A 2-year-old, 8.5-kg girl is scheduled for bilateral rectus recession. She was born at 34 weeks, required some supplemental oxygen for a few days but not intubation or mechanical ventilation, and went home with an apnea monitor for a month that “never alarmed” according to the parents. Her vital signs are blood pressure of 92/55, P 120, R 32, and T 37°C. Hematocrit is 32. She is on phospholine iodide for treatment of her variable strabismus. She has never had any previous surgery.
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