Blast lung injury: clinical manifestations, treatment, and outcome

Avidan, Vered; Hersch, Moshe; Armon, Yaron; Spira, Ram M.; Aharoni, Dorit; Reissman, Petachia; Schecter, William P.

doi:10.1016/j.amjsurg.2005.08.022

Cited by 123 publications

(65 citation statements)

References 14 publications

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“…If patients survive the initial phase of injury, outcome has been reported as good, with 76 per cent of patients in one study reporting no symptoms at follow-up telephone interview [11]. Novel strategies for the management of blast lung are needed if these patients, who as demonstrated are becoming increasingly common in deployed medical units, are to be treated optimally.…”

Section: Discussionmentioning

confidence: 99%

The epidemiology of blast lung injury during recent military conflicts: a retrospective database review of cases presenting to deployed military hospitals, 2003–2009

Smith

2011

Phil. Trans. R. Soc. B

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Blast injuries are becoming increasingly common in military conflicts as the nature of combat changes from conventional to asymmetrical warfare and counter-insurgency. This article describes a retrospective database review of cases from the UK joint theatre trauma registry from 2003 to 2009, containing details of over 3000 patients, mainly injured in Iraq and Afghanistan. During this period, 1678 patients were injured by explosion of whom 113 had evidence of blast lung injury. Of the 50 patients who survived to reach a medical facility, 80 per cent required ventilatory support. Injuries caused by explosion are increasing when compared with those caused by other mechanisms, and blast lung represents a significant clinical problem in a deployed military setting. Management of these patients should be optimized from point of wounding to definitive care.

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Section: Discussionmentioning

confidence: 99%

The epidemiology of blast lung injury during recent military conflicts: a retrospective database review of cases presenting to deployed military hospitals, 2003–2009

Smith

2011

Phil. Trans. R. Soc. B

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“…One possible cause of the higher rate of PTSD among terrorist bomb victims is the higher likelihood of greater injury from an explosion. Terrorist bomb attacks in the civilian setting can result in blast-related lung damage with the need for subsequent mechanical ventilation [52] or surgical repair of traumatic injuries [53]. Compared with civilian trauma from nonterrorist causes, victims of terrorist explosive attacks were more likely to experience injury to more than one body region, to have a longer hospital or intensive care unit (ICU) length of stay, to have a greater injury severity score, and to require posthospital rehabilitation [54].…”

Section: Blast Injury As Novel Injury Cause In Combat Veteransmentioning

confidence: 99%

Review: Managing posttraumatic stress disorder in combat veterans with comorbid traumatic brain injury

Capehart¹,

Bass²

2012

JRRD

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“…In blast injuries sudden rise in intrathoracic pressure causes alveolar disruption and parenchymal bleeding. When these patients are placed on mechanical ventilation pneumothorax and, air embolism can occur as complications [6].…”

Section: Pulmonary Injuriesmentioning

confidence: 99%

Management of Warfare Chest Injuries

Mohan

2010

Medical Journal Armed Forces India

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About 15"" of war injuries involve the cbest. Fortunately 85"" of patients sustaining cbest injuries that reacb medical facility will require clinical observation or a simple procedure like tube thoracostomy. Only one in six patients has life-threatening injuries that necessitate urgent operative repair. Early deaths are caused by airway obstruction, major respiratory problems such as tension pneumothorax or massive hemothorax, and cardiac tamponade. These conditions are easily managed if recognized promptly. Diagnosis and management of various components of chest injury requires clear judgment and indepth knowledge of pathopbysiological mechanisms involved. Tbe therapeutic goal in the war scenario is to restore normal pbysiology and thereby to restore cardiac and pulmonary function and evacuate the patient after stabilization. MJAFI 2010; 66 : 329-332

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Blast lung injury: clinical manifestations, treatment, and outcome

Cited by 123 publications

References 14 publications

The epidemiology of blast lung injury during recent military conflicts: a retrospective database review of cases presenting to deployed military hospitals, 2003–2009

The epidemiology of blast lung injury during recent military conflicts: a retrospective database review of cases presenting to deployed military hospitals, 2003–2009

Review: Managing posttraumatic stress disorder in combat veterans with comorbid traumatic brain injury

Management of Warfare Chest Injuries

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