RESUMO
Rib fractures are a common injury resulting from blunt chest trauma. The most important complications associated with rib fractures include death, pneumonia, and the need for mechanical ventilation. The development of new osteosynthesis materials has stimulated increased interest in the surgical treatment of rib fractures. Surgical stabilisation, however, is not needed for every patient with rib fractures or for every patient with flail chest. This paper presents an easy-to-use evidence-based algorithm, developed by the authors, for the treatment of patients with flail chest and isolated rib fractures.
Assuntos
Humanos , Tórax Fundido , Mortalidade , Pneumonia , Respiração Artificial , Fraturas das Costelas , Costelas , TóraxRESUMO
O autor faz uma revisão da literatura, avalia os vários tipos de tratamento do tórax instável, comenta o papel desempenhado pela contusão pulmonar e enfatizar as abordagens atuais.
The author make a review of the literature, examine the aspects of various treatment of flail chest, commenting on the role of the pulmonary contusion and calling attention to the actual management strategies.