Anesthetic and Critical Care Considerations in Children with Abdominal Trauma

  • Lalit Gupta
  • Bhavna Gupta


Unrecognized abdominal trauma is a common unrecognized life-threatening emergency on pediatric age group. As compared to adults, children have large solid organs; they have low subcutaneous fat and have no significantly low abdominal muscle mass to protect. Solid organ injuries are common in children due to blunt and penetrating trauma. Blunt trauma causes injury to solid organs such as the liver and spleen. The potentially life-threatening injuries are real challenge to the attending anesthesiologist as the children are not only anatomically and physiologically different from adult but also psychologically more difficult to deal with [1, 2].


  1. 1.
    Nicol A, Steyn E. Oxford handbook of trauma for Southern Africa. Cape Town: Oxford University Press; 2004.Google Scholar
  2. 2.
    Nellensteijn DR. Pediatric abdominal injury: initial treatment and diagnostics. Groningen: Rijksuniversiteit Groningen; 2015.Google Scholar
  3. 3.
    Avarello JT, Cantor RM. Pediatric major trauma: an approach to evaluation and management. Emerg Med Clin North Am. 2007;25:803–36.CrossRefPubMedGoogle Scholar
  4. 4.
    Wise BV, Mudd SS, Wilson ME. Management of blunt abdominal trauma in children. J Trauma Nurs. 2002;9(1):6–14.CrossRefPubMedGoogle Scholar
  5. 5.
    Snehalata Dhayagude H, Nandini Dave M. Principles and practice of pediatric anesthesia. New Delhi: Jaypee Brothers Medical Publishers; 2016.CrossRefGoogle Scholar
  6. 6.
    Bingham R, Thomas AL, Sury M. Hatch & Sumner's textbook of paediatric anaesthesia third edition. London: Edward Arnold; 2007.Google Scholar
  7. 7.
    Ivashkov Y, Bhananker SM. Perioperative management of pediatric trauma patients. Int J Crit Illn Inj Sci. 2012;2(3):143–8.CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Cullen PM. Paediatric trauma. Contin Educ Anaesth Crit Care Pain. 2012;12(3):157–61.CrossRefGoogle Scholar
  9. 9.
    Varon AJ, Smith CE, editors. Essentials of trauma anesthesia. Cambridge: Cambridge University Press; 2012.Google Scholar
  10. 10.
    Sutcliffe AJ. Paediatric trauma anaesthesia. Curr Anaesth Crit Care. 1996;7(3):146–51.CrossRefGoogle Scholar
  11. 11.
    Kaussen T, Steinau G, Srinivasan PK, et al. Recognition and management of abdominal compartment syndrome among German pediatric intensivists. Ann Intensive Care. 2012;2(Suppl 1):S8.CrossRefPubMedPubMedCentralGoogle Scholar
  12. 12.
    Schacherer N, Miller J, Petronis K. Pediatric blunt abdominal trauma in the emergency department: evidence-based management techniques. Pediatr Emerg Med Pract. 2014;11:1–23.PubMedGoogle Scholar
  13. 13.
    McFadyen JG, Ramaiah R, Bhananker SM. Initial assessment and management of pediatric trauma patients. Int J Crit Illn Inj Sci. 2012;2(3):121–7.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  • Lalit Gupta
    • 1
  • Bhavna Gupta
    • 1
  1. 1.Department of Anesthesia and Critical CareMaulana Azad Medical CollegeNew DelhiIndia

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