When anesthetizing a 5 week-old infant born at 26 weeks’ gestation who has been intubated and requiring oxygen since birth, it is appropriate to assume which of the following to exist:

a) Cardiac dysfunction

b) Short-gut syndrome

c) Airway hyperreactivity secondary to bronchopulmonary dysplasia

d) Hyperglcyemia

e) All of the above

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Answer

Answer c.

By definition, a prematurely-born infant with a persistent oxygen requirement beyond 28 days following birth has bronchopulmonary dysplasia (BPD). In a child with BPD, one can expect airway hyperreactivity.


Notes

This question originally printed in the Pediatric Anesthesiology Review Topics kindle book series, and appears courtesy of Naerthwyn Press, LLC.

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