Thoracic Trauma

  • Katherine M. Klein
  • Krishnan RaghavendranEmail author


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.


Pneumothorax Hemothorax Rib fractures Lung contusion Rib fixation Video-assisted thoracoscopic surgery (VATS) Tube thoracostomy 

Supplementary material

Video 77.1

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

Video 77.2

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


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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.Surgical Critical Care, General Surgery, Department of SurgeryUniversity of ToledoToledoUSA
  2. 2.Department of SurgeryUniversity of MichiganAnn ArborUSA

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