Anesthesia Care for a Polytraumatized Eleven Years old Child with Thoraco-Abdominal Impalement Trauma
Promise Onyeka Ubanatu, Callistus Obinna Elegbua, Mbawike Nathan Onyinye, Bolaji Abdulazeez Akanni, Chukwunyere Callise Obi, Eke Stephen Chukwuemeka
Asian Journal of Case Reports in Medicine and Health · pp. 136–140 · Published 5 Sep 2024
Abstract
The present study explores anesthesia care for a polytraumatized eleven years old child with thoraco-abdominal impalement trauma. The anesthetist plays an important role in trauma management. We present the case of an 11-year-old boy who had thoraco-abdominal exploration for impalement injury. Children are at increased risk of peri-operative cardio-respiratory deterioration due to their unique physiological reserve. Post-operative care for polytrauma patient in the intensive care unit as for the index patient aimed at maintaining hemodynamic and metabolic stability via continued fluid resuscitation, and correction of metabolic derangements, mechanical ventilatory strategies and adequate monitoring. Judicious selection and use of anesthetic agents and post-surgical critical care play important roles in ensuring the desired successful outcome.
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