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Question of the Week
A 10-week-old baby presents for an elective inguinal hernia repair. The patient was born at 39 weeks and is otherwise healthy. His preoperative vital signs include a heart rate of 155 beats per minute, blood pressure 70/50, and respiratory rate 45. Which of the following is the MOST appropriate action?
A. Obtain intravenous access and begin volume resuscitation prior to induction.
B. Cancel the procedure to obtain a cardiac evaluation prior to surgery.
C. Obtain a chest x-ray prior to induction.
D. Proceed with the surgery without further work-up.
