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  • 1
    Online Resource
    Online Resource
    Chantilly :Elsevier Science & Technology,
    UID:
    almahu_9949996781402882
    Format: 1 online resource (436 pages)
    Edition: 1st ed.
    ISBN: 9780443138676 , 0443138672
    Note: Front Cover -- Chest Blunt Trauma -- Copyright Page -- Contents -- List of contributors -- 1 Lung contusion, flail chest, acute respiratory distress syndrome, and respiratory failure after blunt chest trauma -- Blunt chest trauma -- Lung contusion -- Epidemiology/pathophysiology -- Lung laceration -- Diagnostic -- Therapy -- Flail chest -- Diagnostic and definition -- Therapy -- Conservative management -- Pain management -- Adjunctive management -- Non-invasive/ventilation -- Indications for rib stabilization -- ARDS and respiratory failure -- Epidemiology/pathophysiology -- Risk factors -- Diagnostic -- Differential diagnosis -- Therapy -- Adjunct therapies -- Recovery and long-term results -- Research/future therapy options -- Conclusion -- References -- 2 Anesthesiological aspects in the chest trauma patient -- Initial management of chest blunt trauma -- Tracheobronchial injury and airway management -- Tension pneumothorax -- Open pneumothorax -- Hemothorax -- Cardiac tamponade -- Extracorporeal membrane oxygenation -- Anesthesia for surgical treatment -- Analgesia in blunt chest trauma -- Regional anesthesia -- Thoracic epidural analgesia -- Thoracic paravertebral block -- Serratus anterior plane block -- Erector spinae plane block -- Intercostal nerve block -- References -- 3 Scoring systems of blunt thoracic trauma and rib fractures -- Introduction -- General properties of scoring systems -- Ideal characteristics of a chest wall scoring systems -- Thoracic chest wall taxonomy -- Current chest wall scoring systems -- Chest wall Organ Injury Scale -- Thoracic trauma severity score -- Rib fracture score -- Chest trauma score -- RibScore -- Sequential clinical assessment of respiratory function score -- Chest wall injury scoring systems and surgical stabilization -- Future directions -- Conclusions -- References. , 4 Taxonomy of rib fractures and blunt chest wall injury -- AO Foundation/Orthopaedic Trauma Association fracture and dislocation classification compendium -- Chest Wall Injury Society Taxonomy -- CWIS/ASER working group -- Chest Injuries International Database -- Other rib fracture classifications -- SMuRFS -- Costal cartilage -- Injuries to the costal margin -- Injuries to the sternum -- Summary -- References -- 5 Rib fractures management algorithm -- Introduction -- Management in flail chest patients -- Summary -- Management in no flail chest patients -- Summary -- Management of rib fracture nonunion -- Summary -- When is rib fixation in non-flail patients usually not necessary? -- References -- 6 Early rib fixation: the evidence, the trials -- Introduction -- Evidence synthesis: guidelines and recommendations for early rib fixation -- Trial analysis and discussion: understanding early surgical stabilisation -- Movement toward surgical intervention -- Elderly versus young -- Indications for surgical approach -- Timing to surgical intervention -- Patient selection and allocation challenges -- Multi-disciplinary approach -- Quality of life -- Cost-effectiveness -- Summary -- References -- 7 Modern approach to rib fixation: surgical techniques -- Introduction -- Minimal invasive surgical rib fixation -- Internal rib fixation -- Intrathoracic rib fixation -- Full VATS approach -- Partial VATS approach -- The application of 3D-printing technology in rib fracture fixation -- 3D printing technology -- Preoperative planning with 3D printing models -- Customized implants, surgical guides and templates, minimally invasive SSRF -- Potential for training and education -- Future directions and challenges -- Evolution of the surgical approaches -- Surgical approaches -- Standard open approach -- Modified open approaches -- Tunnel-based open approaches. , Video-assisted thoracoscopic hybrid approaches -- Video-assisted thoracoscopic approaches -- References -- 8 Postoperative complications -- Introduction -- Early procedure-related complications -- Bleeding -- Pulmonary complications -- Pleural effusion -- Pneumothorax -- Ventilatory failure -- Wound infection -- Neuromuscular weakness -- Hardware infection and failure -- Hardware infection -- Mechanical hardware failure -- Long-term complications -- Fracture nonunion or malunion -- Chronic pain and irritation -- References -- 9 Rib malunion -- Definition -- Types -- Incidence -- Risk factors -- Main symptom -- Diagnostic approach -- Differential diagnosis -- Treatment options -- Surgical treatment -- Indications for surgical intervention -- Surgical options -- Associated complications -- Prognosis -- Prevention strategies -- References -- 10 Slipping rib syndrome -- Definition -- History -- Types -- Forms -- Demographics -- Incidence -- Etiology -- Pathogenesis -- Main symptom -- Diagnostic approach flow chart -- Physical examination -- Differential diagnosis -- Diagnostic examinations -- Treatment options flow chart -- Surgical treatment -- Indications for surgical intervention -- Surgical options -- Patient monitoring -- Prevention strategies -- References -- 11 Role of VATS in nonpenetrating chest trauma -- Introduction -- The development of VATS surgery and its use in chest trauma -- Benefits, features, and timing of VATS surgery in blunt trauma patients -- VATS for posttraumatic haemothorax -- VATS for posttraumatic empyema -- VATS for posttraumatic hernias -- VATS for posttraumatic chest wall injuries -- Conclusions -- References -- 12 Hydropneumothorax: why, when, how -- Introduction -- Historical background -- Terminology -- Epidemiology -- Pathophysiology -- Hemothorax -- Pneumothorax -- Primary evaluation -- Imaging investigations. , Plain radiography -- Ultrasonography -- Ultrasonography versus radiography -- Computed tomography -- Management -- Massive hemothorax -- Hemothorax -- Retained hemothorax -- Pneumothorax -- Prognosis -- Conclusions -- References -- 13 Sternal fracture -- Epidemiology -- Mechanism of injury and implications -- Clinical presentation and diagnosis -- Management -- References -- 14 VATS for delayed hemothorax -- Introduction -- Definition, epidemiology, and classification of delayed hemothorax -- An overview of existing DHTX literature -- Clinical and radiological predictive factors of delayed hemothorax -- The Quebec clinical decision rule -- Complications of delayed hemothorax -- The diagnostic and therapeutic role of VATS in delayed hemothorax -- The role of uniportal VATS in blunt chest trauma -- Conclusion -- References -- 15 Chest drains: which, where, when -- Introduction -- Which -- Chest drain components -- When -- Indications of chest tube insertion and drainage -- Precautions to chest tube insertion -- Where -- Chest tube insertion -- Standard insertion technique -- Patient positioning and landmarks for insertion -- Steps for insertion of a large-bore chest tubes using blunt dissection technique -- Steps for insertion of a small-bore chest tubes using the Seldinger technique -- Apical/anterior chest tube insertion -- Chest tube removal -- Potential pitfalls and complications -- Summary -- References -- 16 Chest tube placement: options and guidelines -- Introduction -- Indications -- Chest tubes for pneumothorax -- Do you need a chest drain for pneumothorax? -- Positive pressure ventilation -- Chest tubes for haemothorax -- Does any volume of blood loss mandate surgery? -- Do you need a chest drain for "small" haemothorax? -- Management of retained haemothorax -- Chest tube management -- Suction versus no suction. , Do you need prophylactic antibiotics? -- Summary -- References -- 17 Diaphragmatic rupture and herniation following blunt trauma: minimally invasive versus open approach -- Introduction -- Anatomy of the diaphragm -- Physiology of the diaphragm -- Mechanism of diaphragmatic injury -- Blunt diaphragmatic trauma -- Penetrating trauma -- Clinical presentation and diaphragmatic rupture -- Acute presentation -- Delayed presentation -- Diagnostic imaging -- Chest X-ray -- Ultrasound -- Computed tomography scan -- Commonly associated injuries -- Rib fractures -- Spleen rupture -- Liver laceration -- Gastric perforation -- Pneumothorax and hemothorax -- Abdominal organ herniation -- Sepsis -- Mechanisms of repair -- Laparoscopic approach -- Who should be offered a laparoscopic approach? -- Procedure -- Right-sided diaphragmatic laparoscopic repair -- Left-sided diaphragmatic laparoscopic repair -- Other minimally invasive approaches -- Video-assisted thoracoscopic surgery -- Robotic transthoracic approach -- Open approach -- Laparotomy -- Who would be offered a laparotomy approach? -- Intraoperative considerations -- Thoracotomy -- Primary repair versus mesh -- Primary repair -- Mesh -- References -- 18 Traumatic pericardial effusion and cardiac tamponade -- Introduction -- Clinical findings -- Investigations -- Treatment -- Conservative approach -- Pericardiocentesis -- Discussion -- References -- 19 Airway and esophageal injuries -- Airway and esophageal injuries -- Introduction -- Clinical presentation -- Mechanisms of trauma -- Diagnosis -- Treatment -- Operative management -- Complications -- Airway injuries -- Mechanism -- Clinical presentation -- Evaluation -- Management -- Complications -- References -- Index -- Back Cover.
    Additional Edition: ISBN 9780443138669
    Additional Edition: ISBN 0443138664
    Language: English
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