• B Bissonnette.
• Department of Anaesthesia, university of Toronto, hospital for sick children, Toronto, MG 1X8, Ontario, Canada. bruno@anaes.sickkids.on.ca <bruno@anaes.sickkids.on.ca>
• Ann Fr Anesth Reanim. 2003 Apr 1; 22 (4): 331-5.

AbstractAbout 50% of deaths, in the pediatric population between 1-15 years of age, are due to trauma. This high mortality rate, associated with the frequent sequelae, leading sometimes to severe handicaps, constitutes a major problem for public health in the developed countries. Pediatric trauma has some particularities, due to anatomic and physiologic differences, and to specific injury mechanisms. In a busy traumatology center, a child will be admitted daily in the emergency department with head trauma injury. The anaesthesiologist must have a complete understanding of the pathophysiology involved in this clinical presentation if one wishes to develop a practical knowledge of initial management of such patients. Traumatic brain injury may have intracranial and systemic effects that combine to give global cerebral ischaemia.

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