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 journalArticlepeer-review


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 languageEnglish (US)
Pages (from-to)613-615
Number of pages3
JournalPaediatric anaesthesia
Issue number5
StatePublished - May 2021


  • 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


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