Anesthetic Management of a Patient with Penetrating Thoracoabdominal Trauma

Anesthetic management of a patient with penetrating thoracoabdominal trauma is a challenge for the anesthetist. Unstable hemodynamics, inadequate fasting, improper positioning for intubation, and the need for emergent surgery can complicate anesthetic management of such patients. We report a case of penetrating thoracoabdominal injury with arrow-shaped iron rods. Rapid and judicious management along with good communication between the surgeon and the anesthetist led to a successful outcome.