An unexpected COVID-19 diagnosis during emergency surgery in a neonate.
Ingrid Moreno-DuarteAmanda S EvansAdam C AlderMadeline C VernonPeter SzmukSarah RebstockPublished in: Paediatric anaesthesia (2021)
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.
Keyphrases
- sars cov
- respiratory syndrome coronavirus
- high efficiency
- minimally invasive
- coronary artery bypass
- case report
- emergency department
- public health
- coronavirus disease
- healthcare
- surgical site infection
- pulmonary embolism
- body mass index
- atrial fibrillation
- coronary artery disease
- physical activity
- birth weight
- mechanical ventilation
- respiratory failure
- acute respiratory distress syndrome