scholarly journals External flail chest stabilization; The simple, low-cost way

2020 ◽  
Vol 13 (2) ◽  
pp. 174-175
Author(s):  
Efstratios Apostolakis ◽  
Nikolaos A Papakonstantinou ◽  
Alexandra Liakopoulou ◽  
Serafeim Chlapoutakis

Flail chest is a life-threatening clinical entity which can be complicated by respiratory insufficiency. Paradoxical motion of a part of chest wall is the basic cause to put the blame on. Consequently, stabilization of the chest wall is occasionally of paramount importance to achieve early extubation in a patient with post-trauma respiratory insufficiency. Hereby, a simple, low cost, harmless and effective approach of external stabilization is presented.

Author(s):  
Kalaiarasi Arumugam ◽  
L.Ashok Kumar

Today, brain attack disorders are one of the most life-threatening areas in the medical era, which mankind is facing nowadays. Globally, more than 10,000,000 people are subjected to brain attack disorders like hemiplegia and tremor, every year, where two-thirds of them survive. Among the survival community, more than 80 per cent of them are subjected to long-term impairment of their upper extremity. In order to treat the impairment, the survival group is subjected to medications and rehabilitation in order to improve their daily living. But the facilities are very limited in fast-developing countries like India when compared to western standards. The rehabilitation given corresponding with medications during the treatment period in hospitals does not give a complete recovery from disability. People from rural background could not meet their rehabilitation requirements even in the hospital during treatment and also when they are discharged to home after treatment from hospitals due to financial constraints and reachability. In order to motivate the survival group to fulfill their daily living and improve their lifestyle, this paper is focused on intelligent home-based rehabilitation system at low cost, reliability, and affordability. One major movement disorder namely Upper Arm Hemiplegia was taken into account and visited few major hospitals around Coimbatore and Chennai for literature and case study. The facilities available in various hospitals and their drawbacks were analyzed.Acupuncture & Electro-therapeutics Research E-pubBased on the studies conducted at hospitals and taking advice from therapists, an innovative low-cost home-based rehabilitation device using Electro-Hydraulic systems has been developed to support patients who were used to impaired living even after treatments. To support Upper Arm Hemiplegia patients, the devices which were developed and experimented to hold different functionalities are discussed in this paper.


PEDIATRICS ◽  
1986 ◽  
Vol 77 (4) ◽  
pp. 618-618
Author(s):  
STEVEN M. SELBST

In Reply.— Dr Rogers describes brief anterior chest pain, worse with inspiration, which he has labeled "benign pleuralgia." The etiology of this pain, as with most chest pain, is uncertain. Perhaps, the pain arises in the pain-sensitive pleura and then travels through the intercostal nerves in the chest wall. If such pain is not reproducible with palpation, and not related to recent exercise, I would not consider this to be of musculoskeletal origin. Although some may prefer to consider this a distinct clinical entity, I would "lump" such vague, unexplainable pain in the idiopathic category.


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.


2007 ◽  
Vol 6 (1) ◽  
pp. 33-34
Author(s):  
JPL Ong ◽  
◽  
LA Thomas ◽  

Rhabdomyolysis is a serious and life-threatening condition in which skeletal muscle is damaged, commonly resulting in acute renal failure. The causes of this clinical entity can be traumatic and non-traumatic. In the latter group, alcohol is the commonest cause. This report describes the case of a 25 year old man who presented with rhabdomyolysis leading to acute renal failure after an alcohol binge. He presented with painful legs and lower extremity compartment syndrome. The patient recovered with surgical fasciotomy and renal support. This case illustrates the importance of early recognition and treatment of alcohol related non-traumatic rhabdomyolysis and compartment syndrome.


2020 ◽  
Vol 9 (2) ◽  
pp. 110
Author(s):  
SantoshKumar Swain ◽  
Nibi Shajahan ◽  
Priyanka Debta

Trauma ◽  
2016 ◽  
Vol 19 (1) ◽  
pp. 54-62 ◽  
Author(s):  
Caroline Leech ◽  
Keith Porter ◽  
Richard Steyn ◽  
Colville Laird ◽  
Imogen Virgo ◽  
...  

‘The pre-hospital management of chest injury: a consensus statement’ was originally published by the Faculty of Pre-hospital Care, Royal College of Surgeons of Edinburgh in 2007. To update the pre-existing guideline, a consensus meeting of stakeholders was held by the Faculty of Pre-hospital Care in Coventry in November 2013. This paper provides a guideline for the pre-hospital management of patients with the life-threatening chest injuries of tension pneumothorax, open pneumothorax, massive haemothorax, flail chest (including multiple rib fractures), and cardiac tamponade.


1998 ◽  
Vol 187 (2) ◽  
pp. 130-138 ◽  
Author(s):  
Gregor Voggenreiter ◽  
Friedrich Neudeck ◽  
Michael Aufmkolk ◽  
Udo Obertacke ◽  
Klaus-Peter Schmit-Neuerburg

2017 ◽  
Vol 04 (01) ◽  
pp. 098-103 ◽  
Author(s):  
Anindya Ray

AbstractStatus epilepticus (SE) is a serious medical emergency. Refractory-SE non-responsive to anesthetic medication is a life threatening condition with very high mortality rate. Proper management of those cases is a big medical challenge. Over the last two decades there are anecdotal reports of successful management of such cases with electroconvulsive therapy (ECT) in 12 patients of different age group with variable pattern of seizures and different etiology. However, there is no systematic research about it. ECT is a well-known safe, easy- to-administer, low-cost therapeutic modality in the field of neuro-psychiatry. Thus its potential to treat refractory-SE which essentially lacks effective management should be evaluated in future research. The objectives of this article are to do a thorough literature review on use of ECT in refractory-SE; mechanism of action of ECT in refractory-SE; and finally formulate a working protocol for future study of using ECT in patients of refractory-SE.


Author(s):  
Christopher Golby ◽  
Ludovica Pippa ◽  
Andrea Aliverti ◽  
Theodoros Arvanitis ◽  
Babu Naidu

Sign in / Sign up

Export Citation Format

Share Document