Pediatrics vascular injury management with total replacement of blood volume- Anesthesia challenges: A case report

Background: Vascular injuries with significant blood loss causing ischemia and revascularization for limb salvage are rarely done in developing countries. Hence, most hospitals and surgeons lack the experience to deal with vascular injuries. Case Presentation: A 9-year-old child presented with left subclavian artery transection and massive hemorrhage. The patient required massive transfusions during the repair of the injured vessel. Herein, we describe the challenges faced during the management of this patient. Conclusion: In an emergency setting, full optimization is not always possible. Every effort should be made to manage the patient by utilizing the available resources without undue delays.