Question of the Month – July 2018 VentricularTachycardia in a Ten-month-old?Jennifer Zieg MD, University of Colorado, Children’s Hospital Colorado A 9 kg 10-month-old is undergoing thoracotomy for unilateral congenital cystic adenomatoid malformation (CCAM) resection. He was born at full term, and has had no other health problems. The patient has a thoracic epidural in place that seems to have been working well. A new nurse enters her shift and accidentally gives a 10ml bolus through the epidural. The patient develops ventricular tachycardia and hypotension. What is the MOST appropriate next step?1. Administer a dose of epinephrine2. Start CPR and call for the defibrillator3. Administer a dose of intralipid4. Ask the surgeons to do internal cardiac massageTime is Up!