COVID-19 Clinical Guidelines–Pediatric
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National guidance for the management of children with bronchiolitis (2021)
Date: 2021 Dec 7
Developer: Royal College of Paediatrics and Child Health (RCPCH)
Guideline Focus
Management of bronchiolitis in hospital settings during COVID-19
Patient Population
Children with bronchiolitis during COVID-19
Major Interventions
- Prevention and management of shortness of breath in primary care settings, including clinical pathways
- Assessment at presentation to emergency department (ED), including testing and initiation of aerosol generating procedures
- Management at admission and discharge based on respiratory virus testing
- Considerations for patients being transferred to pediatric intensive care unit (PICU)
- Policies for parents and carers of hospitalized patients and considerations for escalation of infection control processes
Caring for critically ill children with suspected or proven coronavirus disease 2019 infection: recommendations by the Scientific Sections' Collaborative of the European Society of Pediatric and Neonatal Intensive Care
Date: 2021 Jan 1
Developer: European Society of Paediatric and Neonatal Intensive Care (ESPNIC)
Guideline Focus
Caring for children with suspected or proven COVID-19 in intensive or intermediate care units
Patient Population
Critically ill children with suspected or proven COVID-19
Major Interventions
- Respiratory support considerations, including ventilator settings
- Anticoagulation, acute kidney injury, and cardiovascular management
- Treatment options (e.g., corticosteroids, antiviral therapy), algorithm for COVID-19 related SARS and MIS, and nutritional support
- Personal protective equipment (PPE), transport, nursing care, and visitation policies
- Ethical considerations
ASE statement on adapting pediatric, fetal, and congenital heart disease echocardiographic services to the evolving COVID-19 pandemic
Date: 2021 May
Developer: American Society of Echocardiography (ASE)
Guideline Focus
Adapting strategies of practice management for pediatric, fetal, and congenital heart disease echocardiographic services to evolving COVID-19 pandemic
Patient Population
Pediatric and congenital heart disease patients requiring echocardiography during the COVID-19 pandemic
Major Interventions
- Adaptations for sonographers and echocardiography laboratory processes, including personal protective equipment (PPE) use and scheduling
- Fetal cardiology phased reopening based on risk
- Elements of safe and successful training, including PPE use, minimizing contact, and alternative educational methods
- Indications for echocardiography in patients with suspected or confirmed multisystem inflammatory syndrome in children (MIS-C)
- Essential elements of COVID-19 echocardiographic examination
- Role of echocardiography and multimodality imaging in MIS-C and return to activity follow-up