Skip to main content

Il bambino politraumatizzato

  • Chapter
Rianimazione in età pediatrica

Riassunto

L’assistenza al bambino politraumatizzato richiede specifiche conoscenze, precisi trattamenti e una scrupolosa attenzione anche ai dettagli. Ogni medico responsabile della rianimazione e della stabilizzazione del bambino politraumatizzato deve pertanto essere a conoscenza delle diverse caratteristiche e delle specificità dell’età pediatrica.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

Bibliografia

  1. Yurt RW (1992) Triage, initial assessment and early treatment in the pediatric trauma patient. Pediatr Clin North Am 39:1083

    PubMed  CAS  Google Scholar 

  2. American College of Surgeons (2006) Advanced Trauma Life Support Course

    Google Scholar 

  3. Furnival RA, Schunk JE (1999) ABCs scoring system for pediatric trauma. Pediatric Emerg Care 15:215

    Article  CAS  Google Scholar 

  4. European Resuscitation Council (2003) The pediatric trauma. Manual of the European Paediatric Life Support Course, pp 83–96

    Google Scholar 

  5. Gerardi MI, Saccheti AD, Kantor RM et al (1996) Rapid sequence intubation of the pediatric patient. Ann Emerg Med 28:55

    Article  PubMed  CAS  Google Scholar 

  6. Tovar BA (2008) The lung and pediatric trauma. Seminars in pediatric surgery 17(1):53–9

    Article  PubMed  Google Scholar 

  7. Sartorelli KH, Vane DW (2004) The diagnosis and management of children of blunt injury of the chest. Semin Pediatr Surg 13:98–105

    Article  PubMed  Google Scholar 

  8. Bliss D, Silen M (2002) Pediatric thoracic trauma. Crit Care Med 30(Suppl):S409–S415

    Article  PubMed  Google Scholar 

  9. Peclet MH, Newman KD, Eichelberger MR et al (1990) Thoracic trauma in children: An indicator of increased mortality. J Pediatr Surg 25:961–965

    Article  PubMed  CAS  Google Scholar 

  10. Reinhorn M, Kaufman HL, Hirsch EF, Millham FH (1996) Penetrating thoracic trauma in a pediatric population. Ann Thorac Surg 61:1501–1505

    Article  PubMed  CAS  Google Scholar 

  11. Cooper A, Barlow B, DiScala C, String D (1994) Mortality and truncal injury: The pediatric perspective. J Pediatr Surg 29:33–38

    Article  PubMed  CAS  Google Scholar 

  12. Hamilton NA, Bucher BT, Keller MS (2011) The significance of first rib fracture in children. J Pediatr Surg 46:169–172

    Article  PubMed  Google Scholar 

  13. Garcia VF, Gotschall CS, Eichelberger MR, Bowman LM (1990) Rib fractures in children: A marker of severe trauma. J Trauma 30:695–700

    Article  PubMed  CAS  Google Scholar 

  14. Lee RB, Bass SM, Morris JA Jr, MacKenzie J (1990) Three or more rib fractures as an indicator for transfer to a level I trauma center: A population-based study. J Trauma 30:689–694

    Article  PubMed  CAS  Google Scholar 

  15. Jaffe D, Wesson D (1991) Emergency management of blunt trauma in children. N Eng J Med 324:1477–1482

    Article  CAS  Google Scholar 

  16. Harris BH, Barlow BA, Ballantine TV et al (1992) American Pediatric Surgical Association principles of pediatric trauma care. J Pediatr Surg 27:423–426

    Article  PubMed  CAS  Google Scholar 

  17. Miller JL. Little AG, Shermeta DW (1984) Thoracic trauma in children. Pediatrics 174:813

    Google Scholar 

  18. Neff M, Monk J, Peters K, et al. (2000) Detection of occult pneumothoraces on abdominal computed tomographic scans in trauma patients. J Trauma 49:281–285

    Article  PubMed  CAS  Google Scholar 

  19. Sivit C, Eichelberger M (1989) Chest injury in children with blunt abdominal trauma: Evaluation with CT. Radiology 171:815–818

    PubMed  CAS  Google Scholar 

  20. Smyth BT (1979) Chest trauma in children. J Pediatr Surg 14:41–7

    Article  PubMed  CAS  Google Scholar 

  21. Gorenstein L, Blair GK, Shandhy B (1986) The progress of traumatic asphyxia in childhood. J Pediatr Surg 21:733

    Google Scholar 

  22. Newquist ML, Sobel RM (1990) Traumatic asphyxia: An indicator of significant pulmonary injury. Am J Emerg Med 8:212–215

    Article  PubMed  CAS  Google Scholar 

  23. Maron BJ, Estes NA (2010) Commotio cordis. N Engl J Med 362:917–927

    Article  PubMed  CAS  Google Scholar 

  24. Eddy AC, Rusch VW, Fligner CL et al (1990) The epidemiology of traumatic rupture of the thoracic aorta in children: A 13-year review. J Trauma 30:989–991

    Article  PubMed  CAS  Google Scholar 

  25. Ali IS, Fitzgerald PG, Gillis DA, Lau HY (1992) Blunt traumatic disruption of the thoracic aorta: A rare injury in children. Pediatr Surg 27:1281–1284

    Article  CAS  Google Scholar 

  26. Spouge AR, Burrows PE, Armstrong D, Daneman A (1991) Traumatic aortic rupture in the pediatric population. Role of plain film, CT and angiography in the diagnosis. Pediatr Radiol 21:324–328

    Article  PubMed  CAS  Google Scholar 

  27. LeBret F, Ruel P, Rosier H et al (1994) Diagnosis of traumatic mediastinal hematoma with transesophageal echocardiography. Chest 10:373–378

    Article  Google Scholar 

  28. Pohlgeers A, Ruddy R (1995) An update on pediatric trauma. Emerg Med Clin North Am 13:267–289

    Google Scholar 

  29. Arkovitz MS, Johnson N, Garcia VF (1997) Pancreatic trauma in children: Mechanisms of injury. J Trauma 42:49–53

    Article  PubMed  CAS  Google Scholar 

  30. Shilyansky J, Pearl RH, Kreller M et al (1997) Diagnosis and management of duodenal injuries in children. J Pediatr Surg 32:880–886

    Article  PubMed  CAS  Google Scholar 

  31. Holmes JF, Sokolove PE, Brant WE (2002) Identification of children with intra-abdominal injuries after blunt trauma. Ann Emerg Med 2002 39:500–509

    Article  Google Scholar 

  32. Mass RL, Musemeche CA (1996) Clinical judgment is superior to diagnostic tests in the management of pediatric small bowel injury. J Pediatr Surg 31:1178–1181

    Article  Google Scholar 

  33. Taylor CA (1995) Imaging of pediatric blunt abdominal trauma: What have we learned in the past decade? Radiology 195:600–601

    PubMed  CAS  Google Scholar 

  34. Bensard DD, Beaver BL, Besner GE, Cooney DR (1996) Small bowel injury in children after blunt abdominal trauma: Is diagnostic delay important? J Trauma 41:476–483

    Article  PubMed  CAS  Google Scholar 

  35. Albanese CT, Meza MP, Gardner MJ et al (1996) Is computed tomography a useful adjunct to the clinical examination for the diagnosis of pediatric gastrointestinal perforation from blunt abdominal trauma in children? J Trauma 40:417–421

    Article  PubMed  CAS  Google Scholar 

  36. Coant PN, Kornberg AE, Duffy LC et al (1992) Markers for occult liver injury in cases of physical abuse in children. Pediatrics 89:274–278

    PubMed  CAS  Google Scholar 

  37. Hennes HM, Smith DS, Schneider K (1990) Elevate liver transaminase levels in children with blunt abdominal trauma: A predictor of liver injury. Pediatrics 86:87–90

    PubMed  CAS  Google Scholar 

  38. Stalker HP, Kaufman RA, Stedje K (1990) The significance of hematuria in children after blunt abdominal trauma. AJR 154:569–571

    PubMed  CAS  Google Scholar 

  39. Swischuk LE (1994) Abdominal trauma and hematuria. Pediatr Enterg Care 10:181–182

    Article  CAS  Google Scholar 

  40. Knudson MM, McAninch JW, Gomez R et al (1992) Hematuria as a predictor of abdominal injury after blunt trauma. Am J Surg 164:482–485

    Article  PubMed  CAS  Google Scholar 

  41. Hoff WS, Holevar M, Nagy KK et al; East Practice Management Guidelines Work Group (2001) Practice Management Guidelines For The Evaluation Of Blunt Abdominal-Trauma, Eastern Association for the Surgery of Trauma, www.trauma.org

  42. Alonso M, Brathwaite C, Garcia V et al; East Practice Management Guidelines Work Group (2003) Practice Management Guidelines For the Nonoperative Management Of Blunt Injury to The Liver And Spleen. Eastern Association For The Surgery of Trauma, www.trauma.org

  43. Gaines BA, Ford HR. (2002) Abdominal and pelvic trauma in children. Crit Care Med 30(11 Suppl):S416–S423

    Article  PubMed  Google Scholar 

  44. Stylianos S (2000) Evidence-based guidelines for resource utilization in children with isolated spleen or liver injury. The APSA Trauma Committee. J Pediatr Surg 35:164–167

    Article  PubMed  CAS  Google Scholar 

  45. Stylianos S (2002) Compliance with evidence-based guidelines in children with isolated spleen or liver injury: A prospective study. J Pediatr Surg 37:453–456

    Article  PubMed  Google Scholar 

  46. Morse MA, Garcia VF (1994) Selective nonoperative management of pediatric blunt splenic trauma: Risk for missed associated injuries. J Pediatr Surg 29:23–27

    Article  PubMed  CAS  Google Scholar 

  47. Patrick DA, Bensard DD, Moore EE et al (1999) Nonoperative management of solid organ injuries in children results in decreased blood utilization. J Pediatr Surg 34:1695–1699

    Article  Google Scholar 

  48. Watson GA, Rosengart MR, Zenati MS. (2006) Nonoperative management of severe blunt splenic injury: Are we getting better? J Trauma 61:1113–1118

    Article  PubMed  Google Scholar 

  49. Bisharat N, Omari H, Lavi I et al (2001) Risk of infection and death among post-splenectomy patients. J Infect 43:182–186

    Article  PubMed  CAS  Google Scholar 

  50. Rescorla FJ, Plumley DA, Sherman S et al (1995) The efficacy of early ERCP in pediatric pancreatic trauma. J Pediatr Surg 30:336–340

    Article  PubMed  CAS  Google Scholar 

  51. Holevar M, DiGiacomo JC, Ebert J et al; The EAST Practice Management Guidelines Work Group (2003) Practice Management Guidelines For The Evaluation Of Genitourinary Trauma. Eastern Association For The Surgery of Trauma, www.trauma.org

  52. Nance ML, Lutz N, Carr MC et al (2004) Blunt renal injuries in children can be managed nonoperatively: Outcome in a consecutive series of patients. J Trauma 57:474–478

    Article  PubMed  Google Scholar 

  53. Heppenstall RB (1988) The compartment syndrome: An experimental and clinical study of muscular energy metabolism using phosphorous nuclear magnetic spectroscopy. Clin Orthop 226:138–155

    PubMed  Google Scholar 

  54. Shackford SR, Rich NH (1991) Peripheral vascular injury. In: Moore EE, Mattox KE, Feliciano DV (eds) Trauma, 2nd Edn. McGraw Hill, New York, NY, p 639

    Google Scholar 

  55. Kay RM, Skaggs DL (2006) Pediatric polytrauma management. J Pediatr Orthop 26:268–277

    Article  PubMed  Google Scholar 

  56. Di Giacomo JC, Bonadies JA, Cole FJ et al; The EAST Practice Management Guidelines Work Group (2001) Practice Management Guidelines For Hemorrhage In Pelvic Fracture. Eastern Association For The Surgery of Trauma, www.trauma.org

  57. Bywaters EGL, Beali D (1941) Crush injuries with impairment of renal function. BMJ 1:427–432

    Article  PubMed  CAS  Google Scholar 

  58. Better OS (1990) The crush syndrome revisited. Nephron 55:97–103

    Article  PubMed  CAS  Google Scholar 

  59. Hoover TI, Siefert JA (2000) Soft tissue complications of orthopedic emergencies. Emerg Med Clin NA 18:115–121

    Article  CAS  Google Scholar 

  60. Nasquez WD, Garcia F (1993) Pediatric pelvic fractures combined with an additional skeletal injury is an indicator of significant injury. Surg Gynec Obstret 177:468–472

    Google Scholar 

  61. Reid JD, Weighelt JA, Thal ER et al (1988) Assessment of proximity of a wound to major vascular structures as an indication for arteriography. Arch Surg 123:942–946

    Article  PubMed  CAS  Google Scholar 

  62. Densmore JC, Lim HJ, Oldham KT, Guice KS (2006) Outcomes and delivery of care in pediatric injury. J Pediatr Surg 41:92–98

    Article  PubMed  Google Scholar 

  63. Stylianos S, Egorova N, Guice KS et al (2006) Variation in treatment of pediatric spleen injury at trauma centers verses nontrauma centers: A call for dissemination of American Pediatric Surgical Association benchmarks and guidelines. J Am Coll Surg 202:247–251

    Article  PubMed  Google Scholar 

  64. MacKenzie EJ, Rivara FP, Jurkovich GJ et al (2006) A National evaluation of the effect of trauma-center care on mortality. N Engl J Med 354:366–378

    Article  PubMed  CAS  Google Scholar 

  65. Davis DH, Localio AR, Stafford PW et al (2005) Trends in operative management of pediatric splenic injury in a regional trauma system. Pediatrics 115:89–94

    Article  PubMed  Google Scholar 

  66. Odetola FO, Miller WC, Davis MM, Bratton SL (2005) The relationship between the location of pediatric intensive care unit facilities and child death from trauma: A county-level ecologic study. J Pediatr 147:74–77

    Article  PubMed  Google Scholar 

  67. Stocchetti N, Pagliarini G, Gennari M et al (1994) Trauma care in Italy: Evidence of in-hospital preventable deaths. J Trauma 36:401–405

    Article  PubMed  CAS  Google Scholar 

  68. Chiara O, Scott JD, Cimbanassi S et al (2002) Trauma death in an Italian urban area: An audit of pre-hospital and in-hospital trauma care. Injury 33:553–562

    Article  PubMed  Google Scholar 

  69. American College of Surgeons, Committee on Trauma (2006) Resources for Optimal Care of the Injured Patient. American College of Surgeons, Chicago, IL

    Google Scholar 

  70. Hulka F (1999) Pediatric Trauma systems: Critical distinctions. J Trauma 47(3 Suppl):S85–89

    Article  Google Scholar 

  71. Potoka DA, Schall LC, Ford HR (2001) Improved functional outcome for severely injuried children treated at pediatric trauma centers. J Trauma 51:824–832

    Article  PubMed  CAS  Google Scholar 

  72. Nathens AB, Jurkovich GJ, Rivara FP, Maier RV (2000) The effect of organized systems of trauma care on motor vehicle crash mortality. J Trauma 48:25–30

    Article  PubMed  CAS  Google Scholar 

  73. Holland JA, Jackson AM, Joseph AP (2005) Paediatric trauma at an adult trauma centre. ANZ J Surg 75:878–881

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer-Verlag Italia

About this chapter

Cite this chapter

Baticci, F., Zamprogno, E. (2012). Il bambino politraumatizzato. In: Rianimazione in età pediatrica. Springer, Milano. https://doi.org/10.1007/978-88-470-2059-7_41

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-2059-7_41

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2058-0

  • Online ISBN: 978-88-470-2059-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics