A Rare and Serious Syndrome That Requires Attention in Emergency Service: Traumatic Asphyxia

Gülbahar, Gültekin; Kaplan, Tevfik; Gundogdu, Ahmet Gokhan; Baran, Hatice; Kazanci, Burak; Koçer, Bülent; Han, Serdar

doi:10.1155/2015/359814

Cited by 5 publications

(6 citation statements)

References 10 publications

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“…These implants include locking plates, splints (MatrixRIB, Synthes), U plates, claw-like plates, absorbable plates, Judet struts, mesh wrap, memory alloy embracing fixators and other plates (22,25). Pure titanium plates have a competitive advantage in surgery for severe rib fractures; according to the bio-engineering research, pure titanium has good histocompatibility (26,27). Moreover, these patients can undergo magnetic resonance (MR) scan or CT scan after surgery, with no need for plate removal for life.…”

Section: Discussionmentioning

confidence: 99%

Surgical versus conservative therapy for multiple rib fractures: a retrospective analysis

Liu¹,

Xu²,

Qi³

et al. 2018

Ann. Transl. Med

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Background: In this study, we aimed to evaluate the clinical effects of multiple rib fracture treatments using a rib plate fixator. Methods: From June 2014 to December 2016, 110 cases of patients with multiple rib fractures were collected for our study from the 105th Hospital of PLA; 59 patients were treated by surgery, and 51 patients received conservative treatment. We compared surgical rib plate fixation with conservative treatment for patients with multiple rib fractures. Results: The hospital stay for the surgical group was 13.12±4.21 days, whereas for the conservative group, it was 18.57±5.39 days (P<0.001). The duration of the thoracic intensive care unit (ICU) stay was 4.02±1.41 days in the surgical group and 5.06±1.80 days in the conservative group (P=0.001). The indwelling thoracic drainage tube time was 5.85±1.52 days in the surgical group and 8.26±1.96 days in the conservative group (P<0.001). The index of partial pressure of arterial oxygen (PaO 2) was 91.05±10.88 mmHg 24 h after surgery whereas 86.49±11.69 mmHg 24 h after conservative treatment (P=0.036). The index of partial pressure of carbon dioxide (PaCO 2) was 37.80±2.86 mmHg 24 h after surgery and it was 39.08±2.46 mmHg 24 h after conservative treatment. The hospitalization cost was 6,206.44±371.42 USD for the surgical group and 4,544.61±524.79 USD for the conservative group (P<0.001). The number of rib displacement cases after treatment was 1 case in the surgical group and 2 cases in the conservative group (P=0.475). Atelectasis occurred in 10 cases in the surgical group and in 17 cases in the conservative group (P=0.046). Delayed hemopneumothorax occurred in 7 cases in the surgical group and in 16 cases in the conservative group (P=0.012). Conclusions: Surgical treatment is a safe and effective therapy for multiple rib fractures. Our data suggested that surgical treatment can significantly shorten the patients' pain-endurance time, hospitalization time, and can reduce complication incidence. Severe rib fracture patients might benefit from surgical fixation.

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Section: Discussionmentioning

confidence: 99%

Surgical versus conservative therapy for multiple rib fractures: a retrospective analysis

Liu¹,

Xu²,

Qi³

et al. 2018

Ann. Transl. Med

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“…Ezenkívül használatosak a traumás cyanosis, kompressziós cyanosis, traumás apnoea, Oliver-szindróma és Perth-szindróma megnevezések [1,3]. Az esetek többségében súlyos mellkasi-hasi traumák következtében alakul ki, de megjelenhet asthmás és epilepsziás roham, erős hányás, paroxysmalis köhögés vagy venajugularis-obstrukció következményeként is [3,4]. A traumás asphyxiát cervicofacialis cyanosis és oedema, kötőhártya-bevérzés, a fej, a nyak, illetve a felső mellkas szintjén jelentkező petechiák jellemzik, amelyek a kompressziós erő hatására alakulnak ki [6].…”

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“…Több súlyos, életet veszélyeztető sérülés együttes fennállása jellemzi. Mivel a trauma érinti a mellkast, a mediastinumot és a hasüreg felső régióját, tüdőcontusiót, haemopneumothoraxot, ablakos bordatörést, máj-és léplaceratiót okozhat [3,4]. Myoglobinuria, rhabdomyolysis és akut vese tubulushám nekrózis akkor fordul elő, ha nagyobb izomcsoportok zúzódása is társul [1].…”

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Traumás asphyxia maradandó látásvesztéssel

Kántor¹,

Grigorescu²,

Popescu³

et al. 2017

Orvosi Hetilap

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Traumatic asphyxia is a rare condition that occurs after compressive thoracoabdominal trauma, which is characterized by subconjunctival hemorrhage, cervicofacial cyanosis, edema and petechiae. Serious life-threatening thoracic and abdominal injuries may coexist. After conservatory treatment in most cases complete recovery is achieved, but in isolated cases permanent neurological lesions may occur. We present the case of the 39-year-old male patient who suffered a compressive thoracoabdominal trauma. The physical examination showed the characteristic "ecchymotic mask". After surgical treatment of the abdominal injuries and intensive therapy the patient was discharged with permanent vision loss. The high retrograde venous pressure in the head and neck may be associated with neuronal ischemia, which can lead to irreversible optic nerve atrophy. It is therefore important to carry out an early, routine and complete ophtalmologic examination, especially in the intubated and poorly cooperative patients. Orv Hetil. 2017; 158(22): 864-868.

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“…It is a rare syndrome, first described in 1937 by Oliver d'Angers as the ecchymotic mask. Others names are also used to describe this syndrome: Traumatic cyanosis, compressive cyanosis, traumatic apnea, Oliver's syndrome, and Perthes syndrome [1,2].…”

Section: Discussionmentioning

confidence: 99%

“…Oxygen therapy and fluid replacement need to be initiated and the patient shall be intubated and followed on mechanical ventilation as needed [1]. The management should include the elevation of the head at 30 degrees; and specific treatments may be needed for associated injuries.…”

Section: Discussionmentioning

confidence: 99%

Traumatic asphyxia: A rare syndrome in trauma children

Berdaï¹,

Labib²,

Harandou³

2017

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations.

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A Rare and Serious Syndrome That Requires Attention in Emergency Service: Traumatic Asphyxia

Cited by 5 publications

References 10 publications

Surgical versus conservative therapy for multiple rib fractures: a retrospective analysis

Surgical versus conservative therapy for multiple rib fractures: a retrospective analysis

Traumás asphyxia maradandó látásvesztéssel

Traumatic asphyxia: A rare syndrome in trauma children

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