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?:abstract
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The pandemic produced by the new SARS-CoV-2 coronavirus has indelibly marked the history of humanity. The conducts, actions and habits of people have changed substantially, redefining our activities at all levels. Our specialty is dedicated to the care of pediatric patients with congenital heart defects, from the neonatal stage to adolescence. In this age group, the symptomatic picture of COVID-19 is not present in most cases, therefore, anesthetic practice is carried out with precautions aimed to assist asymptomatic patients considered not carriers of the virus SARS-CoV-2, without the complete elements of personal protective equipment. This document compiles the practices and guidelines adopted by the anesthetists of the KARDIAS program for the care of children with congenital heart defects during the COVID-19 pandemic. We have made an adaptation of the different guidelines reported on anesthetic, pediatric, cardiovascular and echocardiographic management, adhering to the evidence reported to date. These recommendations are applicable for any center that performs pediatric cardiovascular anesthesia with modifications according to its institutional requirements and they should be periodically reviewed regarding new scientific evidence reported. Finally, we comment about the appearance of a probable new clinical presentation of SARS-CoV-2 infection as an atypical variety of Kawasaki disease in children.
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