The Anesthesiologist’s Role in Treating Abusive Head Trauma

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dc.contributor.authorLee, J. K., Brady, K. M., & Deutsch, N.
dc.date.accessioned2017-06-02T16:12:15Z
dc.date.available2017-06-02T16:12:15Z
dc.date.issued2016
dc.description.abstractAbusive head trauma (AHT) is the most common cause of severe traumatic brain injury (TBI) in infants and the leading cause of child abuse-related deaths. For reasons that remain unclear, mortality rates after moderate AHT rival those of severe non-intentional TBI. The developing brain’s vulnerability to injury may be partially responsible for the poor outcomes observed after AHT. AHT is mechanistically more complex than non-intentional TBI. The acute-on-chronic nature of the trauma along with synergistic injury mechanisms that include rapid rotation of the brain, diffuse axonal injury, blunt force trauma, and hypoxia-ischemia make AHT challenging to treat. The anesthesiologist must understand the complex injury mechanisms inherent to AHT, as well as the pediatric TBI treatment guidelines, in order to decrease the risk of persistent neurologic disability and death. In this review we discuss the epidemiology of AHT, differences between AHT and non-intentional TBI, the severe pediatric TBI treatment guidelines in the context of AHT, anesthetic considerations, as well as ethical and legal reporting requirements. (Author Abstract)en_US
dc.identifier.citationLee, J. K., Brady, K. M., & Deutsch, N. (2016). The Anesthesiologist’s Role in Treating Abusive Head Trauma. Anesthesia & Analgesia, 122(6), 1971-1982.en_US
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4874512/pdf/nihms762929.pdf
dc.identifier.urihttp://hdl.handle.net/11212/3375
dc.language.isoenen_US
dc.publisherAnesthesia & Analgesiaen_US
dc.subjectchild abuseen_US
dc.subjecttreatmenten_US
dc.subjectprotocolen_US
dc.subjectbest practicesen_US
dc.titleThe Anesthesiologist’s Role in Treating Abusive Head Traumaen_US
dc.typeArticleen_US

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