Document Detail


Flail chest and pulmonary contusion.
MedLine Citation:
PMID:  18420125     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Renata Bastos; John H Calhoon; Clinton E Baisden
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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    
Affiliation:
Division of Cardiothoracic Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229-3900, USA. bastos@uthscsa.edu
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MeSH Terms
Descriptor/Qualifier:
Contusions / complications*,  radiography
Flail Chest / complications,  radiography,  surgery*
Fluid Therapy / adverse effects,  methods
Fracture Fixation / methods
Humans
Lung / radiography
Lung Injury*
Pulmonary Surfactants / therapeutic use
Respiration, Artificial / methods
Rib Fractures / surgery
Thoracic Surgical Procedures
Treatment Outcome
Chemical
Reg. No./Substance:
0/Pulmonary Surfactants

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


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