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1449 Anaesthesia

You are the physician on call for the extracorporeal membrane oxygenation (ECMO) service. There are 5 calls today, but only one machine and one technologist available. Which of the following patients is the most appropriate recipient of this service?

AA 1-day-old, full-term, anencephalic 4-kg boy suffering from meconium aspiration syndrome and hypoxia
BA 75-year-old man with Alzheimer disease, severe pneumonia, and elevated pulmonary aerial pressure
CA 5-year-old girl with rhabdomyosarcoma metastatic to the lungs
DA 3-day-old boy preoperative for a congenital diaphragmatic hernia (Correct Answer)