Document Detail

Modern concepts in the management of flail chest.
MedLine Citation:
PMID:  1505409     Owner:  NLM     Status:  MEDLINE    
Seven patients with varying degrees of paradoxical chest wall movement (flail chest) were managed conservatively at the University of Port Harcourt Teaching Hospital with frusemide, methylprednisolone, non administration of crystalloid fluids and limitation of fluid intake. Patients showed considerable improvement within the first 24-48 hours which was sustained throughout the period of management. All seven survived and showed no signs of respiratory distress in the resting state or while performing simple exercise. One patient however had slight to moderate chestwall deformity.
E D Mangete; B B Kombo; U Igbaseimokumo; R N Nwosu
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  East African medical journal     Volume:  69     ISSN:  0012-835X     ISO Abbreviation:  East Afr Med J     Publication Date:  1992 Mar 
Date Detail:
Created Date:  1992-09-23     Completed Date:  1992-09-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372766     Medline TA:  East Afr Med J     Country:  KENYA    
Other Details:
Languages:  eng     Pagination:  167-70     Citation Subset:  IM    
Department of Surgery, University of Port Harcourt Teaching Hospital, Nigeria.
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MeSH Terms
Anti-Bacterial Agents / therapeutic use
Chest Tubes
Clinical Protocols / standards*
Flail Chest / physiopathology,  radiography,  therapy*
Furosemide / therapeutic use
Hospitals, University
Methylprednisolone / therapeutic use
Retrospective Studies
Treatment Outcome
Reg. No./Substance:
0/Anti-Bacterial Agents; 54-31-9/Furosemide; 83-43-2/Methylprednisolone

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

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