Trauma anaesthesia in paediatrics

Authors

Keywords:

trauma anaesthesia, paediatrics

Abstract

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).

Author Biography

P Mogane, University of the Witwatersrand

Department of Anaesthesia, School of Clinical Medicine, Faculty of Health Sciences, Chris Hani Baragwanath Academic Hospital, University of the Witwatersrand, South Africa

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Published

2021-11-15

Issue

Section

FCA Refresher Course