Penetrating Injuries to the Lung and Heart: Resuscitation, Diagnosis, and Operative Indications

Scott, Mark F.; Sava, Jack

doi:10.1007/s40719-015-0025-8

Cited by 4 publications

(2 citation statements)

References 78 publications

(77 reference statements)

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“…As a result, the patient’s height should be taken into consideration. Colombians are generally shorter than Europeans, therefore 15 mm is more significant in Latin Americans than in North Americans, for example [ 20 ] ( Table 1 ). In the context of trauma, if the pericardial US exhibits the presence of significant pericardial fluid, it should be considered positive and be managed with surgical exploration.…”

Section: Resultsmentioning

confidence: 99%

Video-Assisted Thoracoscopy For Penetrating Cardiac Box Injury in Stable Patients

Vinck¹,

Ángel²,

Barrios³

et al. 2021

Braz J Cardiovasc Surg

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Introduction In high-volume trauma centers, especially in developing countries, penetrating cardiac box injuries are frequent. Although many aspects of penetrating chest injuries have been well established, video-assisted thoracoscopy is still finding its place in cardiac box trauma and algorithmic approaches are still lacking. The purpose of this manuscript is to provide a streamlined recommendation for penetrating cardiac box injury in stable patients. Methods Literature review was carried out using PubMed/MEDLINE and Google Scholar databases to identify articles describing the characteristics and concepts of penetrating cardiac box trauma, including the characteristics of tamponade, cardiac ultrasound, indications and techniques of pericardial windows and, especially, the role of video-assisted thoracoscopy in stable patients. Results Penetrating cardiac box injuries, whether by stab or gunshot wounds, require rapid surgical consultation. Unstable patients require immediate open surgery, however, determining which stable patients should be taken to thoracoscopic surgery is still controversial. Here, the classification of penetrating cardiac box injury used in Colombia is detailed, as well as the algorithmic approach to these types of trauma. Conclusion Although open surgery is mandatory in unstable patients with penetrating cardiac box injuries, a more conservative and minimally invasive approach may be undertaken in stable patients. As rapid decision-making is critical in the trauma bay, surgeons working in high-volume trauma centers should expose themselves to thoracoscopy and always consider this possibility in the setting of penetrating cardiac box injuries in stable patients, always in the context of an experienced trauma team.

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Section: Resultsmentioning

confidence: 99%

Video-Assisted Thoracoscopy For Penetrating Cardiac Box Injury in Stable Patients

Vinck¹,

Ángel²,

Barrios³

et al. 2021

Braz J Cardiovasc Surg

View full text Add to dashboard Cite

show abstract

“…Blunt trauma chest is generally considered less deadly than penetrating chest trauma, especially when the force of impact is close to the heart and the pericardium. Penetrating chest trauma occurs mostly due to stabbing, gunshots, blast injuries fragments, industrial accidents, collisions, and falls from height [1] .…”

Section: Introductionmentioning

confidence: 99%