Chest wall stabilization in ventilator-dependent traumatic flail chest patients: who benefits?†
نویسندگان
چکیده
منابع مشابه
Surgical stabilization of traumatic flail chest.
Since 1970 we have stabilized the ribs to correct paradoxical movement of the chest wall in chest injuries, using an original technique, in order to avoid as far as possible the need for long-term chest wall stabilization by intermittent positive pressure respiration (IPPR). The technical details of surgical stabilization are described, and the different types of stainless steel struts are show...
متن کاملPrognostic factors in flail-chest patients.
OBJECTIVE The records of 250 patients presenting with flail-chest injury in a level I trauma centre were reviewed and analysed in order to determine prognostic factors. METHODS There were 250 consecutive trauma patients with flail chest, 183 men (73.2%) and 67 women (26.8%) ranging in age from 18 to 91 years, admitted to our hospital. The leading cause of injury was road traffic accident. One...
متن کاملAn original technique for surgical stabilisation of traumatic flail chest.
The treatment of chest wall injuries with severe paradoxical movement remains controversial. Intermittent positive-pressure respiration may be appropriate, but in some, especially those requiring exploratory thoracotomy for a visceral lesion, surgical fixation is desirable. We present a simple method using two or three stainless Kirschner wires placed in the chest wall. Results in five cases ha...
متن کاملA Case of Traumatic Flail Chest Requiring Stabilization with Surgical Reconstruction
Background Flail chest is the most serious complication that may occur after thoracic trauma. In this article, we present a case of flail chest caused by blunt chest trauma, which presented dramatic clinical improvement following rib fixation and chest wall reconstruction. Case Description A 53-year-old male patient with flail chest because of the trauma who had been followed in intensive care ...
متن کاملFlail Chest in Polytraumatized Patients: Surgical Fixation Using Stracos Reduces Ventilator Time and Hospital Stay
OBJECTIVES Conservative management of patients with flail chest is the treatment of choice. Rib fracture repair is technically challenging; however, with the advent of specially designed molding titanium clips, surgical management has been simplified. Surgical stabilization has been used with good outcomes. We are reporting on our institutional matched-case-control study. METHODS Between Apri...
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ژورنال
عنوان ژورنال: European Journal of Cardio-Thoracic Surgery
سال: 2016
ISSN: 1010-7940,1873-734X
DOI: 10.1093/ejcts/ezw365