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K P Schmitneuerburg - One of the best experts on this subject based on the ideXlab platform.

  • operative Chest wall stabilization in Flail Chest outcomes of patients with or without pulmonary contusion
    Journal of The American College of Surgeons, 1998
    Co-Authors: Gregor Voggenreiter, Udo Obertacke, M Aufmkolk, Friedrich Neudeck, K P Schmitneuerburg
    Abstract:

    Abstract Background: The aim of operative Chest wall stabilization in patients with Flail Chest and respiratory insufficiency is to reduce ventilator time and avoid ventilator associated complications. The purpose of this retrospective study was to analyze the indications and outcomes of operative Chest wall stabilization in defined groups of patients sustaining Flail Chest with and without pulmonary contusion. Methods: The hospital records of 405 patients with multiple trauma (Injury Severity Score > 17) between 1988 and 1994 were reviewed. Forty-two patients sustained Flail Chest. Twenty of these underwent operative Chest wall stabilization for the following indications: 1) Flail Chest with indication for thoracotomy due to intrathoracic injury (n = 6); 2) Flail Chest without pulmonary contusion (n = 9); 3) paradoxical movement of a Chest wall segment in the weaning period from the respirator (n = 3); and 4) severe deformity of the Chest wall (n = 2). For the purpose of analysis the patients were separated into groups: group 1: operative Chest wall stabilization in Flail Chest without pulmonary contusion (n = 10); group 2: operative Chest wall stabilization in Flail Chest with pulmonary contusion (n = 10); group 3: Flail Chest without pulmonary contusion and without Chest wall stabilization (n = 18); group 4: Flail Chest with pulmonary contusion and without Chest wall stabilization (n = 4). Data were coded for time of operation, duration of ventilatory support, and complications. Results: There were no significant differences in age, severity of injury, and extent of injury between groups 1, 2, and 3 (p Conclusions: In patients with Flail Chest and respiratory insufficiency without pulmonary contusion, operative Chest wall stabilization permits early extubation. Patients with pulmonary contusion do not benefit from Chest wall stabilization. Secondary operative Chest wall stabilization in these patients is indicated when progressive collapse of the Chest wall is evident during weaning from the ventilator.

Gregor Voggenreiter - One of the best experts on this subject based on the ideXlab platform.

  • Operative Chest wall stabilization in Flail Chest—outcomes of patients with or without pulmonary contusion
    Journal of The American College of Surgeons, 1998
    Co-Authors: Gregor Voggenreiter, Udo Obertacke, M Aufmkolk, Friedrich Neudeck, Klaus-peter Schmit-neuerburg
    Abstract:

    Abstract Background: The aim of operative Chest wall stabilization in patients with Flail Chest and respiratory insufficiency is to reduce ventilator time and avoid ventilator associated complications. The purpose of this retrospective study was to analyze the indications and outcomes of operative Chest wall stabilization in defined groups of patients sustaining Flail Chest with and without pulmonary contusion. Methods: The hospital records of 405 patients with multiple trauma (Injury Severity Score > 17) between 1988 and 1994 were reviewed. Forty-two patients sustained Flail Chest. Twenty of these underwent operative Chest wall stabilization for the following indications: 1) Flail Chest with indication for thoracotomy due to intrathoracic injury (n = 6); 2) Flail Chest without pulmonary contusion (n = 9); 3) paradoxical movement of a Chest wall segment in the weaning period from the respirator (n = 3); and 4) severe deformity of the Chest wall (n = 2). For the purpose of analysis the patients were separated into groups: group 1: operative Chest wall stabilization in Flail Chest without pulmonary contusion (n = 10); group 2: operative Chest wall stabilization in Flail Chest with pulmonary contusion (n = 10); group 3: Flail Chest without pulmonary contusion and without Chest wall stabilization (n = 18); group 4: Flail Chest with pulmonary contusion and without Chest wall stabilization (n = 4). Data were coded for time of operation, duration of ventilatory support, and complications. Results: There were no significant differences in age, severity of injury, and extent of injury between groups 1, 2, and 3 (p Conclusions: In patients with Flail Chest and respiratory insufficiency without pulmonary contusion, operative Chest wall stabilization permits early extubation. Patients with pulmonary contusion do not benefit from Chest wall stabilization. Secondary operative Chest wall stabilization in these patients is indicated when progressive collapse of the Chest wall is evident during weaning from the ventilator.

  • operative Chest wall stabilization in Flail Chest outcomes of patients with or without pulmonary contusion
    Journal of The American College of Surgeons, 1998
    Co-Authors: Gregor Voggenreiter, Udo Obertacke, M Aufmkolk, Friedrich Neudeck, K P Schmitneuerburg
    Abstract:

    Abstract Background: The aim of operative Chest wall stabilization in patients with Flail Chest and respiratory insufficiency is to reduce ventilator time and avoid ventilator associated complications. The purpose of this retrospective study was to analyze the indications and outcomes of operative Chest wall stabilization in defined groups of patients sustaining Flail Chest with and without pulmonary contusion. Methods: The hospital records of 405 patients with multiple trauma (Injury Severity Score > 17) between 1988 and 1994 were reviewed. Forty-two patients sustained Flail Chest. Twenty of these underwent operative Chest wall stabilization for the following indications: 1) Flail Chest with indication for thoracotomy due to intrathoracic injury (n = 6); 2) Flail Chest without pulmonary contusion (n = 9); 3) paradoxical movement of a Chest wall segment in the weaning period from the respirator (n = 3); and 4) severe deformity of the Chest wall (n = 2). For the purpose of analysis the patients were separated into groups: group 1: operative Chest wall stabilization in Flail Chest without pulmonary contusion (n = 10); group 2: operative Chest wall stabilization in Flail Chest with pulmonary contusion (n = 10); group 3: Flail Chest without pulmonary contusion and without Chest wall stabilization (n = 18); group 4: Flail Chest with pulmonary contusion and without Chest wall stabilization (n = 4). Data were coded for time of operation, duration of ventilatory support, and complications. Results: There were no significant differences in age, severity of injury, and extent of injury between groups 1, 2, and 3 (p Conclusions: In patients with Flail Chest and respiratory insufficiency without pulmonary contusion, operative Chest wall stabilization permits early extubation. Patients with pulmonary contusion do not benefit from Chest wall stabilization. Secondary operative Chest wall stabilization in these patients is indicated when progressive collapse of the Chest wall is evident during weaning from the ventilator.

Udo Obertacke - One of the best experts on this subject based on the ideXlab platform.

  • Operative Chest wall stabilization in Flail Chest—outcomes of patients with or without pulmonary contusion
    Journal of The American College of Surgeons, 1998
    Co-Authors: Gregor Voggenreiter, Udo Obertacke, M Aufmkolk, Friedrich Neudeck, Klaus-peter Schmit-neuerburg
    Abstract:

    Abstract Background: The aim of operative Chest wall stabilization in patients with Flail Chest and respiratory insufficiency is to reduce ventilator time and avoid ventilator associated complications. The purpose of this retrospective study was to analyze the indications and outcomes of operative Chest wall stabilization in defined groups of patients sustaining Flail Chest with and without pulmonary contusion. Methods: The hospital records of 405 patients with multiple trauma (Injury Severity Score > 17) between 1988 and 1994 were reviewed. Forty-two patients sustained Flail Chest. Twenty of these underwent operative Chest wall stabilization for the following indications: 1) Flail Chest with indication for thoracotomy due to intrathoracic injury (n = 6); 2) Flail Chest without pulmonary contusion (n = 9); 3) paradoxical movement of a Chest wall segment in the weaning period from the respirator (n = 3); and 4) severe deformity of the Chest wall (n = 2). For the purpose of analysis the patients were separated into groups: group 1: operative Chest wall stabilization in Flail Chest without pulmonary contusion (n = 10); group 2: operative Chest wall stabilization in Flail Chest with pulmonary contusion (n = 10); group 3: Flail Chest without pulmonary contusion and without Chest wall stabilization (n = 18); group 4: Flail Chest with pulmonary contusion and without Chest wall stabilization (n = 4). Data were coded for time of operation, duration of ventilatory support, and complications. Results: There were no significant differences in age, severity of injury, and extent of injury between groups 1, 2, and 3 (p Conclusions: In patients with Flail Chest and respiratory insufficiency without pulmonary contusion, operative Chest wall stabilization permits early extubation. Patients with pulmonary contusion do not benefit from Chest wall stabilization. Secondary operative Chest wall stabilization in these patients is indicated when progressive collapse of the Chest wall is evident during weaning from the ventilator.

  • operative Chest wall stabilization in Flail Chest outcomes of patients with or without pulmonary contusion
    Journal of The American College of Surgeons, 1998
    Co-Authors: Gregor Voggenreiter, Udo Obertacke, M Aufmkolk, Friedrich Neudeck, K P Schmitneuerburg
    Abstract:

    Abstract Background: The aim of operative Chest wall stabilization in patients with Flail Chest and respiratory insufficiency is to reduce ventilator time and avoid ventilator associated complications. The purpose of this retrospective study was to analyze the indications and outcomes of operative Chest wall stabilization in defined groups of patients sustaining Flail Chest with and without pulmonary contusion. Methods: The hospital records of 405 patients with multiple trauma (Injury Severity Score > 17) between 1988 and 1994 were reviewed. Forty-two patients sustained Flail Chest. Twenty of these underwent operative Chest wall stabilization for the following indications: 1) Flail Chest with indication for thoracotomy due to intrathoracic injury (n = 6); 2) Flail Chest without pulmonary contusion (n = 9); 3) paradoxical movement of a Chest wall segment in the weaning period from the respirator (n = 3); and 4) severe deformity of the Chest wall (n = 2). For the purpose of analysis the patients were separated into groups: group 1: operative Chest wall stabilization in Flail Chest without pulmonary contusion (n = 10); group 2: operative Chest wall stabilization in Flail Chest with pulmonary contusion (n = 10); group 3: Flail Chest without pulmonary contusion and without Chest wall stabilization (n = 18); group 4: Flail Chest with pulmonary contusion and without Chest wall stabilization (n = 4). Data were coded for time of operation, duration of ventilatory support, and complications. Results: There were no significant differences in age, severity of injury, and extent of injury between groups 1, 2, and 3 (p Conclusions: In patients with Flail Chest and respiratory insufficiency without pulmonary contusion, operative Chest wall stabilization permits early extubation. Patients with pulmonary contusion do not benefit from Chest wall stabilization. Secondary operative Chest wall stabilization in these patients is indicated when progressive collapse of the Chest wall is evident during weaning from the ventilator.

M Aufmkolk - One of the best experts on this subject based on the ideXlab platform.

  • Operative Chest wall stabilization in Flail Chest—outcomes of patients with or without pulmonary contusion
    Journal of The American College of Surgeons, 1998
    Co-Authors: Gregor Voggenreiter, Udo Obertacke, M Aufmkolk, Friedrich Neudeck, Klaus-peter Schmit-neuerburg
    Abstract:

    Abstract Background: The aim of operative Chest wall stabilization in patients with Flail Chest and respiratory insufficiency is to reduce ventilator time and avoid ventilator associated complications. The purpose of this retrospective study was to analyze the indications and outcomes of operative Chest wall stabilization in defined groups of patients sustaining Flail Chest with and without pulmonary contusion. Methods: The hospital records of 405 patients with multiple trauma (Injury Severity Score > 17) between 1988 and 1994 were reviewed. Forty-two patients sustained Flail Chest. Twenty of these underwent operative Chest wall stabilization for the following indications: 1) Flail Chest with indication for thoracotomy due to intrathoracic injury (n = 6); 2) Flail Chest without pulmonary contusion (n = 9); 3) paradoxical movement of a Chest wall segment in the weaning period from the respirator (n = 3); and 4) severe deformity of the Chest wall (n = 2). For the purpose of analysis the patients were separated into groups: group 1: operative Chest wall stabilization in Flail Chest without pulmonary contusion (n = 10); group 2: operative Chest wall stabilization in Flail Chest with pulmonary contusion (n = 10); group 3: Flail Chest without pulmonary contusion and without Chest wall stabilization (n = 18); group 4: Flail Chest with pulmonary contusion and without Chest wall stabilization (n = 4). Data were coded for time of operation, duration of ventilatory support, and complications. Results: There were no significant differences in age, severity of injury, and extent of injury between groups 1, 2, and 3 (p Conclusions: In patients with Flail Chest and respiratory insufficiency without pulmonary contusion, operative Chest wall stabilization permits early extubation. Patients with pulmonary contusion do not benefit from Chest wall stabilization. Secondary operative Chest wall stabilization in these patients is indicated when progressive collapse of the Chest wall is evident during weaning from the ventilator.

  • operative Chest wall stabilization in Flail Chest outcomes of patients with or without pulmonary contusion
    Journal of The American College of Surgeons, 1998
    Co-Authors: Gregor Voggenreiter, Udo Obertacke, M Aufmkolk, Friedrich Neudeck, K P Schmitneuerburg
    Abstract:

    Abstract Background: The aim of operative Chest wall stabilization in patients with Flail Chest and respiratory insufficiency is to reduce ventilator time and avoid ventilator associated complications. The purpose of this retrospective study was to analyze the indications and outcomes of operative Chest wall stabilization in defined groups of patients sustaining Flail Chest with and without pulmonary contusion. Methods: The hospital records of 405 patients with multiple trauma (Injury Severity Score > 17) between 1988 and 1994 were reviewed. Forty-two patients sustained Flail Chest. Twenty of these underwent operative Chest wall stabilization for the following indications: 1) Flail Chest with indication for thoracotomy due to intrathoracic injury (n = 6); 2) Flail Chest without pulmonary contusion (n = 9); 3) paradoxical movement of a Chest wall segment in the weaning period from the respirator (n = 3); and 4) severe deformity of the Chest wall (n = 2). For the purpose of analysis the patients were separated into groups: group 1: operative Chest wall stabilization in Flail Chest without pulmonary contusion (n = 10); group 2: operative Chest wall stabilization in Flail Chest with pulmonary contusion (n = 10); group 3: Flail Chest without pulmonary contusion and without Chest wall stabilization (n = 18); group 4: Flail Chest with pulmonary contusion and without Chest wall stabilization (n = 4). Data were coded for time of operation, duration of ventilatory support, and complications. Results: There were no significant differences in age, severity of injury, and extent of injury between groups 1, 2, and 3 (p Conclusions: In patients with Flail Chest and respiratory insufficiency without pulmonary contusion, operative Chest wall stabilization permits early extubation. Patients with pulmonary contusion do not benefit from Chest wall stabilization. Secondary operative Chest wall stabilization in these patients is indicated when progressive collapse of the Chest wall is evident during weaning from the ventilator.

Friedrich Neudeck - One of the best experts on this subject based on the ideXlab platform.

  • Operative Chest wall stabilization in Flail Chest—outcomes of patients with or without pulmonary contusion
    Journal of The American College of Surgeons, 1998
    Co-Authors: Gregor Voggenreiter, Udo Obertacke, M Aufmkolk, Friedrich Neudeck, Klaus-peter Schmit-neuerburg
    Abstract:

    Abstract Background: The aim of operative Chest wall stabilization in patients with Flail Chest and respiratory insufficiency is to reduce ventilator time and avoid ventilator associated complications. The purpose of this retrospective study was to analyze the indications and outcomes of operative Chest wall stabilization in defined groups of patients sustaining Flail Chest with and without pulmonary contusion. Methods: The hospital records of 405 patients with multiple trauma (Injury Severity Score > 17) between 1988 and 1994 were reviewed. Forty-two patients sustained Flail Chest. Twenty of these underwent operative Chest wall stabilization for the following indications: 1) Flail Chest with indication for thoracotomy due to intrathoracic injury (n = 6); 2) Flail Chest without pulmonary contusion (n = 9); 3) paradoxical movement of a Chest wall segment in the weaning period from the respirator (n = 3); and 4) severe deformity of the Chest wall (n = 2). For the purpose of analysis the patients were separated into groups: group 1: operative Chest wall stabilization in Flail Chest without pulmonary contusion (n = 10); group 2: operative Chest wall stabilization in Flail Chest with pulmonary contusion (n = 10); group 3: Flail Chest without pulmonary contusion and without Chest wall stabilization (n = 18); group 4: Flail Chest with pulmonary contusion and without Chest wall stabilization (n = 4). Data were coded for time of operation, duration of ventilatory support, and complications. Results: There were no significant differences in age, severity of injury, and extent of injury between groups 1, 2, and 3 (p Conclusions: In patients with Flail Chest and respiratory insufficiency without pulmonary contusion, operative Chest wall stabilization permits early extubation. Patients with pulmonary contusion do not benefit from Chest wall stabilization. Secondary operative Chest wall stabilization in these patients is indicated when progressive collapse of the Chest wall is evident during weaning from the ventilator.

  • operative Chest wall stabilization in Flail Chest outcomes of patients with or without pulmonary contusion
    Journal of The American College of Surgeons, 1998
    Co-Authors: Gregor Voggenreiter, Udo Obertacke, M Aufmkolk, Friedrich Neudeck, K P Schmitneuerburg
    Abstract:

    Abstract Background: The aim of operative Chest wall stabilization in patients with Flail Chest and respiratory insufficiency is to reduce ventilator time and avoid ventilator associated complications. The purpose of this retrospective study was to analyze the indications and outcomes of operative Chest wall stabilization in defined groups of patients sustaining Flail Chest with and without pulmonary contusion. Methods: The hospital records of 405 patients with multiple trauma (Injury Severity Score > 17) between 1988 and 1994 were reviewed. Forty-two patients sustained Flail Chest. Twenty of these underwent operative Chest wall stabilization for the following indications: 1) Flail Chest with indication for thoracotomy due to intrathoracic injury (n = 6); 2) Flail Chest without pulmonary contusion (n = 9); 3) paradoxical movement of a Chest wall segment in the weaning period from the respirator (n = 3); and 4) severe deformity of the Chest wall (n = 2). For the purpose of analysis the patients were separated into groups: group 1: operative Chest wall stabilization in Flail Chest without pulmonary contusion (n = 10); group 2: operative Chest wall stabilization in Flail Chest with pulmonary contusion (n = 10); group 3: Flail Chest without pulmonary contusion and without Chest wall stabilization (n = 18); group 4: Flail Chest with pulmonary contusion and without Chest wall stabilization (n = 4). Data were coded for time of operation, duration of ventilatory support, and complications. Results: There were no significant differences in age, severity of injury, and extent of injury between groups 1, 2, and 3 (p Conclusions: In patients with Flail Chest and respiratory insufficiency without pulmonary contusion, operative Chest wall stabilization permits early extubation. Patients with pulmonary contusion do not benefit from Chest wall stabilization. Secondary operative Chest wall stabilization in these patients is indicated when progressive collapse of the Chest wall is evident during weaning from the ventilator.