Penetrating Lung Injuries

  • Kurt A. Kralovich


Thoracic injuries are common, occurring in up to one third of all trauma victims. A systematic approach to these patients is necessary to minimize morbidity and mortality. Upon arrival, vital signs are obtained, supplemental oxygen and pulse oxymetry are established, venous access is obtained, and electrocardiogram leads are placed. These general interventions are critical in patients with penetrating lung injuries as our institution and several others have shown that presenting physiologic parameters such as systolic blood pressure (SBP) and temperature are better predictors of outcome than the anatomic injury itself.


Thoracic Injury Pulse Oxymetry Stump Leak Anatomic Injury Pulmonary Circuit 
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Selected References

  1. Asensio J A, Demetriades D, Berne JD et. al. Stapled pulmonary tractotomy: a rapid way to control hemorrhage in petentrating pulmonary injuries. J Am Coll Surg. 1997;185:486–487.PubMedGoogle Scholar
  2. Gasparri M, Karmy-Jones RC, Kralovich KA et. al. Pulmonary tractotomy versus lung resection: viable options in penetrating lung injury. J Trauma 2001; 51:1092–97.PubMedCrossRefGoogle Scholar
  3. Karmy-Jones R, Jukovich GJ, Shatz D, Brundage S, Wall Jr. M, Englehardt S, Hoyt D, Holcroft J, Knudson MM:Management of traumatic lung injury: A WTA multicenter study J Trauma 2001; 1049–53Google Scholar
  4. • Velmahos GC, Baker C, Demetriades D, et. al. Lung-sparing surgery after penetrating trauma using tractotomy, partial lobectomy, and peumonorrhaphy. Arch Surg 1999;134:186–189.PubMedCrossRefGoogle Scholar
  5. Wall MJ Jr., Soltero E. Damage control for thoracic injuries. Surg Clin North Am. 1997;77:863–878.PubMedCrossRefGoogle Scholar
  6. Wall MJ Jr., Hirshberg A, Mattox KL. Pulmonary tractotomy with selective vascular ligation for penetrating injuries to the lung. Am J Surg. 1994; 168:665–669.PubMedCrossRefGoogle Scholar
  7. Wall MJ Jr., Villavicencio RT, Miller CC, et. al. Pulmonary Tractotomy as an abbreviated thoracotomy technique. J Trauma. 1998;45:1015–1023.PubMedCrossRefGoogle Scholar
  8. Wagner JW, Obeid FN, Karmy-Jones Re, et. al. Trauma pneumonectomy revisited: the role of sumultaneously stapled pneumonectomy. J Trauma 1996;40:590–594.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2002

Authors and Affiliations

  • Kurt A. Kralovich

There are no affiliations available

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