Management of pulmonary contusion and flail chest

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Blunt thoracic trauma: flail chest, pulmonary contusion, and blast injury.

Blunt thoracic trauma can result in significant morbidity in injured patients. Both chest wall and the intrathoracic visceral injuries can lead to life-threatening complications if not anticipated and treated. Pain control, aggressive pulmonary toilet, and mechanical ventilation when necessary are the mainstays of supportive treatment. The elderly with blunt chest trauma are especially at risk ...

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Management of pulmonary contusion and flail chest: an Eastern Association for the Surgery of Trauma practice management guideline.

BACKGROUND Despite the prevalence and recognized association of pulmonary contusion and flail chest (PC-FC) as a combined, complex injury pattern with interrelated pathophysiology, the mortality and morbidity of this entity have not improved during the last three decades. The purpose of this updated EAST practice management guideline was to present evidence-based recommendations for the treatme...

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Invited Commentary Contemporary Management of Flail Chest

Thoracic injury is currently the second leading cause of trauma-related death and rib fractures are the most common of these injuries. Flail chest, as defined by fracture of three or more ribs in two or more places, continues to be a clinically challenging problem. The underlying pulmonary contusion with subsequent inflammatory reaction and right-to-left shunting leading to hypoxia continues to...

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Bilateral pulmonary contusion, flail chest and respiratory failure on late iatrogenic diaphragmatic eventration and severe kyphoskoliosis: a case report

BACKGROUND We present a case of a 79 year old Caucasian Greek female with multiple acute and chronic diseases that in conjunction led to a critical condition. CASE PRESENTATION She had a chronic iatrogenic diaphragmatic eventration, chronic severe kyphoskoliosis and an acute thoracic trauma due to a falling. We decided to perform an operation for the diaphragmatic eventration and the flail ch...

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Flail chest: are common definition and management protocols still useful?

We eagerly read and appreciate your weighty journal’s hint on the subject flail chest in the April 2010 issue [1]. We wish to respectfully comment on this subject, since we strongly suppose that some of our observations and experience of flail chest in our centre, with a heavy workload to contend with, [2] may be of great interest and useful in this field. Flail chest is a problem whose definit...

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ژورنال

عنوان ژورنال: Journal of Trauma and Acute Care Surgery

سال: 2012

ISSN: 2163-0755

DOI: 10.1097/ta.0b013e31827019fd