Pneumonectomy for trauma and war casualties
| Autor: | João Santos Silva, Pierre-Emmanuel Falcoz, Paulo Calvinho, Anne Olland |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Referral business.industry medicine.medical_treatment Mortality rate General surgery High mortality Patient survival Pneumonectomy Blunt trauma medicine Surgery Technical skills Cardiology and Cardiovascular Medicine business Thoracic trauma |
| Zdroj: | Shanghai Chest. 4:2-2 |
| ISSN: | 2521-3768 |
| Popis: | Chest trauma has been described in the literature since 3000 bc. This trauma is usually not isolated and associated with high mortality and morbidity. The majority of the patients with thoracic trauma are not operated, being reported emergent thoracotomies between 1–12% of all chest traumas and of this only 1% to 2% of thoracic trauma patients need a pneumonectomy with mortality rates from 50% to 100%, with a slight improvement tendency, having worst results those with blunt trauma. In a war scenario around 25% of the casualties have thoracic trauma associated, but there is no data available related to the pneumonectomy itself. Has been shown that victim stabilization, eventually with hilar control and quick referral to the central hospital improved patient survival and outcomes. Outcomes in war victims have been improving over time and Medicine has evolved much to the learnings during war times. The presence of a cardiothoracic surgeon in an emergency scenario improves the outcome not only due to their technical skills but also to their soft skills. It is written that the presence of these professional can induce a sense of confidence and security. |
| Databáze: | OpenAIRE |
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