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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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