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• W2009897654 abstract "Improved outcomes following lung injury have been reported using lung sparing techniques.A retrospective multicenter 4-year review of patients who underwent lung resection following injury was performed. Resections were categorized as minor (suture, wedge resection, tractotomy) or major (lobectomy or pneumonectomy). Injury severity, Abbreviated Injury Scale (AIS) score, and outcome were recorded.One hundred forty-three patients (28 blunt, 115 penetrating) underwent lung resection after sustaining an injury. Minor resections were used in 75% of cases, in patients with less severe thoracic injury (chest AIS scores minor 3.8 +/- 0.9 vs. major 4.3 +/- 0.7, p = 0.02). Mortality increased with each step of increasing complexity of the surgical technique (RR, 1.8; CI, 1.4-2.2): suture alone, 9% mortality; tractotomy, 13%; wedge resection, 30%; lobectomy, 43%; and pneumonectomy, 50%. Regression analysis demonstrated that blunt mechanism, lower blood pressure at thoracotomy, and increasing amount of the lung resection were each independently associated with mortality.Blunt traumatic lung injury has higher mortality primarily due to associated extrathoracic injuries. Major resections are required more commonly than previously reported. While minor resections, if feasible, are associated with improved outcome, trauma surgeons should be facile in a wide range of technical procedures for the management of lung injuries." @default.
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• W2009897654 date "2001-12-01" @default.
• W2009897654 modified "2023-09-24" @default.
• W2009897654 title "Management of Traumatic Lung Injury : A Western Trauma Association Multicenter Review" @default.
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• W2009897654 doi "https://doi.org/10.1097/00005373-200112000-00004" @default.
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