Flail chest and pulmonary contusion

Seminars in Thoracic and Cardiovascular Surgery
Renata BastosClinton E Baisden

Abstract

Flail chest is most often accompanied by a significant underlying pulmonary parenchymal injury and can be a life-threatening thoracic injury. Its management is often complicated by the other injuries it is frequently associated with. Similarly, mortality and morbidity are dictated most often by the associated injuries and findings. Its treatment is complex and should first be one of pain management, judicious fluid resuscitation, and excellent pulmonary toilet. In those patients requiring mechanical ventilatory support, or who require ipsilateral thoracocotomy, rib stabilization may be considered depending on a host of potentially conflicting indications and contraindications. At the end of this section are listed the current major recommendations and their levels of evidence.

Associated Clinical Trials

References

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Citations

Oct 1, 2014·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·S RobertsR N Rodseth
Sep 27, 2014·The Journal of Surgical Research·Ke-Nan HuangHua Tang
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Oct 24, 2014·AACN Advanced Critical Care·John J Gallagher
Jan 1, 2011·The Canadian Journal of Plastic Surgery = Journal Canadien De Chirurgie Plastique·Steven T LanierAlexander B Dagum
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Jul 8, 2020·The Thoracic and Cardiovascular Surgeon·Hüseyin Ulaş Çınar, Burçin Çelik
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May 13, 2021·Emergency Medicine International·Parviz MardaniKeivan Ranjbar
May 22, 2021·The Journal of Trauma and Acute Care Surgery·Marissa Di NapoliEvert Eriksson

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