The Critically Crushed Chest

The crushed chest.

The congestion of our roads and the higher speeds of motor vehicles have caused a progressive rise in the incidence of severe chest injuries and in consequence there is today a better appreciation of their lethal nature. The most outstanding landmark ill a decade of progress has been the establishment by Carter and Giuseffi (195 1) of the value of tracheostomy. By eliminating the dead space, fa...

Management of the crushed chest.

Thoracic injuries are very common among trauma victims. This article reviews the current literature on the management of multiple aspects of the care of the patient with severe chest injury. The mechanics of chest injury are complex and varied. Chest wall injuries are the most common and noticeable manifestation of thoracic trauma. Overall morbidity and mortality are primarily determined by ass...

Crushed chest injury and artificial ventilation.

Orogastric administration of crushed darunavir tablets for a critically ill patient.

When HIV-positive patients are critically ill and unable to take medications orally, administration of highly active antiretroviral therapy (HAART) becomes challenging. The foremost issue is the lack of parenteral formulations and oral suspensions. Only limited clinical evidence directly addresses the conversion of antiretroviral drugs from the oral to the enteral route. Interruption of HAART i...

OptimizatiOn Of chest radiOgraphy practice fOr critically ill patients

background. Intensive care unit (ICU) patients frequently undergo chest radiographs (CXrs). The diagnostic and therapeutic efficacy of routine CXrs are now known to be low, but the discussion regarding specific indications for CXrs in critically ill patients and the safety of abandoning routine CXRs is still ongoing. We performed a survey of Dutch intensivists on the current practice of chest r...