PMID: 376231Apr 1, 1979Paper

Early and late results of controlled ventilation in flail chest

Chest
P ChristenssonN M Ohlsson

Abstract

From 1967 through 1974, a consecutive series of 35 patients with flail chest were treated with intermittent positive-pressure breathing (IPPB). The controlled ventilation contributed to stabilization of the thoracic cage in a favorable position for healing of the fractures. Surgical stabilization of the chest was not attempted in any of the cases. During treatment with IPPB, one patient died from profuse bleeding due to a generalized coagulation disorder, but the remaining 34 were discharged in a satisfactory respiratory condition. A late follow-up study of the pulmonary function one to eight years after the trauma included x-ray films of the trachea and lungs, kymographic studies of the diaphragm, spirometric and radiospirometric testing, and arterial blood gas levels. Eighteen patients were examined. Spirometric testing revealed astonishingly little impairment of the total pulmonary function. The radiospirometric studies with 133xenon showed a significant reduction of the regional perfusion only in five patients (2 to 4.5 pulmonary segments). Kymographic study of the diaphragm gave no further information and was less selective compared with the other tests of pulmonary function. Owing to the encouraging early and late results...Continue Reading

References

Dec 1, 1976·American Journal of Surgery·S R ShackfordR W Virgilio
Oct 1, 1975·Thorax·F ParísR Montero
Jan 11, 1975·Respiration; International Review of Thoracic Diseases·M ArboreliusJ Senyk
Jan 1, 1974·Scandinavian Journal of Thoracic and Cardiovascular Surgery·A HallénS Nordlund
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Aug 1, 1973·The Journal of Trauma·M Relihan, M S Litwin
Feb 1, 1971·The Journal of Trauma·E BlairJ H Davis
Oct 1, 1963·American Journal of Surgery·J F HOWELLG L JORDAN

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Citations

Apr 11, 2013·Intensive Care Medicine·D ChiumelloD Consonni
Sep 1, 1989·Injury·J L SvennevigH E Refsum
Mar 1, 1982·Intensive Care Medicine·M DittmannG Wolff
Apr 19, 2008·Seminars in Thoracic and Cardiovascular Surgery·Renata BastosClinton E Baisden
Sep 19, 2008·Pediatric Blood & Cancer·Marco PiastraDomenico Pietrini
Dec 27, 2012·The Journal of Trauma and Acute Care Surgery·Bruce SimonUNKNOWN Eastern Association for the Surgery of Trauma
Jan 1, 1982·Langenbecks Archiv für Chirurgie·H Langenstein, G Wolff

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