Preanesthetic assessment of the multiple trauma victim

Summary The multiple trauma victim taxes even experienced anesthesiologists, emergency physicians, and trauma surgeons. Appropriate care centers around organized planning, team cooperation, communication, and an appreciation of concerns relevant to all involved specialties. The preanesthetic evaluation should begin upon the arrival of the patient to the admitting area. Evaluation and initial stabilization often occur simultaneously, with particular attention given to the cardiopulmonary and neurologic systems. Anesthetic management needs to be tailored individually recognizing the type of injury, organ system involvement, and response to initial therapy. In short, impeccable assessment is the key to successful management and outcome.