Society for Pediatric Anesthesia
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A 1-week-old term neonate is undergoing an exploratory laparotomy for duodenal atresia. The patient’s vital signs include a heart rate of 170 bpm, a systolic blood pressure of 40 mmHg, and capillary refill time of 7 seconds. The patient has already received a 60mL/kg bolus of isotonic saline. Administration of which of the following is the next best step in the management of this patient?

A.  Dopamine infusion at 5 mcg/kg/min
B.  Vasopressin infusion at 0.2 milli-units/kg/min
C.  Albumin 5% – 20 mL/kg bolus
D.  Norepinephrine infusion at 0.01 mcg/kg/min

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