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Prolonged mechanical rib separation is a key element to prevent thoracic compartment syndrome in penetrating chest trauma: A case report
Penetrating cardiac injury in trauma patients is highly morbid. Most cases do not survive long enough to manifest the severe physiologic consequences of massive blood product resuscitation, namely, thoracic compartment syndrome and right ventricular (RV) failure. This case exhibits a thoracic compar...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8255934/ https://www.ncbi.nlm.nih.gov/pubmed/34258370 http://dx.doi.org/10.1016/j.tcr.2021.100498 |
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author | MacKay, Emily J. Niu, Ng T. Cannon, Jeremy W. Kaplan, Lewis J. Pascual, José L. |
author_facet | MacKay, Emily J. Niu, Ng T. Cannon, Jeremy W. Kaplan, Lewis J. Pascual, José L. |
author_sort | MacKay, Emily J. |
collection | PubMed |
description | Penetrating cardiac injury in trauma patients is highly morbid. Most cases do not survive long enough to manifest the severe physiologic consequences of massive blood product resuscitation, namely, thoracic compartment syndrome and right ventricular (RV) failure. This case exhibits a thoracic compartment syndrome and RV failure so severe that the open chest management required mechanical separation of a clamshell thoracotomy. The resuscitation and the techniques utilized to maintain an open chest will be described. |
format | Online Article Text |
id | pubmed-8255934 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-82559342021-07-12 Prolonged mechanical rib separation is a key element to prevent thoracic compartment syndrome in penetrating chest trauma: A case report MacKay, Emily J. Niu, Ng T. Cannon, Jeremy W. Kaplan, Lewis J. Pascual, José L. Trauma Case Rep Case Report Penetrating cardiac injury in trauma patients is highly morbid. Most cases do not survive long enough to manifest the severe physiologic consequences of massive blood product resuscitation, namely, thoracic compartment syndrome and right ventricular (RV) failure. This case exhibits a thoracic compartment syndrome and RV failure so severe that the open chest management required mechanical separation of a clamshell thoracotomy. The resuscitation and the techniques utilized to maintain an open chest will be described. Elsevier 2021-06-24 /pmc/articles/PMC8255934/ /pubmed/34258370 http://dx.doi.org/10.1016/j.tcr.2021.100498 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report MacKay, Emily J. Niu, Ng T. Cannon, Jeremy W. Kaplan, Lewis J. Pascual, José L. Prolonged mechanical rib separation is a key element to prevent thoracic compartment syndrome in penetrating chest trauma: A case report |
title | Prolonged mechanical rib separation is a key element to prevent thoracic compartment syndrome in penetrating chest trauma: A case report |
title_full | Prolonged mechanical rib separation is a key element to prevent thoracic compartment syndrome in penetrating chest trauma: A case report |
title_fullStr | Prolonged mechanical rib separation is a key element to prevent thoracic compartment syndrome in penetrating chest trauma: A case report |
title_full_unstemmed | Prolonged mechanical rib separation is a key element to prevent thoracic compartment syndrome in penetrating chest trauma: A case report |
title_short | Prolonged mechanical rib separation is a key element to prevent thoracic compartment syndrome in penetrating chest trauma: A case report |
title_sort | prolonged mechanical rib separation is a key element to prevent thoracic compartment syndrome in penetrating chest trauma: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8255934/ https://www.ncbi.nlm.nih.gov/pubmed/34258370 http://dx.doi.org/10.1016/j.tcr.2021.100498 |
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