7,998 results match your criteria Thorax Trauma


Is it Necessary to Stabilize Every Fracture in Patients with Serial Rib Fractures in Blunt Force Trauma?

Front Surg 2022 9;9:845494. Epub 2022 Jun 9.

Department for Cardiothoracic Surgery, Medical Faculty, University Hospital Augsburg, Augsburg, Germany.

Introduction: Management of traumatic rib fractures is subject of controversial discussions. Rib fractures are common, especially after traffic accidents and falls. There is no consensus on whether and how many rib fractures need reconstruction. Read More

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Effect of thoracic expansion restriction on scapulothoracic and glenohumeral joint motion during shoulder external rotation.

J Back Musculoskelet Rehabil 2022 Jun 7. Epub 2022 Jun 7.

Background: Shoulder external rotation in the throwing motion involves movement of the scapulothoracic and glenohumeral joints, thoracic spine, and the thorax. Restriction of thoracic expansion may decrease scapulothoracic joint motion and compensate by excessive glenohumeral joint motion. However, it is unclear how restricting the expansion of the thorax alters shoulder motion. Read More

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Differences in Trauma Injury Patterns and Severity Between Intentional and Accidental Falls From a Height: A Japanese Nationwide Trauma Database Study.

Cureus 2022 Jun 12;14(6):e25861. Epub 2022 Jun 12.

Psychiatry, School of Medicine, National Defense Medical College, Tokorozawa, JPN.

Background Fall from a height is a common cause of trauma requiring emergency care; in many cases, the trauma team needs to urgently develop the initial treatment strategy. The mechanism of injury (intentional or accidental) is an important factor in predicting trauma patterns and severity. We aimed to describe how the severity of injuries in each body region contributes to overall trauma severity and skeletal trauma patterns in intentional and accidental falls. Read More

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Relationship between clinician documented blast exposure and pulmonary function: a retrospective chart review from a national specialty clinic.

Respir Res 2022 Jun 10;23(1):153. Epub 2022 Jun 10.

Airborne Hazards and Burn Pits Center of Excellence, War Related Illness and Injury Study Center, VA New Jersey Health Care System, 385 Tremont Ave, East Orange, NJ, 07018, USA.

Background: Service member exposure to explosive blast overpressure waves is common with considerable attention to traumatic brain injury (TBI) and neuropsychological sequalae. Less is known about the impacts on the respiratory system, particularly long-term effects, despite vulnerability to overpressure. Using a national registry, we previously observed an independent relationship between self-reported blast exposure and respiratory symptoms; however, the impact on objective measures of pulmonary function is poorly understood. Read More

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Proposed Treatment Algorithm for Invasive Fungal Infections in Trauma Patients.

Surg Infect (Larchmt) 2022 Jun 8. Epub 2022 Jun 8.

Trauma and Critical Care, Department of Surgery, Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA.

Invasive fungal infections, most commonly caused by species, are an underrecognized sequalae of traumatic injury that can complicate management of patients. The injury mechanism can introduce environmental spores into areas of the body normally not exposed to pathogens and this inoculation can progress rapidly to severe disease. The objective of this study was to present a case series of four trauma patients with invasive fungal infections that was used to develop an algorithm for work-up and treatment of these complex patients in future admissions. Read More

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Trauma-induced capillary leak syndrome after penetrating chest injury: Manifestation of massive ascites and pulmonary secretions aggravated by transfusion.

Ulus Travma Acil Cerrahi Derg 2022 Jun;28(6):863-866

Department of Surgery, National Medical Center, Seoul-Korea.

Trauma with prolonged shock can cause systemic capillary leak syndrome regardless of the site of injury and a transfusion can aggravate it. The systemic capillary leak induces both an abdominal compartment syndrome and pulmonary edema, and a transfusion can aggra-vate these sequelae within hours. In our case, 21-year-old man with a penetrating injury in his left thorax experienced delay in rescue and definitive surgery. Read More

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Extracellular mitochondria drive CD8 T cell dysfunction in trauma by upregulating CD39.

Thorax 2022 May 25. Epub 2022 May 25.

Center for Inflammation Research, Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA

Rationale: The increased mortality and morbidity seen in critically injured patients appears associated with systemic inflammatory response syndrome (SIRS) and immune dysfunction, which ultimately predisposes to infection. Mitochondria released by injury could generate danger molecules, for example, ATP, which in turn would be rapidly scavenged by ectonucleotidases, expressed on regulatory immune cells.

Objective: To determine the association between circulating mitochondria, purinergic signalling and immune dysfunction after trauma. Read More

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Crash characteristics and injury risk of adult car occupants in near-side impacts.

Traffic Inj Prev 2022 23;23(5):302-307. Epub 2022 May 23.

Autoliv Development AB, Vårgårda, Sweden.

Objective: In the US, 27% of car occupant fatalities occur in side-impacts. Near-side impacts cause more serious injuries than far-side impacts. Car occupant safety overall has improved, but rear-seat occupant protection lags behind front-seat protection. Read More

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The effect of early tranexamic acid on bleeding, blood product consumption, mortality and length of hospital stay in trauma cases with hemorrhagic shock: a randomized clinical trial.

J Prev Med Hyg 2021 Dec 31;62(4):E958-E965. Epub 2022 Jan 31.

Department of General Surgery, School of Medicine, Hazrat-e Rasool General Hospital, Iran University of Medical Sciences, Tehran, Iran.

Introduction: Because no medication has been approved for coagulation support in trauma, the current study was aimed to evaluate the effectiveness of intravenous injection of Tranexamic acid (TXA) in patients with acute traumatic bleeding.

Methods: In the current randomized controlled clinical trial, 68 patients with acute bleeding and hemorrhagic shock presentation due to blunt trauma of the abdomen, pelvis, and thorax, randomly assigned into two groups of TXA and placebo.

Results: There was no statistically significant difference between the two groups in terms of Systolic blood pressure, pulse rate, Base excess, serum hemoglobin changes, bleeding volume, the incidence of thrombotic events, and the number of deaths (p > 0. Read More

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December 2021

Management of pancreatic trauma in urban India: A multicenter study.

Ann Med Surg (Lond) 2022 Jun 13;78:103564. Epub 2022 Apr 13.

Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.

Background: Pancreatic trauma occurs in 0.2-2% of patients with blunt trauma and 1-12% of patients with penetrating trauma. The mortality and morbidity rates range from 9 to 34% and 30-60% respectively. Read More

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Evaluation of the relationships between procalcitonin and neutrophil/lymphocyte ratio and platelet/lymphocyte ratio in patients with pneumonia.

Eur Rev Med Pharmacol Sci 2022 May;26(9):3200-3205

Department of Chest Diseases, Adıyaman University Training and Research Hospital, Adiyaman, Turkey.

Objective: The aim of this study is to examine whether there is a relationship between procalcitonin and neutrophil/lymphocyte ratio or platelet/lymphocyte ratio in patients with pneumonia.

Patients And Methods: The data of 54 patients hospitalized in the respiratory unit of the Adıyaman University Faculty of Medicine Hospital (Adıyaman, Turkey) with the diagnosis of pneumonia between January 2018 and July 2019 were reviewed retrospectively. The patients' complete blood count, procalcitonin, erythrocyte sedimentation rate, and C-reactive protein data were obtained. Read More

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Use of eFAST in Patients with Injury to the Thorax or Abdomen.

N Engl J Med 2022 05;386(20):1963-1964

National Taiwan University Hospital Hsin-Chu Branch, Hsinchu, Taiwan

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Recent Developments in Mouse Trauma Research Models: A Mini-Review.

Front Physiol 2022 29;13:866617. Epub 2022 Apr 29.

Department of General and Visceral Surgery, Surgery Center, Ulm University Medical Center, Ulm, Germany.

The urgency to investigate trauma in a controlled and reproducible environment rises since multiple trauma still account for the most deaths for people under the age of 45. The most common multiple trauma include head as well as blunt thorax trauma along with fractures. However, these trauma remain difficult to treat, partially because the molecular mechanisms that trigger the immediate immune response are not fully elucidated. Read More

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Total neurological recovery after surgical decompression and treatment with denosumab of large unresectable spinal giant cell tumour expanding to mediastinum.

BMJ Case Rep 2022 May 12;15(5). Epub 2022 May 12.

Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand

There is a controversy over the medical treatment of unresectable spinal giant cell tumour (GCT) regarding dosing and duration. We studied a spinal GCT case that had expanded to the thoracic spinal canal and mediastinum and was successfully treated by surgical decompression and denosumab. A woman in her 30s presented with weakness in both the lower extremities. Read More

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Surgical Blowhole Incision - An Unconventional Approach to Subcutaneous Emphysema Management Following Blunt Neck Trauma.

J Coll Physicians Surg Pak 2022 May;32(5):665-667

Department of Otorhinolaryngology / Head and Neck Surgery, Dow University Hospital, Karachi, Pakistan.

Subcutaneous emphysema is the fortuitous entry of air into subcutaneous tissue. Its occurrence in the head, neck, and mediastinum is a result of trauma or surgery. This case describes a 45-year male who presented with massive progressive subcutaneous emphysema, spreading from the peri-orbital area to the upper mediastinum, secondary to tracheal injury following blunt trauma sustained two days before presentation. Read More

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Reporting of patient-safety incidents in minimally invasive Thoracic Surgery: a national registered thoracic surgeons experience for improvement of patient safety.

Interact Cardiovasc Thorac Surg 2022 May 11. Epub 2022 May 11.

Department of Thoracic Surgery, Hopital Nord-APHM, Aix-Marseille University, Marseille, France.

Objectives: The reporting of patient-safety incidents occurring in minimally invasive thoracic surgery is crucial. However, previous reports focused mainly on catastrophic events whereas minor events are often underreported.

Methods: All voluntary reports of minimally invasive thoracic surgery-related patient-safety incidents were retrospectively extracted from the French REX database for "in-depth analysis". Read More

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Admission Triage With Pain, Inspiratory Effort, Cough Score can Predict Critical Care Utilization and Length of Stay in Isolated Chest Wall Injury.

J Surg Res 2022 Sep 6;277:310-318. Epub 2022 May 6.

Division of Traumatology, Surgical Critical Care and Emergency Surgery, University of Pennsylvania, Philadelphia.

Introduction: Damage to the thoracic cage is common in the injured patient, both when the injuries are confined to this single cavity and as part of the overall injury burden of a polytraumatized patient. In a subset of these patients, the severity of injury to the intrathoracic viscera is either underappreciated at admission or blossom over the following 48-72 h. The ability to promptly identify these patients and abrogate complications therefore requires triage of such at-risk patients to close monitoring in a critical care environment. Read More

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September 2022

[A case of mediastinal foreign body caused by esophageal magnetic beads].

Authors:
X C Zhu Q Li X F Shen

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022 Apr;57(4):501-502

Department of Otorhinolaryngology Head and Neck Surgery, the Affiliated Children's Hospital of Nanjing Medical University, Nanjing 210008, China.

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Two-cavities approach for resection of pediatric abdominal neuroblastic tumors: experience of a national reference pediatric onco-surgical center.

J Cancer Res Clin Oncol 2022 May 6. Epub 2022 May 6.

Department of Pediatric Surgery and Pediatric Urology, University Children's Hospital of Tuebingen, Hoppe-Seyler-Strasse 3, 72076, Tübingen, Germany.

Purpose: Surgery of complex neuroblastic tumors often requires additional procedures, especially in the situation of tumor extension within thorax and impossibility of securing the aorta above the tumor. These situations prompt the opening of the thoracic cavity. The concern regarding increased operative trauma and morbidity associated with this approach make surgeons reluctant regarding this technique. Read More

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Surgical Infection Society: Chest Wall Injury Society Recommendations for Antibiotic Use during Surgical Stabilization of Traumatic Rib or Sternal Fractures to Reduce Risk of Implant Infection.

Surg Infect (Larchmt) 2022 May;23(4):321-331

Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, USA.

Surgical stabilization of rib fractures is recommended in patients with flail chest or multiple displaced rib fractures with physiologic compromise. Surgical stabilization of rib fractures (SSRF) and surgical stabilization of sternal fractures (SSSF) involve open reduction and internal fixation of fractures with a plate construct to restore anatomic alignment. Most plate constructs are composed of titanium and presence of this foreign, non-absorbable material presents opportunity for implant infection. Read More

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Percutaneous trans-axilla transcatheter aortic valve replacement.

Heart Vessels 2022 May 3. Epub 2022 May 3.

Department of Medicine II, Heart Center Bonn, University Hospital Bonn, Bonn, Germany.

The left axillary artery is an attractive alternative access route for transcatheter aortic valve replacement (TAVR) and may provide better outcomes compared to other alternatives. Nevertheless, there remain concerns about vascular complications, lack of compressibility, and thorax-related complications. Between March 2019 and March 2021, 13 patients underwent transaxillary TAVR for severe aortic stenosis at the University Hospital Bonn. Read More

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CT after emergency surgery in penetrating trauma: a seven-year experience in a level I Nordic trauma center.

Acta Radiol 2022 May 3:2841851221094966. Epub 2022 May 3.

Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institute, Stockholm, Sweden.

Background: Patients with severe penetrating trauma may require emergency surgery on arrival, and postoperative computed tomography (CT) can reveal significant additional injuries.

Purpose: To determine the utility of postoperative CT performed within 48 h of emergency surgery after penetrating trauma.

Material And Methods: Trauma registry data were retrieved over a seven-year period at a single level 1 trauma center. Read More

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Delayed tension hemothorax after chest trauma in children.

Pediatr Pulmonol 2022 Jul 14;57(7):1818-1819. Epub 2022 May 14.

Pediatric ICU and Trauma Center, A. Gemelli Hospital, Fondazione Policlinico Gemelli IRCCS, Rome, Italy.

Blunt chest injury is commonly observed in the Pediatric Emergency Department and Intensive Care Unit since up to 30% of children with traumatic injury sustain injury to the thorax. Differently from adults, who present with concomitant rib or sternoclavicular fractures in 70% of cases, more than half of childhood chest injuries occur without any bone fracture, mostly causing lung contusions. This lower rate of rib fractures and near absence of flail chest in children may be due to greater elasticity of the pediatric cartilaginous and bony skeleton. Read More

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Detection of incidental schwannoma by traumatic hemothorax.

Ulus Travma Acil Cerrahi Derg 2022 Mar;28(3):399-401

Department of Thoracic Surgery, Afyonkarahisar State Hospital, Afyonkarahisar-Turkey.

A case of hemothorax caused by traumatic rupture of schwannoma is rarely reported. We present a case of thorax injury of an 18-year-old woman who had fallen from a high place with a Glasgow Coma Score 13. Chest X-ray showed a left-sided massive pleural effusion. Read More

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Late complications due to thoracic traumas.

Ulus Travma Acil Cerrahi Derg 2022 Mar;28(3):328-335

Department of General Surgery, Yüzüncü Yıl University Faculty of Medicine, Van-Turkey.

Background: A total of 412 patients who applied to our clinic after a thoracic trauma between March 2010 and December 2019 were examined retrospectively In this study, late complications that developed as a result of blunt and penetrating thoracic traumas were evaluated and it was aimed to present a prediction for the management of these complications to physicians who are dealing with trauma.

Methods: Among the 412 thoracic trauma cases, 62 cases (15.04%) who developed late-term complications which constituted the main theme of this study were evaluated in terms of age, gender, the type of trauma, the cause of trauma, thorax, and concomitant organ pathologies that developed when the trauma first occurred, the late-term complications, and the treatment methods for them while considering mortality. Read More

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Monitoring and Management of Fibrodysplasia Ossificans Progressiva: Current Perspectives.

Orthop Res Rev 2022 20;14:113-120. Epub 2022 Apr 20.

Amsterdam UMC Location Vrije Universiteit Amsterdam, Department of Internal Medicine Section Endocrinology, Amsterdam, the Netherlands.

Fibrodysplasia ossificans progressiva (FOP), sometimes known as myositis ossificans progressiva, is an ultra-rare disease in which bone is formed in muscular tissue, tendons and ligaments. This is known as heterotopic ossification (HO). FOP is caused by a heterozygous mutation in the highly conserved ACVR1/ALK2 gene which affects about 1 in 1. Read More

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Subconjunctival bleedings in neonatal calves: a case series report.

BMC Vet Res 2022 Apr 27;18(1):152. Epub 2022 Apr 27.

Faculty of Agricultural Sciences, Institute of Animal Science, University of Hohenheim, Schwerzstr. 15/4, 70599, Stuttgart, Germany.

Background: In animals, only few reports exist about the occurrence and causes of subconjunctival bleedings, especially in newborn calves. Most case reports and studies showed that the major risk factors for subconjunctival bleedings in animals are traumatic events such as birth trauma and traffic accidents, respectively. In neonatal babies, it is suggested that compression of the thorax and abdomen during delivery or forces generated in utero during labor may raise venous pressure to conjunctival vessels and can cause subconjunctival bleedings. Read More

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