Practice Management Guidelines for Management of Hemothorax and Occult Pneumothorax

Mowery, Nathan T.; Gunter, Oliver L.; Collier, Bryan R.; Diaz, José J.; Haut, Elliott R.; Hildreth, Amy N.; Holevar, Michelle; Mayberry, John C.; Streib, Erik W.

doi:10.1097/ta.0b013e31820b5c31

Cited by 180 publications

(167 citation statements)

References 45 publications

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“…A recent EAST guideline paper on practical management of occult pneumothorax states that occult pneumothorax may be observed in a stable patient regardless of positive pressure ventilation. Scoring systems are not considered accurate in predicting which patients will need a thoracostomy tube for occult pneumothorax (level 3 evidence) [28].…”

Section: Small Pneumothoraxmentioning

confidence: 99%

“…Occult PTX is currently defined as a pneumothorax that is seen on chest CT, but not on plain films [28], even if accuracy of US in the detection of PTX is well documented. Management of small and occult PTX is debated and often should be tailored to the single patient.…”

Section: Small Pneumothoraxmentioning

confidence: 99%

“…The Eastern Association for the Surgery of Trauma (EAST) guidelines reserve no role for a second drainage in the management of a persistent retained hemothorax, with a level I of evidence [28].…”

Section: Retained Hemothoraxmentioning

confidence: 99%

“…Anyway, it is widely agreed, that evacuation of retained hemothorax should be done early, if possible, within 3-7 days after trauma, in order to decrease complications and allow a complete clearing of the pleural cavity [23,26,28].…”

Section: Retained Hemothoraxmentioning

confidence: 99%

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Management of Post-Traumatic Complications by Interventional Ultrasound: a Review

2016

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Purpose of Review We reviewed the current literature to assess the feasibility of ultrasound-assisted and ultrasoundguided procedures for the treatment of post-traumatic complications and to address the indications and techniques of procedures. Recent Findings Non-operative strategies have been introduced in the treatment of severe trauma, and consequently, the incidence of some post-traumatic complications has increased. US can be useful both for the initial assessment of trauma patients and for the treatment of complications. Summary Ultrasound-guided and ultrasound-assisted procedures as a therapeutic tool in the management of post-trauma settings are probably underused, in comparison with their successful use in other acute settings. Some new possible fields of clinical researches are suggested.

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Section: Small Pneumothoraxmentioning

confidence: 99%

Section: Small Pneumothoraxmentioning

confidence: 99%

Section: Retained Hemothoraxmentioning

confidence: 99%

Section: Retained Hemothoraxmentioning

confidence: 99%

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Management of Post-Traumatic Complications by Interventional Ultrasound: a Review

2016

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“…1 Furthermore, chest injuries occur in ~60% of polytrauma cases, hemothorax related to trauma in the United States approaches 300.000 cases per year. 3 Here in, a case report of a skull fracture and rib fracture in child abuse with ventilation support in the Pediatric Intensive Care Unit (PICU) in Dr. Hasan Sadikin General Hospital, Bandung.…”

Section: Introductionmentioning

confidence: 99%

Skull and Posterior Rib Fractures with Respiratory Failure caused by Child Abuse

Hakim¹,

Noviani²

2017

amj

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Background: Presence of multiple fractures suggests child abuse. Skull fractures rarely occurred but posterior rib fractures are commonly found and have high specificity as a radiological finding in child abuse. A respiratory failure can occur as a result of the damage to the osseous structure of the thorax that destabilizes the rib cage and impairs spontaneous breathing mechanism. Methods: A case report of a 6-month-old boy who presented with respiratory failure, multiple bilateral parietal and occipital bone fractures, and also fractures of right rib 5-8. The patient required ventilatory support for 9 days in the Pediatric Intensive Care Unit, Dr.HasanSadikin General Hospital. Results: The patient was on ventilatory support for 9 days, and was given antibiotics for 2 weeks. Next, the patient was referred to the High Care Unit (HCU) after the condition was stabilized, and then referred to the ward, for treatment by the Social Pediatric Division. The patient was still having issues about his foster care.

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Association Between Adherence to Evidence-Based Practices for Treatment of Patients With Traumatic Rib Fractures and Mortality Rates Among US Trauma Centers

et al. 2020

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IMPORTANCE Rib fractures are sustained by nearly 15% of patients who experience trauma and are associated with significant morbidity and mortality. Evidence-based practice (EBP) rib fracture management guidelines and treatment algorithms have been published. However, few studies have evaluated trauma center adherence to EBP or the clinical outcomes of each practice within a national cohort. OBJECTIVE To examine adherence to 6 EBPs for rib fractures across US trauma centers and the association with in-hospital mortality.

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Practice Management Guidelines for Management of Hemothorax and Occult Pneumothorax

Cited by 180 publications

References 45 publications

Management of Post-Traumatic Complications by Interventional Ultrasound: a Review

Management of Post-Traumatic Complications by Interventional Ultrasound: a Review

Skull and Posterior Rib Fractures with Respiratory Failure caused by Child Abuse

Association Between Adherence to Evidence-Based Practices for Treatment of Patients With Traumatic Rib Fractures and Mortality Rates Among US Trauma Centers

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