Matches in SemOpenAlex for { <https://semopenalex.org/work/W2040794503> ?p ?o ?g. }
Showing items 1 to 97 of
97
with 100 items per page.
- W2040794503 endingPage "138" @default.
- W2040794503 startingPage "130" @default.
- W2040794503 abstract "The aim of operative chest wall stabilization in patients with flail chest and respiratory insufficiency is to reduce ventilator time and avoid ventilator associated complications. The purpose of this retrospective study was to analyze the indications and outcomes of operative chest wall stabilization in defined groups of patients sustaining flail chest with and without pulmonary contusion.The hospital records of 405 patients with multiple trauma (Injury Severity Score > 17) between 1988 and 1994 were reviewed. Forty-two patients sustained flail chest. Twenty of these underwent operative chest wall stabilization for the following indications: 1) flail chest with indication for thoracotomy due to intrathoracic injury (n = 6); 2) flail chest without pulmonary contusion (n = 9); 3) paradoxical movement of a chest wall segment in the weaning period from the respirator (n = 3); and 4) severe deformity of the chest wall (n = 2). For the purpose of analysis the patients were separated into groups: group 1: operative chest wall stabilization in flail chest without pulmonary contusion (n = 10); group 2: operative chest wall stabilization in flail chest with pulmonary contusion (n = 10); group 3: flail chest without pulmonary contusion and without chest wall stabilization (n = 18); group 4: flail chest with pulmonary contusion and without chest wall stabilization (n = 4). Data were coded for time of operation, duration of ventilatory support, and complications.There were no significant differences in age, severity of injury, and extent of injury between groups 1, 2, and 3 (p < 0.42). Group 4 was excluded for statistical analysis because of the small number of patients. Patients in group 1 required a shorter ventilatory support time compared to patients in group 3 (6.5+/-7.0 versus 26.7+/-29.0 days) and group 2 (p < 0.02). In group 2 (ventilator time 30.8+/-33.7 days) early extubation was only possible in patients being operated on for chest wall instability during weaning from the ventilator. One patient in group 1, three patients in group 2 and five patients in group 3 developed pneumonia with further disturbance of gas exchange. All patients in group 1 survived; deaths in group 2 were attributed to massive hemorrhage in two and septic multiorgan failure in one patient. Four patients in group 3 died of head injury, one of acute respiratory distress syndrome, one of severe hemorrhage, and one of multiple organ failure.In patients with flail chest and respiratory insufficiency without pulmonary contusion, operative chest wall stabilization permits early extubation. Patients with pulmonary contusion do not benefit from chest wall stabilization. Secondary operative chest wall stabilization in these patients is indicated when progressive collapse of the chest wall is evident during weaning from the ventilator." @default.
- W2040794503 created "2016-06-24" @default.
- W2040794503 creator A5056346703 @default.
- W2040794503 creator A5059630940 @default.
- W2040794503 creator A5072325735 @default.
- W2040794503 creator A5074837646 @default.
- W2040794503 creator A5083914684 @default.
- W2040794503 date "1998-08-01" @default.
- W2040794503 modified "2023-09-26" @default.
- W2040794503 title "Operative chest wall stabilization in flail chest—outcomes of patients with or without pulmonary contusion" @default.
- W2040794503 cites W155112878 @default.
- W2040794503 cites W1947740537 @default.
- W2040794503 cites W1987820774 @default.
- W2040794503 cites W1992078697 @default.
- W2040794503 cites W1997965395 @default.
- W2040794503 cites W2005357317 @default.
- W2040794503 cites W2009009215 @default.
- W2040794503 cites W2025756876 @default.
- W2040794503 cites W2032183436 @default.
- W2040794503 cites W2035312366 @default.
- W2040794503 cites W2038164904 @default.
- W2040794503 cites W2065699321 @default.
- W2040794503 cites W2087209211 @default.
- W2040794503 cites W2212835790 @default.
- W2040794503 cites W2402241636 @default.
- W2040794503 cites W4293108385 @default.
- W2040794503 cites W4328000886 @default.
- W2040794503 doi "https://doi.org/10.1016/s1072-7515(98)00142-2" @default.
- W2040794503 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/9704957" @default.
- W2040794503 hasPublicationYear "1998" @default.
- W2040794503 type Work @default.
- W2040794503 sameAs 2040794503 @default.
- W2040794503 citedByCount "182" @default.
- W2040794503 countsByYear W20407945032012 @default.
- W2040794503 countsByYear W20407945032013 @default.
- W2040794503 countsByYear W20407945032014 @default.
- W2040794503 countsByYear W20407945032015 @default.
- W2040794503 countsByYear W20407945032016 @default.
- W2040794503 countsByYear W20407945032017 @default.
- W2040794503 countsByYear W20407945032018 @default.
- W2040794503 countsByYear W20407945032019 @default.
- W2040794503 countsByYear W20407945032020 @default.
- W2040794503 countsByYear W20407945032021 @default.
- W2040794503 countsByYear W20407945032022 @default.
- W2040794503 countsByYear W20407945032023 @default.
- W2040794503 crossrefType "journal-article" @default.
- W2040794503 hasAuthorship W2040794503A5056346703 @default.
- W2040794503 hasAuthorship W2040794503A5059630940 @default.
- W2040794503 hasAuthorship W2040794503A5072325735 @default.
- W2040794503 hasAuthorship W2040794503A5074837646 @default.
- W2040794503 hasAuthorship W2040794503A5083914684 @default.
- W2040794503 hasConcept C105698618 @default.
- W2040794503 hasConcept C126322002 @default.
- W2040794503 hasConcept C141071460 @default.
- W2040794503 hasConcept C2777063151 @default.
- W2040794503 hasConcept C2777714996 @default.
- W2040794503 hasConcept C2778217840 @default.
- W2040794503 hasConcept C2778329176 @default.
- W2040794503 hasConcept C2778704086 @default.
- W2040794503 hasConcept C2779890223 @default.
- W2040794503 hasConcept C2780229392 @default.
- W2040794503 hasConcept C42219234 @default.
- W2040794503 hasConcept C71924100 @default.
- W2040794503 hasConceptScore W2040794503C105698618 @default.
- W2040794503 hasConceptScore W2040794503C126322002 @default.
- W2040794503 hasConceptScore W2040794503C141071460 @default.
- W2040794503 hasConceptScore W2040794503C2777063151 @default.
- W2040794503 hasConceptScore W2040794503C2777714996 @default.
- W2040794503 hasConceptScore W2040794503C2778217840 @default.
- W2040794503 hasConceptScore W2040794503C2778329176 @default.
- W2040794503 hasConceptScore W2040794503C2778704086 @default.
- W2040794503 hasConceptScore W2040794503C2779890223 @default.
- W2040794503 hasConceptScore W2040794503C2780229392 @default.
- W2040794503 hasConceptScore W2040794503C42219234 @default.
- W2040794503 hasConceptScore W2040794503C71924100 @default.
- W2040794503 hasIssue "2" @default.
- W2040794503 hasLocation W20407945031 @default.
- W2040794503 hasLocation W20407945032 @default.
- W2040794503 hasOpenAccess W2040794503 @default.
- W2040794503 hasPrimaryLocation W20407945031 @default.
- W2040794503 hasRelatedWork W1987820774 @default.
- W2040794503 hasRelatedWork W1997965395 @default.
- W2040794503 hasRelatedWork W2040794503 @default.
- W2040794503 hasRelatedWork W2084593424 @default.
- W2040794503 hasRelatedWork W2356619480 @default.
- W2040794503 hasRelatedWork W2379227136 @default.
- W2040794503 hasRelatedWork W2419665641 @default.
- W2040794503 hasRelatedWork W2972332570 @default.
- W2040794503 hasRelatedWork W3019309906 @default.
- W2040794503 hasRelatedWork W90544976 @default.
- W2040794503 hasVolume "187" @default.
- W2040794503 isParatext "false" @default.
- W2040794503 isRetracted "false" @default.
- W2040794503 magId "2040794503" @default.
- W2040794503 workType "article" @default.