Document Detail

Flail chest and pulmonary contusion.
MedLine Citation:
PMID:  18420125     Owner:  NLM     Status:  MEDLINE    
Flail chest is most often accompanied by a significant underlying pulmonary parenchymal injury and can be a life-threatening thoracic injury. Its management is often complicated by the other injuries it is frequently associated with. Similarly, mortality and morbidity are dictated most often by the associated injuries and findings. Its treatment is complex and should first be one of pain management, judicious fluid resuscitation, and excellent pulmonary toilet. In those patients requiring mechanical ventilatory support, or who require ipsilateral thoracocotomy, rib stabilization may be considered depending on a host of potentially conflicting indications and contraindications. At the end of this section are listed the current major recommendations and their levels of evidence.
Renata Bastos; John H Calhoon; Clinton E Baisden
Related Documents :
8792765 - Chronic alpha 1-adrenoreceptor stimulation increases dna synthesis in rat arterial wall...
2182915 - The management of vascular injuries associated with total hip arthroplasty.
7664015 - Limb arterial injuries associated with limb fractures: clinical presentation, assessmen...
4004555 - Nonpenetrating subclavian artery injuries.
16718425 - Nontraumatic rupture of lumbar artery causing an intravertebral body pseudoaneurysm: tr...
21442575 - Isolated latent tricuspid regurgitation caused by blunt trauma.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Seminars in thoracic and cardiovascular surgery     Volume:  20     ISSN:  1043-0679     ISO Abbreviation:  Semin. Thorac. Cardiovasc. Surg.     Publication Date:  2008  
Date Detail:
Created Date:  2008-04-18     Completed Date:  2008-07-29     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8917640     Medline TA:  Semin Thorac Cardiovasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  39-45     Citation Subset:  IM    
Division of Cardiothoracic Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229-3900, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Contusions / complications*,  radiography
Flail Chest / complications,  radiography,  surgery*
Fluid Therapy / adverse effects,  methods
Fracture Fixation / methods
Lung / radiography
Lung Injury*
Pulmonary Surfactants / therapeutic use
Respiration, Artificial / methods
Rib Fractures / surgery
Thoracic Surgical Procedures
Treatment Outcome
Reg. No./Substance:
0/Pulmonary Surfactants

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Great vessel and cardiac trauma: diagnostic and management strategies.
Next Document:  Esophageal trauma.