flail chest


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Translations

flail chest

n. tórax inestable, condición de la pared del tórax causada por la fractura múltiple de costillas.
References in periodicals archive ?
The presence of a flail chest alone has a reported mortality rate of 33% due to the paradoxical chest movement that inhibits effective ventilation.
9 Clinical features are seen as dyspnoea, stridor, haemoptysis, subcutaneous emphysema, tension pneumothorax, persistent or large air leak, and flail chest. Our patient was a non-obese female and she was not taking corticosteroids.
Trauma-induced lesions respectively are lung contusions, rib fractures, hemopneumothorax, pneumothorax, traumatic asphyxia, diaphragmatic rupture and flail chest. There were 69 (33%) patients with chest injuries alone, and 139 (67%) patients with multiple system injuries.
Table 1: Indications for thoracostomy in groups Injury Trochar ICD Blunt ICD n=25 (%) Cn=25 (%) Hemothorax 14 (56) 13 (52) Pneumothorax 9 (26) 10 (40) Tension 2 (8) 1 (4) pneumothorax Flail chest 4 (16) 5 (20) Table 2: Complications Complications Trochar thoracostomy Blunt thoracostom n=25(%) y (n=25) Vascular injury 1 (6.66) 0 Diaphragm injury 1 (6.66) 0 Splenic injury 1 (6.66) 0 Liver injury 0 0 Bowel injury 1 (6.66) 0 Bronchopleural 1 (6.66) 0 fistula Heart injury 0 0 Subcutaneous 3 (20) 0 placement Intraparenchymal 1 (6.66) 0 placement Re-expansion 0 0 pulmonary edema Phrenic nerve 0 0 injury Esophageal 0 0 perforation Chylothorax 0 0 Cardiac 0 0 dysrhythmias Infectious 2 (13.33) 2 (13.33) complications
Fracture of multiple ribs in more than one location can lead to flail chest or other associated thoracic injuries significantly compromising respiratory function.[4] Over 30% of patients with severe chest trauma will have some long-term disability and often do not return to full-time employment.[5] In addition, this results in social and economic costs, both to the US health care system and to individuals in the form of lost productivity and decreased quality of life (QOL).[6] Bhatnagar et al .[7] presented a model that looks specifically at long-term outcomes and QOL after SSRF in patients treated in North American trauma centers, and this Markov decision model was designed to compare the cost-effectiveness of nonoperative management versus SSRF of a flail chest.
Nonoperative management strategies have been suggested for the management of flail chest since the 1950s and most trauma surgeons still follow this approach today.
Contract awarded for Inputs Instrumental Flail Chest
Patient did not have flail chest or paradoxical movement or disturbance in carrying out his routine activities.
Flail chest, minor subcutaneus emphysema, tachycardia, and tachypnea were revealed on thoracic physical examination.
There were healing fractures to the ends of 11 of his right ribs, assessed to have been two to four weeks old, as well as to the arc of the second to 10th ribs, causing what is known as 'flail chest,' when there are Hilton and her then-partner Laidlaw had pleaded not guilty at Warwick Crown Court to causing him grievous bodily harm with intent.
Sullivan said she is upset and angry that Bella, her body punctured by several bite wounds, suffered and died from a collapsed lung, flail chest and pneumothorax all found during a necropsy.
Flail chest is a traumatic condition in which there are three or more consecutive ribs with fractures in two or more places, often requiring surgical treatment (Figure 13) [7,16].