Vascular access, fluid resuscitation, and blood transfusion in pediatric trauma.


Journal Article

Trauma care in the general population has largely become protocol-driven, with an emphasis on fast and efficient treatment, good team communication at all levels of care including prehospital care, initial resuscitation, intensive care, and rehabilitation. Most available literature on trauma care has focused on adults, allowing the potential to apply concepts from adult care to pediatric care. But there remain issues that will always be specific to pediatric patients that may not translate from adults. Several new devices such as intraosseous (IO) needle systems and techniques such as ultrasonography to cannulate central and peripheral veins have become available for integration into our pre-existing trauma care system for children. This review will focus specifically on the latest techniques and evidence available for establishing intravenous access, rational approaches to fluid resuscitation, and blood product transfusion in the pediatric trauma patient.

Full Text

Duke Authors

Cited Authors

  • Greene, N; Bhananker, S; Ramaiah, R

Published Date

  • September 2012

Published In

Volume / Issue

  • 2 / 3

Start / End Page

  • 135 - 142

PubMed ID

  • 23181207

Pubmed Central ID

  • 23181207

Electronic International Standard Serial Number (EISSN)

  • 2231-5004

Digital Object Identifier (DOI)

  • 10.4103/2229-5151.100890


  • eng

Conference Location

  • India