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The Lungs

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The Shock Trauma Manual of Operative Techniques

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Abstract

Thoracic trauma is a common occurrence and may be caused by either penetrating or blunt injury. A majority of patients with chest trauma sustain either a pneumothorax or hemothorax, and most of these injuries can be managed nonoperatively with either observation or a chest tube (Huh J et al., Am J Surg 186:620–624, 2003; Meredith JW and Hoth JJ, Surg Clin North Am 87:95–118, 2007; Stewart KC et al., Ann Thoracic Surg 63:1587–1588, 1997). Surgical intervention may still be indicated and may require a lung repair or resection. In general, blunt injuries have a lower incidence of operative requirements compared to penetrating injury; however, critical blunt thoracic injury often causes more severe and diffuse lung damage. Thus, patients who require thoracotomy following blunt trauma often require more extensive resections and are associated with higher mortality (Huh J et al., Am J Surg 186:620–624, 2003; Meredith JW and Hoth JJ, Surg Clin North Am 87:95–118, 2007; Stewart KC et al., Ann Thoracic Surg 63:1587–1588, 1997; Martin MJ et al., J Am Coll Surg 203:336–344, 2006; Karmy-Jones R et al., Arch Surg 136:513–518, 2001).

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Authors and Affiliations

  1. Division of Trauma and Critical Care, R Adams Cowley Shock Trauma Center, Baltimore, MD, USA

    Joseph Rabin M.D.

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  1. Joseph Rabin M.D.
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Editors and Affiliations

  1. Department of Trauma, R Adams Cowley Shock Trauma Center, Baltimore, Maryland, USA

    Thomas M. Scalea

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Rabin, J. (2015). The Lungs. In: Scalea, T. (eds) The Shock Trauma Manual of Operative Techniques. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2371-7_9

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  • DOI: https://doi.org/10.1007/978-1-4939-2371-7_9

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-2370-0

  • Online ISBN: 978-1-4939-2371-7

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