Relationship of Arterial Blood Gases and Pulmonary Radiographs to the Degree of Pulmonary Damage in Experimental Pulmonary Contusion

Erickson, Daryl R.; Shinozaki, Tamotsu; Beekman, Ellen; Davis, John H.

doi:10.1097/00005373-197108000-00007

Cited by 44 publications

(15 citation statements)

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“…In contrast, Tyburski et al described an impact of the PCS only in case of an increase in the severity of lung contusions during the first 24 h after trauma [17], as pulmonary contusions are frequently underestimated in the initial chest radiography in the emergency department [26][27][28][29][30][31]. In addition, only onethird of lung contusions are visible on the plain chest radiographs at the time of admission [32]. In the present study, we found no relevant underestimating of the severity of pulmonary contusions according to the PCS at the time of admission.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Different Thoracic Trauma Scoring Systems in Regards to Prediction of Post-Traumatic Complications and Outcome in Blunt Chest Trauma

Mommsen

Zeckey

Andruszkow

et al. 2012

Journal of Surgical Research

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Section: Discussionmentioning

confidence: 99%

Comparison of Different Thoracic Trauma Scoring Systems in Regards to Prediction of Post-Traumatic Complications and Outcome in Blunt Chest Trauma

Mommsen

Zeckey

Andruszkow

et al. 2012

Journal of Surgical Research

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“…Likewise, in a review of 144 patients, in ventilated patients no statistically significant difference could be found between the Horovitz quotient on admission and at discharge from the intensive care unit [1]. Erickson et al [85] and Voggenreiter et al [86] showed that the Horovitz quotient had only a minor relation to the size of lung contusion. In summary, it has to be said that the blood gas analysis alone does not reflect the overall degree of pulmonary injury.…”

Section: Arterial Blood Gasesmentioning

confidence: 96%

“…An increase in the severity of lung contusion during this period was associated with a higher mortality and an extended duration of mechanical ventilation. Also Erickson et al [85], Shulman & Samuels [95], and Thompson et al [96] classified lung contusions in their publications.…”

Section: Ct-independent Score (Tybursky Et Al)mentioning

confidence: 99%

Diagnostics and Scoring in Blunt Chest Trauma

Hildebrand

Griensven

Garapati

et al. 2002

European Journal of Trauma

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Background: Blunt chest trauma is frequently present in patients with multiple trauma. In polytraumatized patients thoracic injuries have significant influence on the treatment strategy, not only in the emergency room but also in the intensive care unit. They also affect the decision-making concerning fracture management. The vital role played by blunt chest trauma in the outcome after multiple injuries is highlighted by the fact that polytraumatized patients with severe thoracic trauma have a higher mortality rate than patients with the same injury severity without thoracic trauma. Diagnostics and Injury Severity: Within the broad category of thoracic trauma, there are many different types of injuries. Therefore it is crucial for the treating physician to promptly make the correct diagnosis and to quantify the severity of the injury. This will allow the selection of an appropriate treatment protocol and ensure the best possible outcome for the patient. Scoring Systems: Additionally, various treatment protocols for management can only be evaluated scientifically if the assessment of the trauma severity is standardized. Thus, a reliable CT-independent classification of the severity of thoracic trauma is essential. The "Thoracic Trauma Severity Score" (TTS) is a CT-independent classification of thoracic trauma that is reliable and can be performed quickly in the emergency room. This will allow for adequate treatment of thoracic trauma and the prevention of secondary complications.

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“…Johnson et al (7) reported that contusions involving three or more lung lobes were not associated with an increased incidence of ventilatory support or death compared with contusions involving less than three lobes. Also, Erickson et al (8) found that the volume of lung contusion had no relation to arterial partial pressure of oxygen (PaO 2 ) in monkeys. A pulmonary contusion score incorporating the number of lobes with contusion has been reported to improve prognostication (9).…”

Section: Introductionmentioning

confidence: 99%

The Evolution of Isolated Bilateral Lung Contusion From Blunt Chest Trauma in Rats: Cellular and Cytokine Responses

Raghavendran¹,

Davidson²,

Woytash

et al. 2005

Shock

114

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Lung contusion is the leading cause of death from blunt thoracic trauma in adults, but its mechanistic pathophysiology remains unclear. This study uses a recently developed rat model to investigate the evolution of inflammation and injury in isolated lung contusion. Bilateral lung contusion with minimal cardiac trauma was induced in 54 anesthetized rats by dropping a 0.3-kg hollow cylindrical weight onto a precordial shield (impact energy, 2.45 Joules). Arterial oxygenation, pressure-volume (P-V) mechanics, histology, and levels of erythrocytes, leukocytes, albumin, and inflammatory mediators in bronchoalveolar lavage (BAL) were assessed at 8 min, at 4, 12, 24, and 48 h, and at 7 days after injury. The role of neutrophils in the evolution of inflammatory injury was also specifically studied by depleting these cells with intravenous vinblastine before lung contusion. Arterial oxygenation was severely reduced at 8 min to 24 h postcontusion, but became almost normal by 48 h. Levels of erythrocytes, leukocytes, and albumin in BAL were increased at

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Relationship of Arterial Blood Gases and Pulmonary Radiographs to the Degree of Pulmonary Damage in Experimental Pulmonary Contusion

Cited by 44 publications

References 0 publications

Comparison of Different Thoracic Trauma Scoring Systems in Regards to Prediction of Post-Traumatic Complications and Outcome in Blunt Chest Trauma

Comparison of Different Thoracic Trauma Scoring Systems in Regards to Prediction of Post-Traumatic Complications and Outcome in Blunt Chest Trauma

Diagnostics and Scoring in Blunt Chest Trauma

The Evolution of Isolated Bilateral Lung Contusion From Blunt Chest Trauma in Rats: Cellular and Cytokine Responses

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