Control of Respiratory Therapy in Flail Chest
| Autor: | Frank R. Lewis, Arthur N. Thomas, Richard M. Schlobohm |
|---|---|
| Rok vydání: | 1975 |
| Předmět: |
Adult
Pulmonary and Respiratory Medicine Flail chest medicine.medical_specialty Rib Fractures medicine.medical_treatment Vital Capacity Aspiration pneumonia Pulmonary compliance Pneumonia Aspiration medicine Humans Lung Compliance Aged Mechanical ventilation Ventilators Mechanical business.industry Pneumothorax Maximal Voluntary Ventilation Pneumonia Middle Aged medicine.disease Surgery Pulmonary embolism Oxygen Respiratory failure Anesthesia Pulmonary Embolism Respiratory Insufficiency Cardiology and Cardiovascular Medicine business |
| Zdroj: | The Annals of Thoracic Surgery. 20:170-176 |
| ISSN: | 0003-4975 |
| DOI: | 10.1016/s0003-4975(10)63872-6 |
| Popis: | Pulmonary mechanics and oxygenation were measured in 24 consecutive patients with posttraumatic flail chest requiring continuous mechanical ventilation. The mean duration of mechanical ventilation was fourteen days. Mortality was 38% for all patients, 29% if deaths from head injury are excluded. Pneumonia occurred in 4 patients (17%) and pneumothorax in 1 (4%). Vital capacity and maximal inspiratory force measurements were useful in assessing chest wall stabilization. Total lung compliance correlated negatively with fatal outcome from respiratory failure. The alveolar-arterial oxygen gradient was not useful in assessing chest wall stabilization. |
| Databáze: | OpenAIRE |
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