Pulmonary contusion after bumper car collision: Case report and review of the literature

Berland, Mahé; Oger, Marjolaine; Cauchois, Emi; Retornaz, K.; Arnoux, Valérie; Dubus, Jean‐Christophe

doi:10.1016/j.rmcr.2018.10.006

Cited by 3 publications

(3 citation statements)

References 12 publications

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“…Previous studies have demonstrated that patients that underwent open reduction and internal fixation experienced a significant reduction of chest pain and an effective recovery of cough, which aids expectoration [20][21][22]. For these patients, getting out of bed early in the postoperative period not only promoted recovery but reduced the incidence of atelectasis.…”

Section: The Necessity Of Surgical Treatmentmentioning

confidence: 99%

Analysis of the therapeutic effect and prognosis in 86 cases of rib fractures and atelectasis

Yin

Wang

et al. 2021

J Orthop Surg Res

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Background The aim of the present study was to explore the therapeutic effect and prognosis in patients with rib fractures and atelectasis after thoracic trauma in order to provide a basis for clinical decision-making in primary hospitals. Methods A retrospective study was conducted on 86 patients admitted to our hospital between January 2016 and May 2020 with rib fractures and atelectasis after thoracic trauma. On the basis of the chest computed tomography scans taken at the time of discharge, the patients were divided into two groups: the reexpansion group and the non-reexpansion group. The two groups were compared with respect to the changes observed in the patients’ levels of blood oxygen saturation (SpO2) and pulmonary function, the presence of secondary pulmonary or thoracic infection, the time of chest tube drainage, the length of hospitalization, the cost of hospitalization, and the patients’ level of satisfaction with their quality of life 3 months after discharge. Results In the reexpansion group, there were significant differences in the levels of SpO2 and pulmonary function measured before and after pulmonary reexpansion (P < 0.05). Compared with the non-reexpansion group, the patients in the reexpansion group had a lower incidence of secondary pulmonary and thoracic infection and a higher level of satisfaction with their quality of life after discharge; these differences were statistically significant (P < 0.05). There was no statistical significance between the two groups with respect to the time of chest tube drainage or the length of hospitalization (P > 0.05). However, the cost of hospitalization was significantly higher in the reexpansion group than in the non-reexpansion group (P < 0.05). Conclusions The patients in the pulmonary reexpansion group had a lower incidence of complications and a better prognosis than the patients in the non-reexpansion group.

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Section: The Necessity Of Surgical Treatmentmentioning

confidence: 99%

Analysis of the therapeutic effect and prognosis in 86 cases of rib fractures and atelectasis

Yin

Wang

et al. 2021

J Orthop Surg Res

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“…Surfactants normally decrease the surface tension of alveoli 19 . If there is for some reason reduction in the amount of active surfactant, it leads to pulmonary atelectasis and ventilation‐perfusion mismatch 2,20 . Patients with traumatic ARDS have a higher risk of pneumonia and respiratory failure than those without pulmonary contusions 3,7,11,15,16 .…”

Section: Introductionmentioning

confidence: 99%

“… 19 If there is for some reason reduction in the amount of active surfactant, it leads to pulmonary atelectasis and ventilation‐perfusion mismatch. 2 , 20 Patients with traumatic ARDS have a higher risk of pneumonia and respiratory failure than those without pulmonary contusions. 3 , 7 , 11 , 15 , 16 Another difference from ARDS caused by infection or aspiration is that patients with ARDS secondary to trauma are usually younger and effective interventions at an early stage of onset can lead to better outcomes and good patient prognosis.…”

Section: Introductionmentioning

confidence: 99%

Exogenous surfactant for lung contusion causing ARDS: A systematic review of clinical and experimental reports

Merkl,

Astapenko,

Štichhauer

et al. 2024

Clinical Respiratory J

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This systematic review aimed to summarize the available data on the treatment of pulmonary contusions with exogenous surfactants, determine whether this treatment benefits patients with severe pulmonary contusions, and evaluate the optimal type of surfactant, method of administration, and drug concentration. Three databases (MEDline, Scopus, and Web of Science) were searched using the following keywords: pulmonary surfactant, surface‐active agents, exogenous surfactant, pulmonary contusion, and lung contusion for articles published between 1945 and February 2023, with no language restrictions. Four reviewers independently rated the studies for inclusion, and the other four reviewers resolved conflicts. Of the 100 articles screened, six articles were included in the review. Owing to the limited number of papers on this topic, various types of studies were included (two clinical studies, two experiments, and two case reports). In all the studies, surfactant administration improved the selected ventilation parameters. The most frequently used type of surfactant was Curosurf® in the concentration of 25 mg/kg of ideal body weight. In most studies, the administration of a surfactant by bronchoscopy into the segmental bronchi was the preferable way of administration. In both clinical studies, patients who received surfactants required shorter ventilation times. The administration of exogenous surfactants improved ventilatory parameters and, thus, reduced the need for less aggressive artificial lung ventilation and ventilation days. The animal‐derived surfactant Curosurf® seems to be the most suitable substance; however, the ideal concentration remains unclear. The ideal route of administration involves a bronchoscope in the segmental bronchi.

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Blunt trauma related chest wall and pulmonary injuries: An overview

Dogrul

Kılıççalan

Asci

et al. 2020

Chinese Journal of Traumatology

155

108

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Pulmonary contusion after bumper car collision: Case report and review of the literature

Cited by 3 publications

References 12 publications

Analysis of the therapeutic effect and prognosis in 86 cases of rib fractures and atelectasis

Analysis of the therapeutic effect and prognosis in 86 cases of rib fractures and atelectasis

Exogenous surfactant for lung contusion causing ARDS: A systematic review of clinical and experimental reports

Blunt trauma related chest wall and pulmonary injuries: An overview

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