Does Rapid Sequence Induction Have a Role in Pediatric Anesthesia?

Abstract

A 5-year-old male presents to the emergency department (ED) with a right supracondylar fracture after falling from the monkey bars. He has no other injuries, no notable past medical history, and no past surgical history. He ate lunch about an hour prior to his fall and arrived in the ED approximately 30 min later. He has a 22-gauge IV in his left upper extremity and a splint to his right upper extremity. He is noticeably upset and tucked into his mother’s arms. The pediatric orthopedic surgeon would like to take him urgently to the operating room (OR) for a closed reduction with percutaneous pinning (CRPP), and possible open reduction with internal fixation if needed. The surgeon anticipates 20–30 min operative time and minimal blood loss for the case.