ISSN:
1432-1238
Keywords:
Flail chest
;
Pulmonary contusion
;
IMV (Intermittent Mandatory Ventilation)
;
PEEP (Positive End Expiratory Pressure)
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract We have treated 30 patients with flail chest, with priority given to associated factors (pain, secretions retention, hemo-/pneumothorax and underlying pulmonary contusion). When this treatment was insufficient IMV+PEEP was instituted; in this group there was a 58.8% incidence of pneumonia, 47.5% of sepsis and 11.7 days average stay in the ICU. These were significantly different when compared to the patients controlled without mechanical ventilatory support (7.7% pneumonia, 0% sepsis, 3.2 days). Surgical fixation was limited to 4 patients who presented with multiple and greatly displaced rib fractures, which made fixation by mechanical ventilation unpredictable.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF01687161
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