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Pulmonary contusion is the most common potentially lethal chest injury. Pulmonary contusion is the result of direct trauma to the lung parenchyma with resulting ventilation to perfusion mismatch and hypoxemia. Focal areas of parenchymal injury, exacerbated by hypoventilation due to splinting of an injured thoracic cage, are the pathologic markers of pulmonary contusion. The pathophysiology, diagnostic approach, use of selective mechanical ventilatory management, rational pain control strategies and long-term outcomes of pulmonary contusion will be discussed.
KeywordsChest Wall Epidural Analgesia Nosocomial Pneumonia Chest Injury Pulmonary Contusion
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