Shock and Acute Respiratory Failure After Chest Trauma

Wilson, Robert F.; Gibson, Dennis B.; Antonenko, David R.

doi:10.1097/00005373-197709000-00006

Cited by 20 publications

(8 citation statements)

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“…The main reason for this wide range is the wide range of clinical manifestations, the inadequacy of diagnostic methods, and the lack of a gold standard in the diagnosis [4]. It is well known that the mortality rate increases as the incidence of myocardial injury increases in BTTs [5]. Recent advances may reduce deaths attributable to misdiagnosis, late diagnosis, and the secondary stress of highly invasive therapies.…”

Section: Introductionmentioning

confidence: 99%

Assessment of cardiac injury in patients with blunt chest trauma

Emet

Aköz

Aslan

et al. 2010

Eur J Trauma Emerg Surg

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Section: Introductionmentioning

confidence: 99%

Assessment of cardiac injury in patients with blunt chest trauma

Emet

Aköz

Aslan

et al. 2010

Eur J Trauma Emerg Surg

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“…Wilson et al stated that the need for intubation in patients with chest trauma was 11 %, and the mortality rate for these patients was 58 % [4]. The indications for intubation include pathologies such as large parenchymal injury, acute respiratory distress syndrome, flail chest, and multiple injuries.…”

Section: Discussionmentioning

confidence: 99%

“…Supportive care such as pain control, volume replacement, antibiotics, mechanical ventilation, and surgical treatment methods like tube thoracostomy, thoracotomy, video-assisted thoracoscopic surgery (VATS), and sternotomy are performed in patients with thoracic trauma [1,[3][4][5].…”

Section: Introduction and Purposementioning

confidence: 99%

Study of 433 Operated Cases of Thoracic Trauma

Çakmak

Kandemir

2015

Indian J Surg

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Patients with thoracic trauma constitute one third of all the trauma cases. Of traumatic patients, 20-25 % die because of thoracic trauma. Our aim was to compare our clinical experience and the results with the related literature. Four hundred thirty-three patients, who underwent surgical interventions due to thoracic trauma, were evaluated. The latest form of treatment applied were taken as the criteria for the quantitative detection of patients. Continuous variables were expressed as mean±standard deviation, while categorical variables were explained as number and percentage. The significance of the analysis results was evaluated using Fisher's exact test. p values <0.05 were considered as significant. Penetrating injuries were found in 258 (59 %) of the patients, and blunt trauma was identified in 175 (41 %). Depending on the trauma, pneumothorax was discovered in 130 patients (30.02 %), hemothorax in 117 (27.02 %), hemopneumothorax in 61 (14.08 %), pulmonary contusion in 110 (45 %), pneumomediastinum in 14 (3.23 %), and pericardial tamponade in 1 patient (0.23 %). It was demonstrated that 385 of 433 patients examined in the study underwent tube thoracostomy, 41 were treated with thoracotomy, while 6 of them underwent video-assisted thoracoscopic surgery (VATS), and 1 underwent sternotomy. No correlation was observed between mortality, morbidity, and gender and type of trauma and location of trauma (p>0.05). However, statistically significant correlation was found between mortaxlity, morbidity, and the presence of concomitant injuries, the duration between injury and admission being more than 1 h (p<0.05). Urgent intervention, early diagnosis, and fast transport are vital for patients with thoracic injuries.

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“…In the study of Wilson et al [1977], 11% of patients admitted with chest trauma required endotrachial intubation almost immediately upon entrance to the emergency department.…”

Section: Respiratory Failurementioning

confidence: 99%