Management of the crushed chest

    Research output: Contribution to journalArticle

    18 Citations (Scopus)

    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)
    JournalCritical Care Medicine
    Volume38
    Issue numberSUPPL. 9
    DOIs
    StatePublished - Sep 2010

    Fingerprint

    Thoracic Injuries
    Thoracic Wall
    Thorax
    Wounds and Injuries
    Lung
    Acute Pain
    Pain Management
    Mechanics
    Patient Care
    Morbidity
    Mortality

    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
    • Medicine(all)

    Cite this

    Management of the crushed chest. / Kiraly, Laszlo; Schreiber, Martin.

    In: Critical Care Medicine, Vol. 38, No. SUPPL. 9, 09.2010.

    Research output: Contribution to journalArticle

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