Comment l'insuffisance respiratoire se manifeste-t-elle ?
Elle se manifeste par une dyspnée sévère, une cyanose et une fatigue extrême.
Insuffisance respiratoireDyspnéeSymptômes
#3
Les infections pulmonaires sont-elles fréquentes ?
Oui, les infections pulmonaires peuvent survenir en raison de l'immobilité et de la ventilation altérée.
Infections pulmonairesComplicationsVentilation
#4
Le pneumothorax est-il une complication courante ?
Oui, le pneumothorax peut survenir en cas de rupture des alvéoles ou de lésions pleurales.
PneumothoraxComplicationsTraumatismes
#5
Comment prévenir les complications ?
La prévention passe par une surveillance étroite et un traitement précoce des symptômes.
PréventionComplicationsSurveillance médicale
Facteurs de risque
5
#1
Quels sont les principaux facteurs de risque ?
Les principaux facteurs incluent les accidents de la route, les chutes et les sports de contact.
Facteurs de risqueTraumatismesAccidents
#2
L'âge influence-t-il le risque de volet thoracique ?
Oui, les personnes âgées sont plus susceptibles en raison de la fragilité osseuse.
ÂgeFacteurs de risqueTraumatismes
#3
Les maladies osseuses augmentent-elles le risque ?
Oui, des conditions comme l'ostéoporose augmentent le risque de fractures thoraciques.
OstéoporoseFacteurs de risqueFractures
#4
Le sexe joue-t-il un rôle dans le risque ?
Oui, les hommes sont généralement plus exposés aux traumatismes causant un volet thoracique.
SexeFacteurs de risqueTraumatismes
#5
Les comportements à risque augmentent-ils le danger ?
Oui, des comportements comme la conduite imprudente augmentent le risque de blessures thoraciques.
Comportements à risqueTraumatismesPrévention
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"@type": "Question",
"name": "Le soutien respiratoire est-il toujours requis ?",
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}
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"name": "Les comportements à risque augmentent-ils le danger ?",
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Division of Trauma and Surgical Critical Care, LAC+USC Medical Center, University of Southern California, Los Angeles, California. Electronic address: demetrios.demetriades@med.usc.edu.
Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg and Sahlgrenska University Hospital, Blå stråket 5, 413 45, Gothenburg, Sweden. Electronic address: eva-corina.caragounis@gu.se.
Flail chest (FC) after blunt trauma is associated with significant morbidity and prolonged hospitalizations. The goal of this study was to examine the relationship between timing of rib fixation (ORIF...
FC patients were identified from the Trauma Quality Improvement Program database over 3-year, ending 2019. Demographics, severity of injury and shock, time to ORIF, pulmonary morbidity, and mortality ...
20,457 patients were identified: 3347 (16.4%) underwent ORIF. The majority were male (73%) with median age and injury severity score of 58 and 22, respectively. Patients undergoing ORIF were clinicall...
Patients undergoing ORIF for FC experienced increased pulmonary morbidity; however, had an associated reduced mortality benefit compared to the nonoperative cohort. EARLY ORIF was associated with a re...
Flail chest is a severe injury to the chest wall and is related to adverse outcomes. A flail chest is classified as the physiologic, paradoxical motion of a chest wall or flail segment of rib fracture...
Costochondral separation is a rare consequence of blunt thoracic trauma and can lead to life-threatening complications such as a flail chest. The diagnosis of costochondral separation remains challeng...
Very large chest wall resections can lead to acute thoracic insufficiency syndrome due to the interdependence of lung expansion and thoracic volume. Chest wall tumor surgeries often encounter complica...
A 42-year-old man with myxofibrosarcoma underwent multiple surgeries, chemotherapies, and radiation therapies due to repeated local recurrences. After right arm amputation and resection of the right t...
In this case, the combination of a titanium plate and a Gore-Tex patch proved effective for reconstructing massive lateral chest wall defects. The approach provided stability, preserved thoracic volum...
Multiple rib fractures can lead to flail chest with up to 35% mortality rate due to severe pulmonary complications. Current treatments of flail chest remain controversial. Studies have shown that surg...
Twelve healthy canines were divided in two surgical operation groups for exterior and interior fixation using titanium metal plates. Osteotomy with oblique fractures was prepared under general anesthe...
Respiratory and cardiovascular functions (RR, PO...
The investigative interior fixation method was safe and effective in rib stabilization on a canine rib fracture model, comparing to the exterior fixation method. The interior fixation was minimally in...
We report a case of chest wall resection for painful chest wall nonunion, 5 years after traumatic flail chest and a first attempt at surgical treatment. The decision was made to perform surgery again ...
Given the lack of high-quality data on patient selection for surgical stabilization of rib fractures (SSRF), significant variability in practice likely exists across trauma centers. We aimed to determ...
We performed a retrospective cohort study of adult patients with flail chest admitted to level I or II trauma centers participating in the American College of Surgeons' Trauma Quality Improvement Prog...
Among 23,619 patients with flail chest across 354 centers, 22% underwent SSRF. Center rates of fixation ranged from 0-88%. Higher rates of SSRF were not associated with lower mortality overall (highes...
Overall, centers with a liberal approach to SSRF do not show improved outcomes among patients with a flail chest, but have higher resource utilization. Results at the patient level suggest that there ...
Prognostic/epidemiological, Level III....
Flail chest is a common and serious traumatic condition in thoracic surgery. The treatment of flail chest often includes open reduction and internal fixation, which is relatively traumatic, complicate...
A retrospective analysis was performed on patients with flail chest treated with this new technique at our center from January 2020 to December 2022. The following parameters were included: operative ...
Five patients (mean age: 45.7 years) were enrolled; they successfully underwent surgery without chest wall deformity and quickly returned to daily life. The average number of rib fractures was 8.4; al...
The 3D-printed external fixation guide combined with video-assisted thoracoscopic surgery is a novel technique in the treatment of flail chest and is safe, effective, feasible, and minimally invasive,...
Patients with rib fractures are a heterogenous group of patients who are treated by general practitioners as well as by specialized trauma surgeons. We present three patients with rib fractures with d...
We report the case of a 71-year-old male who initially presented with urosepsis and was found to have a rib fracture of his right 6th rib with a flail segment and an associated abscess. Given the conc...