The Experts below are selected from a list of 369 Experts worldwide ranked by ideXlab platform
D V Karev - One of the best experts on this subject based on the ideXlab platform.
-
operative management of the flail chest
Wiadomości lekarskie (Warsaw Poland), 1997Co-Authors: D V KarevAbstract:Abstract The management of flail chest (FC) has been the subject of controversy for many years. The aim of our study was to compare results of the management of patients with FC after operative stabilization (OS) vs. nonoperative treatment (NT). One hundred and thirty-three consecutive patients with FC were assigned to treatment with OS (40 patients) and NT (93 patients). Different kinds of external extramedullar osteosynthesis were performed within 24 hour period after admission. NT includes endotracheal lung ventilation, epidural and regional anaesthesia. No difference in age, sex, shock ISS, severity pulmonary and Heart Contusion, extensive FC were found between both groups. Results of treatment are the following (for OS and NT respectively, p < 0.05): pneumonia 15% (6) vs. 34.4% (32); PaO2/FiO2 - 333.4 +/- 12.3 vs. 286.5 +/- 14.7; duration of lung ventilation (days) - 2.3 +/- 0.6 vs. 6.3 +/- 1.2; mortality rate - 22.5% (9) vs. 46.2% (43). Operative stabilization of chest wall should be considered when extensive FC occurs, particularly for patients with severe pulmonary and Heart Contusion.
Natvig Henrik - One of the best experts on this subject based on the ideXlab platform.
-
Blunt thoracic injuries
2012Co-Authors: Natvig HenrikAbstract:Blunt thoracic injuries This is a review of blunt thoracic trauma. Blunt thoracic trauma is responsible for approximately 10 % of all traumatic injuries in Norway and 25 % of all traumatic deaths. To study this subject a systematic literature search was preformed. The different types of injuries vary greatly in the different reports. Traffic-related injuries account for 10-98 % of blunt thoracic trauma, fall accidents 8-41 %. Other causes are work accidents, sport accidents, and violence. The most common injuries are rib fractures (13-78 %), Heart Contusion (1-55 %), lung Contusion (4-40 %), pneumothorax (10-30 %) and haemothorax (4-26 %). The most lethal injuries are blunt aortic injury, blunt cardiac rupture, and commotio cordis; with lethality ratings that vary between 50 and 90 %. Most patients can be handled conservatively (59 %), while 36 % are in need of a tube thoracostomy. Only about 5 % needs open surgery. Luckily the most lethal injuries are quite rare, and the most common injuries have a low mortality. Much of the variation in incidence can be related to different levels of health care, different diagnostic criteria, and geographical and socio-economic differences in different countries. Blunt thoracic injury is a severe health problem in Norway. However, the number of serious traffic accidents in Norway seems to be decreasing during the last years
O. V. Korpacheva - One of the best experts on this subject based on the ideXlab platform.
-
Cardiac Contusion: Unsolved Problems of Theory and Practice
Russian Academy of Medical Sciences, 2008Co-Authors: O. V. KorpachevaAbstract:Analysis of the data available in the literature has made it possible to identify a range of the unsolved issues of theory and practice of cardiac Contusion, which include no clear data on the prevalence of this pathology due to the use of various diagnostic standards; no rather specific lifetime diagnostic methods for cardiac Contusion; no exact diagnostic criteria or contribution of cardiac lesions to the injury severity scale; no clarity in the understanding the nature of myocardial dysfunction that is responsible for cardiac events of Heart Contusion; difficulties in the diagnosis of the latter as a predictor of the development of complications and their prediction; no pathogenetically founded approaches to treating just cardiac lesions. Key words: cardiac Contusion, epidemiology, clinical picture, diagnosis, complications, treatment, review of literature
Hiroki Arase - One of the best experts on this subject based on the ideXlab platform.
-
successful management of threatened aortic rupture late after rib fracture caused by blunt chest trauma
Annals of Vascular Surgery, 2014Co-Authors: Yoshihisa Morimoto, Takaki Sugimoto, Hideki Sakahira, Hidehito Matsuoka, Yuki Yoshioka, Hiroki AraseAbstract:A 62-year-old man was crushed in a car accident and diagnosed with a fractured left ninth rib, pulmonary and Heart Contusion, hemopneumothorax, and descending aortic injury based on a computed tomography scan. He underwent chest tube drainage and was intubated for mechanical ventilation because a bone fragment of the ninth rib threatened to penetrate the descending aorta. On the second posttrauma day, computed tomography showed the bone fragment of the ninth rib approaching the descending aorta. He underwent graft replacement of the injured portion of the descending thoracic aorta, and we removed the fractured left ninth rib.
Yoshihisa Morimoto - One of the best experts on this subject based on the ideXlab platform.
-
successful management of threatened aortic rupture late after rib fracture caused by blunt chest trauma
Annals of Vascular Surgery, 2014Co-Authors: Yoshihisa Morimoto, Takaki Sugimoto, Hideki Sakahira, Hidehito Matsuoka, Yuki Yoshioka, Hiroki AraseAbstract:A 62-year-old man was crushed in a car accident and diagnosed with a fractured left ninth rib, pulmonary and Heart Contusion, hemopneumothorax, and descending aortic injury based on a computed tomography scan. He underwent chest tube drainage and was intubated for mechanical ventilation because a bone fragment of the ninth rib threatened to penetrate the descending aorta. On the second posttrauma day, computed tomography showed the bone fragment of the ninth rib approaching the descending aorta. He underwent graft replacement of the injured portion of the descending thoracic aorta, and we removed the fractured left ninth rib.
