Anesthetic management of thoracic trauma

  title={Anesthetic management of thoracic trauma},
  author={J. T. Moloney and Steven J Fowler and Wenly Chang},
  journal={Current Opinion in Anaesthesiology},
Purpose of review Trauma remains a leading cause of death across all age groups. Thoracic injury is a contributing cause in approximately half of these. Despite being potentially life threatening, most thoracic trauma is managed nonoperatively or with an intercostal catheter. Only 10% of thoracic trauma patients will require emergency thoracotomy. Many more will undergo emergency or urgent surgical intervention for coexisting injuries. Thoracic injuries are dynamic. It is crucial for the… 

Case scenario - thoracic trauma.

Anaesthesiological treatment of a politraumatised patient with a severe thoracic injury: a case report.

The present case reports a politraumatised patient with a severe thoracic injury whose life was saved by an urgent thoracotomy and standardised diagnostic and therapeutic/reanimation procedures as well as operative and non-operative treatment methods.

Isolated Cardiac Trauma and Anesthesia Management

Cardiac trauma cases require a multidisciplinary approach and in the diagnosis and treatment of these cases, the presence of an anesthesiologist, ensuring proper airway, adequate ventilation and adequate volume replacement are the key factors.

Thoracic trauma at Siriraj Hospital 1997-2006.

Today, minimally invasive surgery such as laparoscopy can reduce hospital stays and pain in patients with thoracoabdominal injury.

Monothematic meeting of Sfar Case scenario – thoracic trauma § , § § Traumatisme thoracique

The case of an 85-year old patient under new oral anticoagulant implicated in a multiple-vehicle accident, who presented a complex thoracic trauma involving multiple rib fractures, flail chest, hemothorax and lung contusions, is reported.

Kinetic therapy in multiple trauma patients with severe thoracic trauma: a treatment option to reduce ventilator time and improve outcome

CLRT remains a therapeutic option to reduce pulmonary complications after severe chest trauma in the center, however, a RCT is needed to study the effects of other treatment options such as early extubation and non-invasive ventilation or prone/supine positioning.

Blunt Chest Trauma; Differences Between Children and Adult in Menoufia University Emergency Hospital

There were differences between children and adult exposed to blunt chest trauma in incidence, effect of trauma on lung, pleura and ribs, and in mortality.

Anaesthesia in thoracic trauma

Peri-anaesthetic management of thoracic trauma in dogs and cats can be challenging, due to the likelihood of both respiratory compromise and pain associated with sustained injuries. Many medications

Major cardiothoracic trauma: Eleven-year review of outcomes in the North West of England.

Assessment of major cardiothoracic trauma outcomes in North West England over 11 years may constitute a valuable benchmark for comparison with results arising after introduction of trauma centres in the UK.

Management of a massive thoracoabdominal impalement: a case report

  • Haider Abbas
  • Medicine
    Scandinavian journal of trauma, resuscitation and emergency medicine
  • 2010
The management of massive thoraco-abdominal impalement injuries can be made simpler by modifying the position of patient by making use of gaps in the theatre table attachments and placing the patient in conventional supine postion.



Anaesthetic management of acute blunt thoracic trauma

A nvo-year retrospective review of patients admitted to Sunnybrook Health Science Centre with blunt thoracic trauma found the presence of blunt chest trauma should be considered a marker of the severity of injury sustained by the patient.

Anesthesia for Pediatric Chest Trauma

The anesthesiologist needs to be prepared to manage a patient with severe underlying respiratory derangements, ongoing blood loss, and /or cardiac dysfunction, which will present considerable challenges.

Thoracic trauma: when and how to intervene.

Nonoperative management of traumatic aortic injury.

In selected patients with multiple associated injuries or severe comorbidity, nonoperative management after blunt aortic injury can be a treatment of choice.

Penetrating Cardiac Injuries: Recent Experience in South Africa

A high index of suspicion for penetrating cardiac injury and an understanding of the modes of presentation can lead to rapid diagnosis even by inexperienced junior staff leads to early definitive management and acceptable results.

Prospective study of blunt aortic injury: Multicenter Trial of the American Association for the Surgery of Trauma.

Although newer diagnostic techniques are being applied, at this time aortography remains the diagnostic standard; bypass techniques, which provide distal aortic perfusion, produced significantly lower paraplegia rates than the clamp and sew approach.