Introduction
In low- and middle-income countries, pediatric traumatic brain injury is the leading cause of death and disability, making it a worldwide health concern.1,2 Among the various etiologies of traumatic brain injury, gunshot wounds occupy a special and concerning place because of their sudden and often severe nature. A thorough and cautious approach is necessary for the anesthetic management of pediatric patients with traumatic brain damage from gunshot wounds, taking into account the unique physiological and anatomical needs of children as well as the complexity of the trauma they have experienced.3
Neuroanesthesia management requires a thorough understanding of intracranial dynamics, especially in maintaining optimal intracranial pressure and cerebral perfusion.4 Children have different physiological…