Pediatric Hemorrhagic Shock: Intraoperative Management and Vasopressor Guidelines

Document Type

Conference Proceeding

Publication Date

10-20-2024

Abstract

A 10-year-old female with intractable focal epilepsy, global developmental delay, and cerebral palsy, presented for a craniotomy for frontal lobe disconnection to treat epilepsy. Inhalational induction was administered, and intravenous access was established pre-intubation. The surgeon did not expect significant blood loss and the decision was made not to place an arterial line. However, the patient developed significant hypotension, prompting the decision to insert an arterial line. Subsequently, she developed hemorrhagic shock and required resuscitation with blood products and crystalloids, ultimately necessitating vasopressor support. This case report examines hemorrhagic shock in the pediatric population, emphasizing intraoperative management strategies and vasopressor administration guidelines.

Comments

American Society of Anesthesiologists Annual Meeting, October 18-22, 2024, Philadelphia, PA

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