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- Allison L Thoeny, Iman A Hadaya, Benn M Lancman, and Vincent Lew.
- From the *Department of Anesthesia and Perioperative Care, University of California, San Francisco, San Francisco, California; and †Department of Anesthesia and Perioperative Care, Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, California.
- A A Case Rep. 2017 Oct 1; 9 (7): 212-215.
AbstractA 28-year-old man presented with a penetrating injury by a nail gun to the head. Imaging revealed a nail abutting the superior sagittal sinus without active extravasation. An anesthesia-led multidisciplinary team devised a detailed perioperative plan including conception of a complex decision tree, coordination of care, and resource utilization. In the operating room, the nail was removed under general anesthesia, with blood products and equipment for craniotomy readily available, and imaging modalities reserved for immediate use. This case highlights the importance of a multidisciplinary approach to challenging penetrating head injuries and the crucial role anesthesiologists have as leaders in perioperative care.
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