Quantitation and pattern of parenchymal lung injury in blunt chest trauma diagnostic and therapeutic implications

Wagner, Robert B.; Crawford, William O.; Schimpf, Patrick P.; Jamieson, Peter; Rao, K. Chowdoji

doi:10.1016/0149-936x(88)90084-7

Cited by 34 publications

(6 citation statements)

References 13 publications

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“…23 Third, if a lung contusion was noted on the TCT scan, ventilatory changes were based on the size of the contusion. This patient care strategy is derived from an adult study by Wagner and Jamieson, 25 which examined the relationship between size of a pulmonary contusion and the need for mechanical ventilation. Wagner et al 25 concluded that a pulmonary contusion greater than 28% of functional lung volume predicted with 100% accuracy the need for mechanical ventilation.…”

Section: Discussionmentioning

confidence: 99%

“…This patient care strategy is derived from an adult study by Wagner and Jamieson, 25 which examined the relationship between size of a pulmonary contusion and the need for mechanical ventilation. Wagner et al 25 concluded that a pulmonary contusion greater than 28% of functional lung volume predicted with 100% accuracy the need for mechanical ventilation. Trupka's study 21 followed this recommendation and made ventilatory and general therapeutic changes based on the size of the lung contusion.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Should helical CT scanning of the thoracic cavity replace the conventional chest x-ray as a primary assessment tool in pediatric trauma? An efficacy and cost analysis

Renton

Kincaid

Ehrlich

2003

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Should helical CT scanning of the thoracic cavity replace the conventional chest x-ray as a primary assessment tool in pediatric trauma? An efficacy and cost analysis

Renton

Kincaid

Ehrlich

2003

Journal of Pediatric Surgery

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“…A tomografia computadorizada pode ser útil na avaliação e manejo da contusão pulmonar. Foi demonstrado que ventilação mecânica foi necessária quando houve comprometimento de mais do que 28% do parênquima pulmonar, e não necessária quando o acometimento pulmonar foi inferior a 18% 20 .…”

Section: Discussionunclassified

Traumatic airway disruption in a child: a diagnostic challenge

et al. 2005

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“…A tomografia computadorizada pode ser útil na avaliação e manejo da contusão pulmonar. Foi demonstrado que ventilação mecâ-nica foi necessária quando houve comprometimento de mais do que 28% do parênquima pulmonar, e não necessá-ria quando o acometimento pulmonar foi inferior a 18% 20 .…”

Section: Discussionunclassified

Traumatic airway disruption in a child: a diagnostic challenge

Ventura¹,

Góes²,

Otoch³

et al. 2005

J Pediatr (Rio J)

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Objective: To report a case of airway disruption in a child victim of blunt thoracic trauma due to falling off a sink.Description: Descriptive case report. A 34-month old boy victim of thoracic trauma was seen at the pediatric intensive care unit of a university hospital. Plain chest radiograph, thoracic computed tomography, bronchoscopy, thoracotomy, antibiotics, hemodynamic and respiratory support were performed. Plain chest radiograph, thoracic computed tomography and bronchoscopy were performed in order to arrive at a precise diagnosis of traumatic airway disruption associated with pulmonary contusion, pneumothorax, mediastinal and subcutaneous emphysema. The patient underwent thoracotomy for surgical repair of an almost complete disruption of the left main bronchus. Antibiotics and ventilatory support contributed to a favorable outcome without medium-term sequelae.Comments: Children presenting with thoracic trauma must be investigated for uncommon, but potentially lethal injuries, such as tracheobronchial disruption, particularly in cases where there is strong clinical evidence. Diagnostic workup should be optimized with plain chest radiograph and thoracic computed tomography, while bronchoscopy will confirm the definitive diagnosis. J Pediatr (Rio J)

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Quantitation and pattern of parenchymal lung injury in blunt chest trauma diagnostic and therapeutic implications

Cited by 34 publications

References 13 publications

Should helical CT scanning of the thoracic cavity replace the conventional chest x-ray as a primary assessment tool in pediatric trauma? An efficacy and cost analysis

Should helical CT scanning of the thoracic cavity replace the conventional chest x-ray as a primary assessment tool in pediatric trauma? An efficacy and cost analysis

Traumatic airway disruption in a child: a diagnostic challenge

Traumatic airway disruption in a child: a diagnostic challenge

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