Blunt thoracic trauma: anaesthesia, assessment and management

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The management of blunt thoracic trauma

DOI 0.1093/bjacepd/mkg171 Trauma accounts for more than 9000 deaths per annum in the UK. One-third are due to road traffic accidents and chest injuries are responsible for one in four of these deaths. They also play a significant part in 25% of other trauma deaths. Patients admitted with chest injuries often have associated multiple injuries. It is usual for many specialities to share the care ...

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Severe blunt thoracic trauma: Differences

47 January 2015, Vol. 105, No. 1 Trauma is a leading cause of death in the developing world, and represents a major burden of disease in South Africa (SA).[1,2] Children are disproportionately affected.[3] Blunt trauma secondary to motor vehicle collisions (MVCs) contributes to the majority of admissions to trauma centres.[4] Significant blunt thoracic trauma in both adults and children require...

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Conservative Management of Azygous Vein Rupture in Blunt Thoracic Trauma

We report a case of successful conservative management of acute traumatic rupture of the azygous vein. A 48-year-old male was involved in a motor vehicle collision. Primary survey revealed acute right intrathoracic haemorrhage. He remained haemodynamically stable with rapid infusion of warmed crystalloid solution and blood. Computed tomographic imaging showed a contained haematoma of the azygou...

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Flail chest from blunt thoracic trauma.

1 of 2 DESCRIPTION A 56-year-old male smoker sustained non-penetrating leftsided chest trauma, following a 2-m fall onto a fl at-topped wooden post. He was in severe pain and respiratory distress in the Emergency Department, with a dramatic degree of fl ail and marked subcutaneous emphysema (see video 1 ). A left side tube thoracostomy was inserted urgently with marked improvement in respirator...

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Intraoperative transesophageal echocardiography in blunt thoracic trauma.

C ARDIAC INJURY commonly occurs in patients who sustain blunt thoracic trauma; the incidence in patients who survive transport to a hospital has been estimated at 10% to 20% depending on the diagnostic criteria used.‘-8 Most commonly, the injury is limited to myocardial contusion and the structural integrity of the heart remains intact.’ Although the signs and symptoms of significant cardiac st...

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ژورنال

عنوان ژورنال: Canadian Journal of Anaesthesia

سال: 1993

ISSN: 0832-610X,1496-8975

DOI: 10.1007/bf03020683