Society for Pediatric Anesthesia
We make anesthesia for children safer

Encouraging research, education, and scientific progress in the field of pediatric anesthesia

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SPA Statement on Racism and Our Commitment to Equity

The Board of Directors of the Society for Pediatric Anesthesia (SPA) wishes to express shock, outrage, and sadness at the recent depraved killings of African-Americans, and to acknowledge the senseless acts of violence happening across the nation. Consistent with our commitment to inclusion, mutual respect, and peaceful dialogue, we express our solidarity with the families and communities affected by these horrible acts of brutality. In this moment, we cannot remain silent, or fail to acknowledge the burden of racism that still exists in our country.

Rooted in our core mission to improve the lives of children and their families, we condemn all acts of racism, discrimination, and violence. Through future educational programming and initiatives led by SPA’s Committee on Diversity, Equity and Inclusion and Committee on Public and Professional Affairs, we pledge to actively address the issue of social injustice.  We recognize the disproportionate burden that communities of color have suffered from the COVID-19 pandemic, and we reiterate our commitment to equity in health and healthcare delivery. We stand united with our patients and their families, with our friends, colleagues, and fellow citizens of color as we grieve for the senseless loss of lives, and empathize with the palpable anger being expressed via peaceful protests in our communities and cities around the country.

Filed Under: News and Resources

COVID-19 Resources

Dear SPA members, patients, and families,

As the COVID-19 crisis escalates in the US and around the world, the SPA urges members to follow common sense precautions that are highlighted on the Centers for Disease Control and Prevention (CDC) website. The CDC website offers advice to communities and individuals to prevent illness as well as to deal with the onset of any symptoms suggestive of a respiratory illness that may be COVID 19.

We have elected to provide you with web and social media links that are continuously updated with the latest information from professional organizations, and a few useful sites are listed below.

Please do not hesitate to contact us if you have any questions.

Sincerely,

Kirk Lalwani, MBBS, FRCA, MCR
President, SPA


Disclaimer: Content provided on this site is not intended to constitute the practice of medicine or the furnishing of medical, nursing, or professional health care advice, diagnosis, consultation, treatment, or services in any jurisdiction. The opinions expressed are not necessarily those of the Society for Pediatric Anesthesia or its Sections.


NEW!
Joint Statement on COVID-19 Vaccination of Health Care Personnel

GENERAL RESOURCES

U.S. Centers for Disease Control and Prevention (CDC) Resources
https://www.cdc.gov/
https://www.cdc.gov/coronavirus/2019-ncov/index.html

World Health Organization (WHO) Resources
https://www.who.int/emergencies/diseases/novel-coronavirus-2019
https://www.who.int/news-room/q-a-detail/q-a-coronaviruses


PROFESSIONAL ORGANIZATIONS
American Society of Anesthesiologists (ASA) Website

https://www.asahq.org/in-the-spotlight/coronavirus-covid-19-information

Society for Critical Care Medicine
https://www.sccm.org/disaster

Pediatric Intensive Care Society
https://picsociety.uk/covid19/

Anesthesia Patient Safety Foundation (APSF)
www.apsf.org
https://www.apsf.org/news-updates/perioperative-considerations-for-the-2019-novel-coronavirus-covid-19/

American Academy of Pediatrics (AAP)
https://services.aap.org/en/pages/2019-novel-coronavirus-covid-19-infections/
https://redbook.solutions.aap.org/selfserve/ssPage.aspx?SelfServeContentId=rbo_outbreaks_page_3

Association of Anaesthetists Webinars
https://anaesthetists.org/

American College of Emergency Physicians
https://www.acep.org/corona/COVID-19/

Children’s Hospital Association (CHA)
https://www.childrenshospitals.org/covid19
https://www.childrenshospitals.org/-/media/Files/CHA/Main/Quality_and_Performance/covid19/covid_cha_pediatric_consolidation_guidance.pdf

Pediatric Anesthesia Journal – International Links and Resources
https://onlinelibrary.wiley.com/page/journal/14609592/homepage/covid-19

John’s Hopkins Coronavirus Resource Center
https://coronavirus.jhu.edu/

FDA
https://www.fda.gov/vaccines-blood-biologics/investigational-new-drug-ind-or-device-exemption-ide-process-cber/investigational-covid-19-convalescent-plasma-emergency-inds

WFSA
https://www.wfsahq.org/resources/coronavirus

University of Melbourne Updates
COVID-19 kids research evidence update

ADARPEF (French Resources)
http://e-adarpef.fr/covid-19/

SEDAR (Spanish Resources)
https://pedsanesthesia.org/wp-content/uploads/2020/04/2020_Ped_Covid19_recomendaciones_final.pdf


STATEMENTS
ASA- multiple patients on one ventilator
https://www.asahq.org/about-asa/newsroom/news-releases/2020/03/joint-statement-on-multiple-patients-per-ventilator

ASA/ACS/AORN- Surgical triage
https://www.asahq.org/about-asa/newsroom/news-releases/2020/03/joint-statement-recommending-a-surgical-review-committee-for-covid-19-related-surgical-triage-decision-making

ASA/APSF- Anesthesia machines as ventilators
https://www.asahq.org/in-the-spotlight/coronavirus-covid-19-information/purposing-anesthesia-machines-for-ventilators

ASA/ACS/AHA/AORN – Joint Statement: Roadmap for Resuming Elective Surgery after COVID-19 Pandemic
https://www.asahq.org/about-asa/newsroom/news-releases/2020/04/joint-statement-on-elective-surgery-after-covid-19-pandemic


RESOURCES FOR PHYSICIANS

Latest Medical Literature
https://www.ncbi.nlm.nih.gov/research/coronavirus/

Pediatric Literature Summary
https://onlinelibrary.wiley.com/doi/full/10.1111/pan.13889
https://dontforgetthebubbles.com/evidence-summary-paediatric-covid-19-literature/

JAMA Network
https://jamanetwork.com/journals/jama/pages/coronavirus-alert

Ventilator Simulator/Training
https://www.openpediatrics.org/assets/simulator/ventilator-simulator

Pediatric COVID Airway Management Guidelines: Pediatric Difficult Intubation Registry (PeDI) Collaborative and the Canadian Pediatric Anesthesia Society
https://journals.lww.com/anesthesia-analgesia/Abstract/publishahead/Pediatric_Airway_Management_in_COVID_19_patients__.95683.aspx

Airway Safety Movement
https://www.airwaysafetymovement.org/

Airway Management: Consensus Guidelines
https://onlinelibrary.wiley.com/doi/10.1111/anae.15054

Epidemiology
https://medium.com/@tomaspueyo/coronavirus-the-hammer-and-the-dance-be9337092b56

https://link.springer.com/article/10.1007/s12630-020-01620-9

https://www.nejm.org/doi/full/10.1056/NEJMc2004973?query=featured_home

https://pediatrics.aappublications.org/content/pediatrics/early/2020/03/16/peds.2020-0702.full.pdf

ENT
Practical insights for paediatric otolaryngology surgical cases and performing microlaryngobronchosopy during the COVID-19 pandemic
https://www.sciencedirect.com/science/article/pii/S0165587620301737?via%3Dihub

Pediatric Microlaryngoscopy and Bronchoscopy in the COVID-19 Era
https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2765507

Ethics
https://jamanetwork.com/journals/jama/fullarticle/2764239

Using Chloroquine to treat COVID-19
https://advances.massgeneral.org/research-and-innovation/article.aspx?id=1145

COVID Refresher for Anesthesiologists and Intensivists, by Dr. Jen Lau, MD
https://pedsanesthesia.org/wp-content/uploads/2020/03/J.-Lau-COVID-19-for-SPA-3.19.20.pdf

Intraoperative and ICU Management
Donning and Doffing PPE Videos from UCSF
https://infectioncontrol.ucsfmedicalcenter.org/covid/donning-and-doffing-novel-coronavirus-covid-19-videos

Intensive Care/Ventilation
https://link.springer.com/article/10.1007/s00134-020-06033-2?tk=eo_8ec810cc-57e5-4bc1-bb85-e22b9e068904_JOUOgWdVMbWC4XIzzfHwSizVS09ocy3MoJOK

Ventilator Management Tips
https://pedsanesthesia.org/wp-content/uploads/2020/03/Ventilator-Management_Covid-19-ICU-EXPERT-OPINION-Gattinoni.pdf

Practical Recommendations for ICU and Anesthesia Teams
https://pedsanesthesia.org/wp-content/uploads/2020/03/Wax-Christian2020_Article_PracticalRecommendationsForCri.pdf

https://www.nejm.org/doi/full/10.1056/NEJMsb2005114?query=featured_home

https://www.nejm.org/doi/full/10.1056/NEJMp2005689?query=featured_home

Immunology
https://www.nature.com/articles/s41423-020-0400-4

Multisystem Inflammatory Syndrome in Children (MIS-C)
https://www.aappublications.org/news/2020/05/14/covid19inflammatory051420

https://www.who.int/news-room/commentaries/detail/multisystem-inflammatory-syndrome-in-children-and-adolescents-with-covid-19

https://emergency.cdc.gov/han/2020/han00432.asp

https://abcnews.go.com/Health/children-covid-19-experiencing-symptoms-similar-kawasaki-disease/story?id=70393379

https://hosppeds.aappublications.org/content/early/2020/04/06/hpeds.2020-0123

COVID and the CVS
https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.120.047549?tk=eo_8ec810cc-57e5-4bc1-bb85-e22b9e068904_JOUOgWdVMbWC4XIzzfHwSizVS09ocy3MoJOK

COVID-19 FAQ’s in Pediatric Cardiac Surgery
https://chss.org/FAQ.cgi

COVID and Renin Angiotensin Blockers
https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.120.047022?tk=eo_8ec810cc-57e5-4bc1-bb85-e22b9e068904_JOUOgWdVMbWC4XIzzfHwSizVS09ocy3MoJOK

Aerosol and Surface Stability of the Coronavirus
https://www.nejm.org/doi/10.1056/NEJMc2004973?tk=eo_8ec810cc-57e5-4bc1-bb85-e22b9e068904_JOUOgWdVMbWC4XIzzfHwSizVS09ocy3MoJOK

CPAS Webinars
https://www.pediatricanesthesia.ca/education/70-2nd-covid-19-and-the-pediatric-anesthesiologist-webinar

Other Physician Resources
https://www.anesthesia.utoronto.ca/news/coronavirus-and-safety-precautions

https://pediatrics.aappublications.org/content/pediatrics/early/2020/03/16/peds.2020-0702.full.pdf

http://csahq.org/issues-advocacy/covid-19-resources

https://www.csahq.org/news/csa-news/2020/03/18/california-society-of-anesthesiologists-issues-updated-recommendations-in-response-to-covid-19-crisis

https://m.youtube.com/watch?fbclid=IwAR248GmphyQId-B4GRdIu8ha5aMf4O20zAW5VDei0S2EAZmJxwZvFjEPL_s&v=OF6dMhRvD8M&feature=youtu.be

JAMA Interview with Dr. Cecconi from Italy
https://www.youtube.com/watch?v=TKS1pahoPRU

Canadian Journal of Anesthesia
https://link.springer.com/article/10.1007/s12630-020-01620-9

BMJ
https://www.bmj.com/?utm_source=adestra&utm_medium=email&utm_campaign=submissions&utm_content=americas_timely&utm_term=tbmj

The New Yorker: How Does the Coronavirus Behave Inside a Patient?
https://www.newyorker.com/magazine/2020/04/06/how-does-the-coronavirus-behave-inside-a-patient

The New Yorker: From Bats to Human Lungs, the Evolution of a Coronavirus
https://www.newyorker.com/science/elements/from-bats-to-human-lungs-the-evolution-of-a-coronavirus

Science: How does coronavirus kill? Clinicians trace a ferocious rampage through the body, from brain to toes
https://www.sciencemag.org/news/2020/04/how-does-coronavirus-kill-clinicians-trace-ferocious-rampage-through-body-brain-toes

Resource Document from China, in English
https://pedsanesthesia.org/wp-content/uploads/2020/03/China-Resources.pdf

ACGME FOR TRAINEES AND PROGRAM DIRECTORS
https://acgme.org/Newsroom/Newsroom-Details/ArticleID/10111/ACGME-Response-to-the-Coronavirus-COVID-19

ABA
http://aba-news.org/?utm_source=website&utm_medium=slider&utm_campaign=COVID-19&utm_content=COVID-site


Wellness and Healthcare Workers

“Human Factors Messages While Working Under Pressure”
https://chfg.org/key-human-factors-messages-to-support-the-nhs/

Keeping Healthcare Workers Safe
https://www.newyorker.com/news/news-desk/keeping-the-coronavirus-from-infecting-health-care-workers

Caring for Yourself and Others During Disasters
https://vimeo.com/398097042

Yale’s massively popular ‘happiness’ course is available free online
https://www.cnn.com/2020/03/23/health/yale-happiness-course-wellness/index.html

Vital Signs in Anaesthesia: A guide for anaesthetists seeking help and advice during the COVID crisis
https://anaesthetists.org/Portals/0/PDFs/Guidelines%20PDFs/Vital_Signs_in_Anaesthesia2020.pdf?ver=2020-03-31-134435-910

Discounts
https://blog.healthjobsnationwide.com/freebies-discounts-frontline-medical-workers/

Marriott International – Community Caregiver Discount
https://pedsanesthesia.org/wp-content/uploads/2020/03/Marriott-International-Community-Caregiver-Rate.pdf


SOCIAL MEDIA COVERAGE
Twitter
@CDCGov   #COVID    #Covid_19    #COVID19  #COVID-19 #coronavirus

Facebook COVID Group for Physicians ONLY
https://www.facebook.com/groups/novelcoronavirusdoctorsonly/


RESOURCES FOR STRESS, ANXIETY, WELLNESS

US Centers for Disease Control & Prevention (CDC):
Coping with Stress
https://www.cdc.gov/violenceprevention/suicide/copingwith-stresstips.html
Mental Health and Coping During COVID-19
https://www.cdc.gov/coronavirus/2019-ncov/about/coping.html
Taking Care of your Emotional Health
https://emergency.cdc.gov/coping/selfcare.asp

American Psychiatric Association (APA):
Coronavirus & Mental Health: Taking Care of Ourselves During Infectious Disease Outbreaks
https://www.psychiatry.org/news-room/apa-blogs/apa-blog/2020/02/coronavirus-and-mental-health-taking-care-of-ourselves-during-infectious-disease-outbreaks

Center for the Study of Traumatic Stress (CSTS):
Coronavirus & Emerging Infectious Disease Outbreaks Response
https://www.cstsonline.org/resources/resource-master-list/coronavirus-and-emerging-infectious-disease-outbreaks-response
Taking Care of your Family during Coronavirus Fact Sheet
https://www.cstsonline.org/assets/media/documents/CSTS_FS_Corona_Taking_Care_of_Your_Family.pdf.pdf

American Psychological Association:
Research Information: Pandemics
https://www.apa.org/practice/programs/dmhi/research-information/pandemics
Five ways to view coverage of the Coronavirus
https://www.apa.org/helpcenter/pandemics
Speaking of Psychology: Coronavirus Anxiety
https://www.apa.org/research/action/speaking-of-psychology/coronavirus-anxiety


RESOURCES FOR HOME
https://www.cdc.gov/coronavirus/2019-ncov/community/home/index.html


RESOURCES FOR PARENTS
US Centers for Disease Control & Prevention (CDC):
Helping Children Cope with Emergencies
https://www.cdc.gov/childrenindisasters/helping-children-cope.html

The National Child Traumatic Stress Network:
Parent/Caregiver Guide to Helping Families Cope with COVID-19
https://www.nctsn.org/sites/default/files/resources/fact-sheet/outbreak_factsheet_1.pdf

IASC – Inter-Agency Standing Committee
My Hero is You, Storybook for Children on COVID-19

https://interagencystandingcommittee.org/iasc-reference-group-mental-health-and-psychosocial-support-emergency-settings/my-hero-you

National Public Radio:
Just for Kids: A Comic Exploring the New Coronavirus
https://www.npr.org/sections/goatsandsoda/2020/02/28/809580453/just-for-kids-a-comic-exploring-the-new-coronavirus

New York Times:
Talking to Teens & Tweens about Coronavirus
https://www.nytimes.com/2020/03/02/well/family/coronavirus-teenagers-anxiety.html

Multisystem Inflammatory Syndrome in Children (MIS-C)
https://www.aappublications.org/news/2020/05/14/covid19inflammatory051420

https://www.healthychildren.org/English/health-issues/conditions/chest-lungs/Pages/covid_inflammatory_condition.aspx

Other Resources
https://www.nasponline.org/resources-and-publications/resources-and-podcasts/school-climate-safety-and-crisis/health-crisis-resources/talking-to-children-about-covid-19-(coronavirus)-a-parent-resource

https://www.doh.wa.gov/Emergencies/NovelCoronavirusOutbreak2020/ParentsCaregivers

https://childmind.org/about-us/

https://archive.org/details/nationalemergencylibrary

Online Learning Resources for Parents
https://sea.mashable.com/tech/9719/online-learning-websites-thatll-level-you-up-during-the-coronavirus-lockdown

https://www.cde.ca.gov/ci/cr/cf/distancelearnresources.asp

https://whnt.com/news/ncfl-providing-free-online-learning-resources-for-kids-during-covid-19-school-closures/

https://www.cnet.com/how-to/coronavirus-closed-schools-here-are-online-education-classes-for-every-age-and-grade/

https://swingeducation.com/resources/20-online-learning-resources-to-help-you-get-through-coronavirus-school-closures/

https://www2.ed.gov/parents/landing.jhtml

https://www.childwelfare.gov/topics/preventing/prevention-programs/parented/education-resource/

Filed Under: News and Resources

President’s Message on Children and Immigration

SPA Members:

As you are no doubt aware there is an ongoing, very vigorous and often acrimonious debate around the issue of immigration and most importantly the separation of children from their parents.

The Society, as a professional organization devoted to the health and welfare of children in the perioperative setting, takes no position on the federal policies or legislation addressing legal or illegal immigration.

Regardless of the diversity of opinion regarding immigration, as professionals devoted to the care of children, we understand the lasting emotional harm that may result when children and parents are forcibly separated regardless of the reason.

The Society joins the American Academy of Pediatrics, American Medical Association and many other professional societies in strongly condemning the policy of forcibly separating children from their parents. The Society further urges that those children who were previously separated be rapidly reunified with their parents in a setting that ensures their emotional and physical safety.

The Society and its members cannot support policies that jeopardize the health and welfare of the children about whom we care so passionately.

Randall Flick, MD, MPH, FAAP
President, Society for Pediatric Anesthesia

Filed Under: News and Resources

Open Letter on Gun Violence

Dear Colleagues,

Over the past several days I have received multiple e-mails expressing shock and outrage regarding what has now become known as the Valentine’s Day massacre. The most recent in a seemingly endless string of mass shootings occurred last week in a Parkland, Florida High School leaving 17 students and teachers dead and many more injured. The authors of those e-mails ask whether the Society should take an individual position or join other groups such as the American Academy of Pediatrics or American Pediatric Surgical Association supporting legislation and should the Society in some way recognize the march scheduled to occur during the winter meeting. Included are links to position statements by the AAP and APSA.

Each of our more than 3,000 members has a personal position and strong feelings about the issue of gun violence that flows from their experience and background. The Society for Pediatric Anesthesia is a professional organization that represents each of those members and seeks to be the voice of the specialty. Central to our mission is the health and well – being of children. As a Society we are committed not only to the perioperative care of children but also to the advancement of the science that improves the lives of the children and families about whom we care so deeply.

In 1996 congress passed the Dickey amendment, severely limiting the ability of the Center for Disease Control to study gun violence. Regardless of one’s political views or position on the restriction of firearm availability, as scientists and advocates for children, we must come together to seek a more robust understanding of the impact of gun violence on children and families. The deaths of the children of Sandy Hook Elementary, of Columbine High School, of Marjory Stoneman Douglas High School and the countless other school shootings that occur on an almost weekly basis are first and foremost issues of public health no different than the opioid crisis, smoking, automobile crashes or epidemic infectious disease. Knowledge is fundamental to understanding and understanding is essential to positive change. As physicians and members of a society devoted to the pursuit of knowledge we cannot remain silent in the face of a policy that is contrary to our obligations as physicians, scientists and advocates for children.

To do less represents intellectual dishonesty and a moral failure.

Randall Flick, MD, MPH, FAAP
President, Society for Pediatric Anesthesia

Filed Under: News and Resources

Joint IARS SPA Press Release on Study of Anesthesia Safety

San Francisco – April 18, 2018 – A Mayo Clinic study of children who received one or more exposures to anesthesia before the age of 3 has provided valuable information about the potential neurological and behavioral impact of general anesthesia on very young children, according to the International Anesthesia Research Society and the Society for Pediatric Anesthesia.

Click here for more information

Filed Under: News and Resources

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Upcoming Meeting Information

SPA 39th Annual Meeting
October 10, 2025
San Antonio, TX

Registration opens soon!

 

 

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