:56:33Z","timestamp":1791334593751,"version":"4.3.1"},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,3,23]],"date-time":"2022-03-23T00:00:00Z","timestamp":1647993600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>Respiratory adverse events in adults with COVID\u201019 undergoing general anaesthesia can be life\u2010threatening. However, there remains a knowledge gap about respiratory adverse events in children with COVID\u201019. We created an international observational registry to collect airway management outcomes in children with COVID\u201019 who were having a general anaesthetic. We hypothesised that children with confirmed or suspected COVID\u201019 would experience more hypoxaemia and complications than those without. Between 3 April 2020 and 1\u2009November 2020, 78 international centres participated. In phase 1, centres collected outcomes on all children (age\u2009\u2264\u200918 y) having a general anaesthetic for 2 consecutive weeks. In phase 2, centres recorded outcomes for children with test\u2010confirmed or suspected COVID\u201019 (based on symptoms) having a general anaesthetic. We did not study children whose tracheas were already intubated. The primary outcome was the incidence of hypoxaemia during airway management. Secondary outcomes included: incidence of other complications; and first\u2010pass success rate for tracheal intubation. In total, 7896 children were analysed (7567 COVID\u201019 negative and 329 confirmed or presumed COVID\u201019 positive). The incidence of hypoxaemia during airway management was greater in children who were COVID\u201019 positive (24 out of 329 (7%) vs. 214 out of 7567 (3%); OR 2.70 (95%CI 1.70\u20134.10)). Children who had symptoms of COVID\u201019 had a higher incidence of hypoxaemia compared with those who were asymptomatic (9 out of 51 (19%) vs. 14 out of 258 (5%), respectively; OR 3.7 (95%CI 1.5\u20139.1)). Children with confirmed or presumed COVID\u201019 have an increased risk of hypoxaemia during airway management in conjunction with general anaesthesia.<\/jats:p>","DOI":"10.1111\/anae.15716","type":"journal-article","created":{"date-parts":[[2022,3,23]],"date-time":"2022-03-23T06:59:36Z","timestamp":1648018776000},"page":"649-658","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Complications associated with paediatric airway management during the\n                    <scp>COVID<\/scp>\n                    \u201019 pandemic: an international, multicentre, observational study"],"prefix":"10.1111","volume":"77","author":[{"given":"M. B.","family":"Peterson","sequence":"first","affiliation":[{"name":"Department of Anesthesiology Children's Hospital Colorado\/University of Colorado School of Medicine  Aurora CO USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1132-1291","authenticated-orcid":false,"given":"H. G.","family":"Gurnaney","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care Medicine The Children's Hospital of Philadelphia and Perelman School of Medicine, University of Pennsylvania  Philadelphia PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2960-9333","authenticated-orcid":false,"given":"N.","family":"Disma","sequence":"additional","affiliation":[{"name":"Unit for Research and Innovation, Department of Pediatric Anesthesia Istituto Giannina Gaslini  Genova Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9502-0981","authenticated-orcid":false,"given":"C.","family":"Matava","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Pain Medicine Hospital for Sick Children  Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1657-0353","authenticated-orcid":false,"given":"N.","family":"Jagannathan","sequence":"additional","affiliation":[{"name":"Ann and Robert Lurie Children's Hospital of Chicago\/Northwestern University  Chicago IL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. L.","family":"Stein","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital, Harvard Medical School  Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Liu","sequence":"additional","affiliation":[{"name":"Data Science and Biostatistics Unit, Department of Biomedical and Health The Children's Hospital of Philadelphia  Philadelphia PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. G.","family":"Kovatsis","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital, Harvard Medical School  Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. S.","family":"von Ungern\u2010Sternberg","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Pain Medicine Perth Children's Hospital, Telethon Kids Institute, The University of Western Australia  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. E.","family":"Fiadjoe","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care Medicine The Children's Hospital of Philadelphia and Perelman School of Medicine, University of Pennsylvania  Philadelphia PA USA"},{"name":"Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital, Harvard Medical School  Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the PAWS\u2010COVID\u201019 Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,3,23]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"775","article-title":"Incidence of COVID\u201019 in pediatric surgical patients among 3 US Children's hospitals","volume":"155","author":"Lin EE","year":"2020","journal-title":"Journal of the American Medical Association Surgery"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.2648"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00540-020-02837-0"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.13908"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)31182-X"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.14091"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000004923"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2020.04.034"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2020.08.038"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15047"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.5114\/ait.2020.99504"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)32532-0"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000004901"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000005606"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15599"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000004876"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.13932"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2020.07.014"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15292"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15542"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000004344"}],"container-title":["Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/anae.15716","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/anae.15716","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/anae.15716","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T16:29:02Z","timestamp":1761668942000},"score":1,"resource":{"primary":{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/10.1111\/anae.15716"}},"subtitle":["COVID\u201019 \ud32c\ub370\ubbf9 \ub3d9\uc548 \uc18c\uc544 \uae30\ub3c4 \uad00\ub9ac\uc640 \uad00\ub828\ub41c \ud569\ubcd1\uc99d: \uad6d\uc81c, \ub2e4\uae30\uad00, \uad00\ucc30 \uc5f0\uad6c"],"short-title":[],"issued":{"date-parts":[[2022,3,23]]},"references-count":21,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2022,6]]}},"alternative-id":["10.1111\/anae.15716"],"URL":"https:\/\/doi.org\/10.1111\/anae.15716","archive":["Portico"],"relation":{},"ISSN":["0003-2409","1365-2044"],"issn-type":[{"value":"0003-2409","type":"print"},{"value":"1365-2044","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,23]]},"assertion":[{"value":"2021-12-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}