Q:

During general anesthesia in children with Down syndrome

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 During general anesthesia in children with Down syndrome.the anesthesiologist should be aware of all the following EXCEPT


  1. macroglossia
  2. cardiac anomalies
  3. atlantoaxial instability
  4. upper airway obstruction
  5. temporo-mandibular sublaxation

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(E). In children with Down syndrome, it is wise to exercise caution in stabilizing the cervical spine and also to avoid cervical flexion and extension

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