2011
DOI: 10.1055/s-0030-1250597 View full text |Buy / Rent full text
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Abstract: Early intubation and mechanical ventilation is of paramount importance in patients with flail chest. However, prolonged mechanical ventilation is associated with a poor outcome. Tracheotomy and frequent flexible bronchoscopy are an effective pulmonary toilet. Advanced age was a major risk factor for flail chest trauma mortality, together with the severity of the injury. When cranial trauma was accompanied by flail chest, mortality and morbidity rates increased. Bilateral costochondral separation also increased… Show more

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“…As a result of the severity of the influence on the human body, the number of ribs involved as well as the number of fractures per rib usually increase so that instability can be increased to a dramatic extent and become life-threatening. The dependence of the fracture locus of the ribs was already shown by Kilic, when he compared bilateral anteriorly with lateral fractures in the outcome (13). The position of the sternum fracture also plays a role in the risk of concomitant intrathoracic injuries as well as in the overall outcome, as Scheyerer showed (14).…”
Section: Introductionmentioning
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rupbmjkragerfmgwileyiopcupepmcmbcthiemesagefrontiersapsiucrarxivemeralduhksmucshluniversity-of-gavle
“…As a result of the severity of the influence on the human body, the number of ribs involved as well as the number of fractures per rib usually increase so that instability can be increased to a dramatic extent and become life-threatening. The dependence of the fracture locus of the ribs was already shown by Kilic, when he compared bilateral anteriorly with lateral fractures in the outcome (13). The position of the sternum fracture also plays a role in the risk of concomitant intrathoracic injuries as well as in the overall outcome, as Scheyerer showed (14).…”
Section: Introductionmentioning
“…Costochondral separation, especially when bilateral, has been associated with an increased risk of morbidity and an increased need for mechanical ventilation. 10 Th ese injuries may also be associated with lung herniation 11 and underlying solid organ injury. 12 Such fractures can present a diagnostic challenge because they are not readily apparent on plain chest radiography and may require advanced CT scanning to diagnose and characterize the injury.…”
Section: Discussionmentioning
“…1 In a more recent report, 2 there was no mortality in patients with only flail chest. This condition not extensively reported.…”
Section: Introductionmentioning