Trauma anaesthesia in paediatrics
Keywords:trauma anaesthesia, paediatrics
Paediatric trauma is the leading cause of global death and disability in children older than one year,1,2 accounting for 40% of all childhood deaths.3 In South Africa, injuries in children younger than 15 years are predominantly caused by road traffic accidents and intentional injuries.3 Despite the overwhelming nature of this problem, relatively little attention is given to this major source of sickness and death in children.4
Consideration has to be given to multiple issues which may influence the outcome of the patient, including: airway management, particularly in the presence of a cervical spine injury; the possibilities of a full stomach and the need for rapid sequence intubation; haemodynamic status, particularly in the presence of a traumatic brain injury (TBI); and the potential for significant haemorrhage and transfusion. The topic of trauma anaesthesia within the paediatric population is expansive and involves many topics which cannot be covered in this paper (e.g. non-accidental injury [NAI], burns, near-drowning, detailed advanced trauma life support [ATLS] principles and TBI management).
By submitting manuscripts to SAJAA, authors of original articles are assigning copyright to the SA Society of Anaesthesiologists. Authors may use their own work after publication without written permission, provided they acknowledge the original source. Individuals and academic institutions may freely copy and distribute articles published in SAJAA for educational and research purposes without obtaining permission.
The work is licensed under a Creative Commons Attribution-Non-Commercial Works 4.0 South Africa License. The SAJAA does not hold itself responsible for statements made by the authors.