Management of the Pediatric Patient Following Upper Extremity Replantation or Revascularization: A Suggested Protocol

Abstract

Since initiating the protocol, we feel it has helped standardize our practice, avoid instances of incomplete or missed order sets, and facilitate interdisciplinary management through decreased gaps in communication, especially in those surgeries terminating in the middle of the night.

Pediatric Upper Extremity Replantation: Courage in the Face of a Life-altering Injury

“…The lack of underlying comorbidities and the amazing regenerative capacity of children allows surgeons to attempt replantation even in the setting of nerve avulsions, as was the case with our patient. 4 Despite the contraindication to replant when the nerves are severely stretched, one should attempt replant in a child in this scenario if the child is otherwise stable. Our patient continues to regain function over 2 years out from initial replantation.…”