TYK362
A 3-year-old child with a history of mild reactive airway disease presents for evaluation of recurrent low-grade fevers, fatigue, anorexia, irritability, and lower extremity pain. Initial laboratory evaluation demonstrates leukocytosis (30,000 cells/μL), thrombocytopenia (50,000 cells/μL), and anemia (8 g/dL). Appropriate anesthetic management for a diagnostic bone marrow biopsy and LP in this child may include all of the following EXCEPT:
a) Consideration of premedication with midazolam in the preoperative area
b) Induction of general anesthesia with propofol
c) Administration of intravenous dexamethasone for nausea and bronchospasm prophylaxis
d) Utilization of fentanyl for intra- and post-procedural analgesia
e) Utilization of a supraglottic airway device (such as a laryngeal mask airway) throughout the operative procedure