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OR in the News

OR in the News (selected articles)

Moreno-Duarte, I., Evans, A. S., Alder, A. C., Vernon, M. C., Szmuk, P., Rebstock, S. An unexpected COVID-19 diagnosis during emergency surgery in a neonate. Paediatr Anaesth 2021: 31 (5) 613-615

October 16, 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.
COVID-19, SARS-CoV-2, neonate, surgery, personal protective equipment (PPE), HEPA filter