scholarly journals Outcomes of chest wall fixation in cardiopulmonary resuscitation-induced flail chest

2020 ◽  
Vol 31 (3) ◽  
pp. 417-418
Author(s):  
Oliver Claydon ◽  
Rachel Benamore ◽  
Elizabeth Belcher

Abstract Chest wall injury is a common complication of cardiopulmonary resuscitation. Chest wall fixation of flail chest has been shown to improve outcomes in patients in whom trauma is the primary pathology. Its efficacy in the post-cardiopulmonary resuscitation setting where the primary event is cardiac arrest is yet to be determined. We report outcomes in a series of 4 patients who underwent rib fixation in the setting of cardiopulmonary resuscitation-induced flail chest.

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
William B. DeVoe ◽  
Matthew Abourezk ◽  
Brent J. Goslin ◽  
Brandon Kiel ◽  
John A. Bach ◽  
...  

2017 ◽  
Vol 42 (2) ◽  
pp. 401-408 ◽  
Author(s):  
Fredric M. Pieracci ◽  
Suresh Agarwal ◽  
Andrew Doben ◽  
Adam Shiroff ◽  
Larwence Lottenberg ◽  
...  

Injury ◽  
2021 ◽  
Author(s):  
Fredric M. Pieracci ◽  
Sebastian Schubl ◽  
Mario Gasparri ◽  
Patrick Delaplain ◽  
Jordan Kirsch ◽  
...  

2021 ◽  
Vol 30 (5) ◽  
pp. 385-390
Author(s):  
Marissa Di Napoli ◽  
William B. DeVoe ◽  
Stuart Leon ◽  
Bruce Crookes ◽  
Alicia Privette ◽  
...  

Background Rib fractures are common after motor vehicle collisions. The hormonal changes associated with pregnancy decrease the stiffness and increase the laxity of cartilage and tendons. The effect of these changes on injury mechanics is not completely understood. Objectives To compare the incidences of chest wall injury following blunt thoracic trauma between pregnant and nonpregnant women. Methods The authors conducted a retrospective review of female patients seen at a level I trauma center from 2009 to 2017 after a motor vehicle collision. Patient characteristics were compared to determine if pregnancy affected the incidence of chest wall injury. Statistics were calculated with SPSS version 24 and are presented as mean (SD) or median (interquartile range). Results In total, 1618 patients were identified. The incidence of rib/sternal fracture was significantly lower in pregnant patients (7.9% vs 15.2%, P = .047), but the incidence of intrathoracic injury was similar between the groups. Pregnant and nonpregnant patients with rib/sternal fractures had similar Injury Severity Score results (21 [13-27] vs 17 [11-22], P = .36), but pregnant patients without fractures had significantly lower scores (1 [0-5] vs 4 [1-9], P < .001). Conclusions Pregnant patients have a lower rate of rib fracture after a motor vehicle collision than nonpregnant patients. The difference in injury mechanics may be due to hormonal changes that increase elasticity and resistance to bony injury of the ribs. In pregnant trauma patients, intrathoracic injury without rib fracture should raise concerns about injury severity. A multicenter evaluation of these findings is needed.


Author(s):  
D Whittaker ◽  
C Edmunds ◽  
I Scott ◽  
M Khalil ◽  
I Stevenson

Thoracic chest wall trauma is a common injury in patients admitted to hospital following injury and is associated with high mortality. British Orthopaedic Association Standards for Trauma and Orthopaedics guidelines recommend consideration of rib fracture fixation in patients with flail chest wall injuries with respiratory compromise or uncontrollable pain. Veno-venous extracorporeal membrane oxygenation (ECMO) can be utilised in patients with severe respiratory dysfunction and we present the case of a patient who underwent rib fracture fixation while receiving ECMO. A 32-year-old male was admitted to our department following a 4.5m fall. He sustained significant thoracic injuries with multiple ribs fractures and a flail segment from the right fourth to ninth ribs. Treatment consisted of bilateral chest drains, ECMO support, tracheostomy and rib fracture fixation to the eighth and ninth ribs. The patient made a rapid recovery following surgery and ECMO support was ceased 2.5 days postoperatively. The case shows that a well-prepared, combined specialty surgical team can safely perform rib fixation for a patient on ECMO.


2020 ◽  
Vol 5 (1) ◽  
pp. 11
Author(s):  
JodyM Kaban ◽  
JohnP Skendelas ◽  
ErinR Lewis ◽  
Babak Sarani ◽  
MauricioVelasquez Galvis ◽  
...  

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Ashton B. Christian ◽  
Patrick T. Delaplain ◽  
Areg Grigorian ◽  
Jeffry Nahmias ◽  
Lukas Mueller ◽  
...  

2014 ◽  
Vol 186 (2) ◽  
pp. 690
Author(s):  
A. Dua ◽  
M.L. Shapiro ◽  
S.S. Desai

1978 ◽  
Vol 18 (7) ◽  
pp. 493-497 ◽  
Author(s):  
STEVEN R. SHACKFORD ◽  
RICHARD W. VIRGILIO ◽  
DAVID E. SMITH ◽  
CHARLES L. RICE ◽  
MARK E. WEINSTEIN

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