Management of the crushed chest

    Research output: Contribution to journalArticle

    18 Scopus citations

    Abstract

    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 associated injuries. New ventilatory strategies permit oxygenation of the severely hypoxic patient. Acute pain management modalities offer the potential of decreasing associated pulmonary complications. Surgical chest wall fixation is clearly indicated in extreme cases of pulmonary herniation and chest wall disruption. There are potential benefits of surgical fixation in other settings, although further trials are needed.

    Original languageEnglish (US)
    Pages (from-to)S469-S477
    JournalCritical care medicine
    Volume38
    Issue numberSUPPL. 9
    DOIs
    StatePublished - Sep 2010

    Keywords

    • acute respiratory distress syndrome
    • airway pressure release ventilation
    • flail chest
    • high-frequency oscillatory ventilation
    • pulmonary contusion
    • rib fracture
    • trauma

    ASJC Scopus subject areas

    • Critical Care and Intensive Care Medicine

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