Anaesthetic management of acute blunt thoracic trauma

Devitt, J. Hugh; McLean, R F; Koch, Jean-Paul

doi:10.1007/bf03007590

Cited by 37 publications

(33 citation statements)

References 12 publications

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“…5 The diagnosis of acute thoracic aortic rupture may be difficult, as these patients often have coexistent lifethreatening injuries to other vital organs. Fifteen percent of the initial survivors live long enough to reach the hospital for diagnosis and treatment and 90% of those who remain undiagnosed may not survive four months.…”

Section: Discussionmentioning

confidence: 99%

Traumatic rupture of the thoracic aorta: diagnosis on fibreoptic bronchoscopy

Oxorn

Pagliarello

1992

Can J Anaesth

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Section: Discussionmentioning

confidence: 99%

Traumatic rupture of the thoracic aorta: diagnosis on fibreoptic bronchoscopy

Oxorn

Pagliarello

1992

Can J Anaesth

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“…Chest injuries often occur in combination with other severe injuries, such as extremity, head, brain and abdominal injuries [1]. The impact of a blunt trauma is typically conducted to many different intrathoracic structures; hence nearly all organs of the thoracic cavity can be involved in chest trauma.…”

Section: Introductionmentioning

confidence: 99%

“…The lethality of isolated chest traumas is about 5-8%. Up to 25% of all deaths caused by trauma are related to chest injuries [1], and mortality dramatically increases as a function of increased chest trauma force [2].…”

Section: Introductionmentioning

confidence: 99%

Continuous positive airway pressure ventilation versus Bi-level positive airway pressure ventilation in patients with blunt chest trauma

Shebl

Samra

Abderaboh

et al. 2015

Egyptian Journal of Chest Diseases and Tuberculosis

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“…Patient with thoracic injuries had a mortality rate of 15.7%, while those without thoracic injuries had a mortality rate of 12.8%. [4,5] Despite significant social impact of traumatic death, very few reliable epidemiological data are available of fatal chest injury due to RTA. This study was undertaken to access the pattern of chest injuries in fatal road traffic accidents around Patna, a relatively backward area of India.…”

Section: Introductionmentioning

confidence: 99%

Pattern of Fatal Chest Injury Due to Road Traffic Accidents in Bihar State

Deepmala¹,

Bhushan²,

Kumar³

et al. 2016

jemds

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Bihar is relatively a backward state of India where deaths due to chest injuries in road traffic accidents are very common. Deaths due to chest injuries could be more preventable and treatable than head injuries due to road traffic accidents. OBJECTIVEThe main objective of our study is to give emphasis on various aspect of deaths due to chest trauma in road traffic accidents, so that policies could be made by lawmakers to prevent these deaths and also to enrich the knowledge of clinicians about various reasons of death of traffic chest trauma victims. MATERIAL AND METHODThis is a prospective study, consists of 201 fatal chest trauma cases due to road traffic accident, brought for medico-legal autopsies to the mortuary of NMCH, Patna, between August 2011 and July 2013. The data were analysed in tabular form and percentage method. RESULTSThe study revealed that most of the traffic fatal chest trauma cases were pedestrians (67.2%), male (92%) and were of productive age group of life (37% between 31 and 45 years' age group). Majority of the accidents took place on highways (62.7%) in winter season (29.35%) and victims died on spot (72.5%). Shock and Haemorrhage (84.5%) was the most common cause of death, while fatal chest injuries generally combined with abdominal injuries (51.3%) also. Liver (50%) and Spleen (28.3%) were also injured in some victims. Contusions (42.7%), Rib fracture (61.2%) and Haemothorax (89%) were the other common findings in fatal chest trauma victims due to Road Traffic Accident (RTA). CONCLUSIONSOn the basis of this study, we can highlight various aspects of deaths due to chest trauma in road traffic accidents and accordingly the need to deploy the "Quick response teams" on highways and "Hi-Tech Trauma Centre" at district head-quarters can be justified to reduce the mortality in such cases.

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Anaesthetic management of acute blunt thoracic trauma

Cited by 37 publications

References 12 publications

Traumatic rupture of the thoracic aorta: diagnosis on fibreoptic bronchoscopy

Traumatic rupture of the thoracic aorta: diagnosis on fibreoptic bronchoscopy

Continuous positive airway pressure ventilation versus Bi-level positive airway pressure ventilation in patients with blunt chest trauma

Pattern of Fatal Chest Injury Due to Road Traffic Accidents in Bihar State

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