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Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
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Chest Physiotherapy01:24

Chest Physiotherapy

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Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
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CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
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The Thoracic Cage: Sternum01:17

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The thoracic or rib cage forms the body's thorax (chest) portion. Its primary function in the body is to protect vital organs in the thoracic cavity, such as the heart and the lungs. It consists of 12 pairs of ribs with their costal cartilages and the sternum. The ribs are anchored posteriorly to the 12 thoracic vertebrae (T1-T12).
The sternum is the elongated bony structure on the anterior side of the thoracic cage. It consists of three parts: the manubrium, the body, and the xiphoid...
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Pneumothorax-II01:27

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Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
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Flail Chest-I01:24

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Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
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The pathophysiology of flail chest is complex, involving fractures of...
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Physical Assessment of the Respiratory Tract II: Inspection01:27

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Physical assessment of the respiratory tract through inspection is a crucial step in understanding the patient's respiratory health. It provides insights into the functioning of the respiratory system, the musculoskeletal structure, and even the patient's nutritional status. This comprehensive approach involves observing several vital aspects: chest configuration, breathing patterns, respiratory rates, skin color, and use of accessory muscles.
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Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
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A less intensive bracing protocol for pectus carinatum.

George Wahba1, Ahmed Nasr2, Marcos Bettolli2

  • 1Department of Surgery, University of Ottawa, Ottawa, Ontario, Canada K1H 8M5.

Journal of Pediatric Surgery
|February 16, 2017
PubMed
Summary
This summary is machine-generated.

A less intensive bracing protocol for Pectus Carinatum (PC) is effective, improving patient compliance without compromising correction success rates. This approach offers a more manageable treatment for PC patients.

Keywords:
Chest wall deformityExternal bracingNonoperative treatmentPectus carinatumSystematic review

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Area of Science:

  • Orthopedics and Sports Medicine
  • Pediatric Surgery

Background:

  • Pectus Carinatum (PC) is a chest wall deformity.
  • Bracing is a common treatment for PC, but optimal usage duration is debated.
  • Current bracing protocols vary, lacking consensus on daily wear time.

Purpose of the Study:

  • To evaluate the efficacy of a less intensive bracing protocol (8-12 hours/day) for Pectus Carinatum.
  • To compare the outcomes of less intensive bracing with more intensive protocols (≥12 hours/day).
  • To determine if more rigorous bracing is necessary for successful PC correction.

Main Methods:

  • Retrospective review of institutional PC patients (2012-2015).
  • Systematic literature search (MEDLINE, EMBASE, Web of Science) for bracing studies in PC.
  • Meta-analysis combining institutional data with published findings.

Main Results:

  • Institutional success rate with 8-12h/day bracing was 90.6% with 93.8% compliance.
  • Pooled data showed less intensive bracing (<12h/day) had higher compliance (89.6% vs. 81.1%).
  • Similar time to correction (7.3 vs 7.1 months) and success rates (85.3% vs. 83.5%) were observed between protocols.

Conclusions:

  • A less intensive bracing protocol for Pectus Carinatum is a successful and efficient treatment.
  • Reduced daily bracing hours improve patient compliance.
  • Less intensive protocols achieve comparable outcomes to more rigorous regimens.