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Thoracic Trauma

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Evidence-Based Critical Care

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Abstract

Thoracic trauma management has changed over the past several years with the introduction of new catheters, pain management techniques, protective lung ventilation, and rib fixation devices. With these new approaches to management, this chapter serves to introduce key clinical scenarios and subsequent treatment options and evidence contour. Clinical scenarios focus on pneumothoraces, hemothoraces, rib fractures, and lung contusions with keys to diagnosis, initial steps of management, common complications, and areas of controversial management including avoiding chest tube insertion, timing of video-assisted thoracoscopic surgery, rib fixation, and fluid management and ventilator management for lung contusions.

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Author information

Authors and Affiliations

  1. Surgical Critical Care, General Surgery, Department of Surgery, University of Toledo, Toledo, OH, USA

    Katherine M. Klein

  2. Department of Surgery, University of Michigan, Ann Arbor, MI, USA

    Krishnan Raghavendran

Authors
  1. Katherine M. Klein
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  2. Krishnan Raghavendran
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Corresponding author

Correspondence to Krishnan Raghavendran .

Editor information

Editors and Affiliations

  1. Division of Pulmonary and Critical Care, University of Michigan, Ann Arbor, Michigan, USA

    Robert C. Hyzy

Electronic Supplementary Material

Below is the link to the electronic supplementary material.

Video shows presence of lung sliding in a US that is consistent with normal lung. (AVI 837 kb)

Video shows absence of lung sliding highly indicative of a pneumothorax. (AVI 4161 kb)

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© 2017 Springer International Publishing Switzerland

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Klein, K.M., Raghavendran, K. (2017). Thoracic Trauma. In: Hyzy, R. (eds) Evidence-Based Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-319-43341-7_77

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  • DOI: https://doi.org/10.1007/978-3-319-43341-7_77

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43339-4

  • Online ISBN: 978-3-319-43341-7

  • eBook Packages: MedicineMedicine (R0)

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