Primary Intramedullary Femur Fixation in Multiple Trauma Patients With Associated Lung Contusion—a Cause of Posttraumatic Ards?

Trauma Care in Germany: An Inclusive System

“…In addition, certain injury profiles were identified that are especially prone to develop such complications (borderline patient) [43]. Also, certain surgical procedures were reportedly associated with defined risks [44,48,53]. Depending on the type of surgery, the presence of specific comorbidities can be associated with a predictable increase in inflammatory markers [45,46,54,59,61].…”

Current Concepts of Respiratory Insufficiency Syndromes After Fracture

“…2). 62,63,[67][68][69][70][71][72][73][74] The protective effect of early surgery has also been demonstrated in children. 75,76 There is also evidence of a reduction in mortality, the duration of mechanical ventilation, nosocomial infections, thromboembolic disease and the cost of treatment after early stabilisation of the fracture.…”

“…Similar modifications to the management of the fracture to those described above have been suggested to reduce the extent of FE. The available clinical evidence, however, suggests that it is the chest injury which primarily determines whether the patient develops ARDS and not the femoral fracture, 67,68,74,82,93,95,105,106 since the risk of this complication in patients with an injured chest remains the same, irrespective of whether or not they have an associated femoral fracture (Figs 3a and 3b). This is substantiated by the absence of a significant difference in the risk of ARDS when comparing patients with chest injury alone with those who also have femoral fractures (Fig.…”

Continuous Thromboprophylaxis During Surgical Treatment of Patient With Polytrauma in a Multidisciplinary Hospital (Case Report)

“…Было доказано, что у пациентов в нестабильном сос-тоянии риск развития легочных осложнений и полиорганной недостаточности непредска-зуемо высок [8,17,24]. Данные осложнения преимущественно наблюдались у пациентов с тяжелыми повреждениями органов грудной клетки и после тяжелых гемодинамических на-рушений [11,12,18]. Поэтому появилась необ-ходимость разработки новой методики ведения этих пациентов [20].…”