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The Follow-Up of Patients with Thoracic Injuries

  • Stefania Ianniello
  • Maria Gabriella Merola
  • Matteo Pignatelli
  • Riccardo Ferrari
  • Margherita Trinci
  • Vittorio Miele
Chapter

Abstract

Blunt thoracic trauma commonly causes lung contusions, pneumothorax, and pleural effusions, requiring an intensive treatment, often including mechanical ventilation.

Repeated lung diagnostic evaluations are needed in patients affected by blunt thoracic trauma, in order to follow up the clinical situation and monitoring the results of the therapeutic strategies.

Bedside radiography, clinical evaluation and serial measurements of respiratory variables are considered helpful but not sufficient; a daily chest X-ray is not more recommended, but only based on clinical indications or changing in clinical condition.

Nowadays, lung ultrasound is increasingly being incorporated in many stages, including follow-up, of trauma care, with accurate definition of indications.

computed tomography is actually considered the gold standard technique.

Keyword

Trauma Trauma imaging Thoracic trauma Lung contusion Hemothorax Pneumothorax Bronchopleural fistula ARDS  Follow-up CT US 

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Stefania Ianniello
    • 1
  • Maria Gabriella Merola
    • 1
  • Matteo Pignatelli
    • 1
  • Riccardo Ferrari
    • 1
  • Margherita Trinci
    • 1
  • Vittorio Miele
    • 2
  1. 1.Department of Emergency RadiologyS. Camillo HospitalRomeItaly
  2. 2.Department of RadiologyCareggi University HospitalFlorenceItaly

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