MANAGEMENT OF 130 CASES OF CHEST INJURY WITH RESPIRATORY FAILURE
| Autor: | Anthony W. Quail, Jennifer Gibbons, O. James |
|---|---|
| Rok vydání: | 1973 |
| Předmět: |
Anesthesia
Epidural Artificial ventilation Rib Fractures Thoracic Injuries medicine.medical_treatment Chest injury Laparotomy Intubation Intratracheal Accidents Occupational Craniocerebral Trauma Medicine Respiratory system Phenoperidine Morphine business.industry Accidents Traffic Nerve Block Respiration Artificial Anesthesiology and Pain Medicine medicine.anatomical_structure Respiratory failure Anesthesia Nerve block Abdomen Radiography Thoracic Analgesia Respiratory Insufficiency business medicine.drug |
| Zdroj: | British Journal of Anaesthesia. 45:1130-1135 |
| ISSN: | 0007-0912 |
| Popis: | The management of 130 consecutive patients who suffered respiratory failure following chest injuries is described. Ninety-two patients required artificial ventilation. Associated injuries to the abdomen, the head, or the skeletal system were common and one-third suffered from pre-existing disease of the chest or other systems. In patients with respiratory failure but not requiring artificial ventilation, analgesia was provided by means of epidural injection of local anaesthetic, intercostal blocks or injection of morphine. In the artificially ventilated group continuous intravenous infusion of an analgesic, usually phenoperidine, was given. Laparotomy was performed in 38 patients of the series. Twenty-two of the ventilated patients died, 9 from cerebral injury and 5 from respiratory causes. Two of the non-ventilated group died. No long-term complications of tracheostomy were encountered in the 96 patients so managed in this series. |
| Databáze: | OpenAIRE |
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