An unexpected Covid-19 diagnosis during emergency surgery in a

Paediatric anaesthesia · May 2021

Case Reports

An unexpected Covid-19 diagnosis during emergency surgery in a neonate.

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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- Ingrid Moreno-Duarte, Amanda S Evans, Adam C Alder, Madeline C Vernon, Peter Szmuk, and Sarah Rebstock.
- Department of Anesthesiology and Pain Management, Children's Medical Center/UT Southwestern, Dallas, TX, USA.
- Paediatr Anaesth. 2021 May 1; 31 (5): 613-615.
AbstractA 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.© 2021 John Wiley & Sons Ltd.

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An unexpected Covid-19 diagnosis during emergency surgery in a neonate.

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