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These concurrent injuries can lead to challenges when prioritizing tasks in the resuscitation room and during anesthetic management. In addition, changes from spontaneous ventilation to positive pressure ventilation can impact lung physiology. Therefore, a clear communication plan with careful monitoring and vigilance is needed for intubation and ventilation in these children. These injuries also require specific strategies to prevent barotrauma which could lead to complications such as respiratory failure, pneumonia, sepsis, and acute respiratory distress syndrome. This educational review aims to guide clinicians managing pediatric chest trauma through some of the critical decision\u2010making regarding intubation, ventilation, and subsequent management of injuries.<\/jats:p>","DOI":"10.1111\/pan.14340","type":"journal-article","created":{"date-parts":[[2021,11,23]],"date-time":"2021-11-23T09:56:43Z","timestamp":1637661403000},"page":"340-345","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Chest trauma in children\u2014what an anesthesiologist should know"],"prefix":"10.1111","volume":"32","author":[{"given":"Ruth","family":"Bird","sequence":"first","affiliation":[{"name":"Department of Anesthesia and Pain Medicine The Hospital for Sick Children  Toronto Ontario Canada"},{"name":"Temerty Faculty of Medicine Department of Anesthesiology and Pain Medicine University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Braunold","sequence":"additional","affiliation":[{"name":"Department of Anesthesia Rambam Medical Center  Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9502-0981","authenticated-orcid":false,"given":"Clyde T","family":"Matava","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Pain Medicine The Hospital for Sick Children  Toronto Ontario Canada"},{"name":"Temerty Faculty of Medicine Department of Anesthesiology and Pain Medicine University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,11,29]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.FCH.0000347986.44810.59"},{"key":"e_1_2_13_3_1","unstructured":"RCPCH.Why children die \u2010 research and recommendations (2014).2021.https:\/\/www.rcpch.ac.uk\/resources\/why\u2010children\u2010die\u2010research\u2010recommendationsAccessed October 5 2021"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2008.10.008"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.17159\/2078-5151\/2020\/v58n1a3017"},{"issue":"3","key":"e_1_2_13_6_1","first-page":"154","article-title":"The ABCs of pediatric triage","volume":"14","author":"Thomas DO","year":"1988","journal-title":"J Emerg Nurs"},{"issue":"1","key":"e_1_2_13_7_1","first-page":"24","article-title":"Pediatric trauma patients: differences and implications for emergency nurses","volume":"17","author":"Semonin\u2010Holleran R","year":"1991","journal-title":"J Emerg Nurs"},{"key":"e_1_2_13_8_1","unstructured":"The Royal College of Radiologists.Paediatric trauma protocols.2021. 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