SPECIAL REPORT | VOLUME 17/ISSUE 2, MARCH 2021

Neonatal SARS-CoV-2 infection: is this a vertical transmission?

Neonatal COVID-19, its manifestations and transmission, remains unclear. As the pandemic continues more evidence will emerge but so far, vertical transmission of COVID-19 is rare with just a few reports in the literature.¹ We share our experience of managing a preterm newborn with COVID-19 in our neonatal intensive care unit (NICU) where the vertical route seems the most likely mode of transmission.

Femi Adeniyi
ST6 Paediatrics
femi.adeniyi@nhs.net

Sanjeev Rath
Neonatal Consultant
s.rath@nhs.net

Yewande Wey
MTI Fellow
yewande.wey@nhs.net

Arrowe Park Hospital, Wirral University Teaching Hospital NHS Foundation Trust

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Keywords

neonatal difficult airway framework; BAPM

Key points

The BAPM framework for managing the difficult neonatal airway provides: definition of the role and responsibilities of the neonatal airway lead; a process to optimise resources available in any setting in which a neonate with a difficult airway may present; a pathway for managing the difficult airway to be adapted for local use, which will also be familiar to other specialties that have their own established difficult airway processes; a resource materials document to assist those developing a structured process.