Trauma Anesthesiology Perioperative Management Update

Ryan Perlman; Kevin Tsai; Jessie Lo

doi:10.1016/j.aan.2023.06.003

Trauma Anesthesiology Perioperative Management Update

Adv Anesth. 2023 Dec;41(1):143-162. doi: 10.1016/j.aan.2023.06.003. Epub 2023 Jul 19.

Authors

Ryan Perlman¹, Kevin Tsai², Jessie Lo³

Affiliations

¹ Trauma Anesthesia, Department of Anaesthesia, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, North Tower, Suite 8211, Los Angeles, CA 90048, USA. Electronic address: ryan.perlman@cshs.org.
² Department of Anaesthesia, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, North Tower, Suite 8211, Los Angeles, CA 90048, USA.
³ Trauma Education Program, Department of Anaesthesia, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, North Tower, Suite 8211, Los Angeles, CA 90048, USA.

PMID: 38251615
DOI: 10.1016/j.aan.2023.06.003

Abstract

Anesthesia for patients with life-threatening injuries is an essential part of post-accident care. Unfortunately, there is variability in trauma anesthesia care and numerous nonstandardized methods of working with patients remain. Uncertainty exists as to when and how best to intubate trauma patients, the use of vasopressors, and the appropriate management of severe traumatic brain injury. Some physicians recommend prehospital rapid sequence intubation, whereas others use bag-mask ventilation at lower pressures with no cricoid pressure and early transport to a trauma center. Overall, the absence of uniformity in trauma anesthesia care underlines the need for continued study and dialogue to define best practices and optimize patient outcomes.

Keywords: Hypothermia; POCUS; REBOA; RSI; TBI; TCA; Trauma anesthesia.

Publication types

Review

MeSH terms

Anesthesia*
Anesthesiology*
Brain Injuries, Traumatic* / surgery
Humans
Physicians*
Rapid Sequence Induction and Intubation