Contemporary management of flail chest Journal Article


Authors: Vana, P. G.; Neubauer, D. C.; Luchette, F. A.
Article Title: Contemporary management of flail chest
Abstract: Thoracic injury is currently the second leading cause of trauma-related death and rib fractures are the most common of these injuries. Flail chest, as defined by fracture of three or more ribs in two or more places, continues to be a clinically challenging problem. The underlying pulmonary contusion with subsequent inflammatory reaction and right-to-left shunting leading to hypoxia continues to result in high mortality for these patients. Surgical stabilization of the fractured ribs remains controversial. We review the history of management for flail chest alone and when combined with pulmonary contusion. Finally, we propose an algorithm for nonoperative and surgical management.
Journal Title: The American Surgeon
Volume: 80
Issue: 6
ISSN: 1555-9823; 0003-1348
Publisher: Unknown  
Journal Place: United States
Date Published: 2014
Start Page: 527
End Page: 535
Language: eng
Notes: JID: 0370522; ppublish
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