Complications Following Blunt and Penetrating Injuries in 216 Victims of Chest Trauma Requiring Tube Thoracostomy

Helling, Thomas S.; Gyles, N. R.; Eisenstein, Caren L.; Soracco, Charisse A.

doi:10.1097/00005373-198910000-00013

Cited by 144 publications

(80 citation statements)

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“…These findings were in accordance with the studies Helling and Mattox, in which road traffic accidents constituted the maximum number of cases. 7,8 The incidence of isolated rib fractures was found to be (15.68%) in this study which was comparable to other studies ranging from 6-12% by different studies. The majority of patients (45.08%) had fractures of 3-4 ribs and a good number of patients had fracture of either one or two ribs, most of them were managed by analgesics and observation with serial check X-rays of the chest.…”

Section: Discussionsupporting

confidence: 88%

A prospective study of chest injuries and associated complications with special reference to surgical emphysema

2018

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Background: Chest trauma (or thoracic trauma) is a serious injury of the chest. Thoracic injuries may present extremely dramatic clinical problem that demand rapid diagnosis, decision making and aggressive management. Thoracic injuries can range from simple single rib fracture to major thoracic vessel injury and pulmonary contusion.Objective of this study was to describe the clinical characteristics and risk factors of thoracic trauma patients, and to evaluate their relationship in the development of complications with special emphasis to surgical emphysema.Methods: Descriptive, prospective and analytical study of a cohort of patients with thoracic trauma who were followed up for a period of 30 days. Excluded from the study were those patients with moderate to severe cranio-encephalic trauma, long bone fractures, abdominal trauma, and patients who required mechanical ventilation.Results: A total of 102 patients met the inclusion criteria out of which 90(88.23%)patients were male and 12(11.77%) female with male to female ratio of 7.5:1. Patients having surgical emphysema were all male 21(21.56%). Most common mode of the injury seen was road traffic accidents in 80 (80.95%) patients, followed by assault in 9(9.52%) patients, bull horn injury and fall from height in 4(4.76%) patients. Other chest injury which was most commonly associated with surgical emphysema was haemothorax in 11(52.38%) patients, followed by pneumothorax in 7(33.33%) patients, pulmonary contusion in 6(28.57%) patients and flail chest in 3(14.26%) patients. The risk of complications increases significantly in patients with more than 2 rib fractures, in older patients and in the presence of some comorbidities such as COPD and pathologies that require anticoagulation. The risk of re-admittance is greater in patients older than 60 years.Conclusions: Patients with thoracic trauma who present with co-morbidities, are older than 60 years and have more than 2 ribs fractures may present with more complications. These factors should be contemplated in the evaluation, management and follow-up of these subjects.

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Section: Discussionsupporting

confidence: 88%

A prospective study of chest injuries and associated complications with special reference to surgical emphysema

2018

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“…1 These findings were in accordance with the studies of Helling and Mattox, in which road accidents constituted the maximum number of cases. 3,4 The right side of the chest was involved commonly. The higher percentage of younger age group patients in the present study is comparable to studies of Muckart and Locurto et al Males outnumbered females by a huge margin because of their greater exposure to outdoor activities like drivers, industrial workers and labourers etc.…”

Section: Discussionmentioning

confidence: 99%

Blunt trauma chest: our experience at rural tertiary care centre

Sharma

Jhanwar

Sharma³

et al. 2016

Int Surg J

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“…3 Chest tube thoracostomy is a common ED procedure and an essential treatment for patients with tension pneumothorax, but complications occur in 1% to 36% of patients. [4][5][6][7][8] Early complications include tube malposition, kinking, clogging, dislodgement, subcutaneous emphysema, persistent pneumothorax and intercostal nerve, artery or vein injury. 1,9 Direct trauma to the lung, heart, aorta, pulmonary artery or vein, oesophagus, sympathetic trunk, long thoracic nerve, phrenic nerve, thoracic duct, diaphragm, stomach, spleen, liver and hepatic vein have been also been reported.…”

Section: Discussionmentioning

confidence: 99%

An unusual complication of chest tube thoracostomy

Poncia

Ryan²

2000

CJEM

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This paper describes a previously unreported complication of chest tube thoracostomy: scalpel blade dislodgement within the pleural space. Techniques and complications of chest tube thoracostomy are then discussed. RÉSUMÉ :Le présent article décrit le cas d'une complication non signalée jusqu'à présent d'un déplacement dans l'espace pleural de la lame de scalpel utilisée pour une thoracotomie. Les techniques et les complications de la thoracotomie sont ensuite discutées. CASE REPORTS • OBSERVATIONS An unusual complication of chest tube thoracostomyHugo Poncia, MD;* John M. Ryan, MD † Case reportAn obese 67-year-old man with asthma, angina and hypertension presented to the emergency department (ED) complaining of having had a "cold" for 2 days, wheezing for 18 hours and experiencing acute shortness of breath that began 2 hours prior to presentation. On examination, he was diaphoretic and had difficulty speaking. Vital signs included a respiratory rate of 33 breaths/min, pulse of 100 beats/min and blood pressure of 224/119 mm Hg. Oxygen saturation was 88% on room air and improved to 94% with 60% mask oxygen. There was audible wheezing, a tracheal tug and intercostal recession. Peak expiratory flow rate was 100 L/min and arterial blood gas analysis revealed a pH of 7.31, a PCO 2 of 59.3 mm Hg and a PO 2 of 95.6 mm Hg.

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Complications Following Blunt and Penetrating Injuries in 216 Victims of Chest Trauma Requiring Tube Thoracostomy

Cited by 144 publications

References 0 publications

A prospective study of chest injuries and associated complications with special reference to surgical emphysema

A prospective study of chest injuries and associated complications with special reference to surgical emphysema

Blunt trauma chest: our experience at rural tertiary care centre

An unusual complication of chest tube thoracostomy

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