An unexpected COVID-19 diagnosis during emergency surgery in a neonate

Ingrid Moreno-Duarte; Amanda S. Evans; Adam C. Alder; Madeline C. Vernon; Peter Szmuk; Sarah Rebstock

doi:10.1111/pan.14156

An unexpected COVID-19 diagnosis during emergency surgery in a neonate

Ingrid Moreno-Duarte, Amanda S. Evans, Adam C. Alder, Madeline C. Vernon, Peter Szmuk, Sarah Rebstock

Research output: Contribution to journal › Article › peer-review

Abstract

A 4-day-old, 3.3 kg infant presented with suspected intestinal malrotation, necessitating emergent diagnostic laparoscopy. Intra-operatively, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) came back positive. This is the first case report of emergency surgery and anesthesia in a positive SARS-CoV-2 newborn. This report highlights a neonate with an incidental positive SARS-CoV-2 test, no known exposure history, negative polymerase chain reaction maternal testing, and absence of respiratory symptoms who required modified pressure control ventilation settings to adequately ventilate with the high-efficiency particulate air filter in situ.

Original language	English (US)
Pages (from-to)	613-615
Number of pages	3
Journal	Paediatric anaesthesia
Volume	31
Issue number	5
DOIs	https://doi.org/10.1111/pan.14156
State	Published - May 2021

Keywords

COVID-19
HEPA filter
SARS-CoV-2
neonate
personal protective equipment (PPE)
surgery

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Anesthesiology and Pain Medicine

Access to Document

10.1111/pan.14156

Cite this

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title = "An unexpected COVID-19 diagnosis during emergency surgery in a neonate",

abstract = "A 4-day-old, 3.3 kg infant presented with suspected intestinal malrotation, necessitating emergent diagnostic laparoscopy. Intra-operatively, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) came back positive. This is the first case report of emergency surgery and anesthesia in a positive SARS-CoV-2 newborn. This report highlights a neonate with an incidental positive SARS-CoV-2 test, no known exposure history, negative polymerase chain reaction maternal testing, and absence of respiratory symptoms who required modified pressure control ventilation settings to adequately ventilate with the high-efficiency particulate air filter in situ.",

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AU - Rebstock, Sarah

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AB - A 4-day-old, 3.3 kg infant presented with suspected intestinal malrotation, necessitating emergent diagnostic laparoscopy. Intra-operatively, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) came back positive. This is the first case report of emergency surgery and anesthesia in a positive SARS-CoV-2 newborn. This report highlights a neonate with an incidental positive SARS-CoV-2 test, no known exposure history, negative polymerase chain reaction maternal testing, and absence of respiratory symptoms who required modified pressure control ventilation settings to adequately ventilate with the high-efficiency particulate air filter in situ.

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An unexpected COVID-19 diagnosis during emergency surgery in a neonate

Abstract

Keywords

ASJC Scopus subject areas

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