Related Experiment Video
Updated: Feb 7, 2026
09:47
A Rat Model of Ventricular Fibrillation and Resuscitation by Conventional Closed-chest Technique
Published on: April 26, 2015
16.4K
[Rib fixation for flail chest after resuscitation].
Nieck S A Pouwels1,2, Daphne van Embden3, Jochem M Hoogendoorn1
1Haaglanden Medisch Centrum (locatie Westeinde), afd. Traumachirurgie, Den Haag.
Nederlands Tijdschrift Voor Geneeskunde
|July 25, 2018
Summary
Rib fractures from chest compressions can cause flail chest and respiratory failure. Surgical rib fixation is a potential treatment for flail chest after resuscitation in select patients.
Area of Science:
- Medical research
- Surgical procedures
- Trauma care
Background:
- Chest compressions during resuscitation frequently cause rib fractures.
- Flail chest is a potential consequence of these fractures, leading to respiratory compromise.
Purpose of the Study:
- To present cases of surgical rib fixation for flail chest post-resuscitation.
- To evaluate the potential role of surgical intervention in this specific patient group.
Main Methods:
- Case report methodology.
- Surgical rib fixation as the primary intervention.
- Literature review to support findings.
Main Results:
- Two cases successfully treated with surgical rib fixation.
- Literature supports consideration of surgical fixation in select flail chest patients post-resuscitation.
Conclusions:
- Surgical rib fixation is a viable option for flail chest following resuscitation.
- Careful patient selection is crucial for successful outcomes.
- Further research may elucidate optimal patient candidates.
Related Concept Videos
01:24Flail Chest-I
747
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.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
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.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
747
01:26Flail Chest-II
650
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:
Assessment:
1. Clinical Evaluation:
History:
650
01:20The Thoracic Cage: Ribs
8.9K
Ribs are curved, flattened bones forming the thoracic cavity wall with the thoracic muscles. There are 12 pairs of thoracic ribs. The posterior ends of all the ribs articulate with the T1–T12 thoracic vertebrae. In contrast,the anterior ends of most ribs attach to the sternum via their costal cartilages.
Parts of a Typical Rib
A typical rib has a head, neck, and body. The posterior end of the rib is called the head, followed by a narrow neck. The head articulates primarily with the costal...
Parts of a Typical Rib
A typical rib has a head, neck, and body. The posterior end of the rib is called the head, followed by a narrow neck. The head articulates primarily with the costal...
8.9K
01:24Chest Physiotherapy
1.8K
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.
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
1.8K
01:21Cardiopulmonary Resuscitation I: Adult
751
Cardiopulmonary resuscitation, or CPR, is a life-saving emergency procedure performed when a person's heart has stopped beating or they are no longer breathing. The foundation of CPR is Basic Life Support (BLS), which focuses on the early recognition of cardiac arrest, the immediate start of high-quality chest compressions, and the timely use of an automated external defibrillator (AED).Assessing Responsiveness and Checking the Carotid PulseWhen approaching an unresponsive person, first ensure...
751
01:03Fixation and Sectioning
8.0K
Two basic types of preparation are used to visualize specimens with a light microscope: wet mounts and fixed specimens.
The simplest type of preparation is the wet mount, in which the specimen is placed in a drop of liquid on the slide. A liquid specimen can be directly deposited on the slide using a dropper. Solid specimens, such as skin scraping, can be placed on the slide before adding a drop of liquid to prepare the wet mount. Sometimes the liquid is simply water, but stains are often added...
The simplest type of preparation is the wet mount, in which the specimen is placed in a drop of liquid on the slide. A liquid specimen can be directly deposited on the slide using a dropper. Solid specimens, such as skin scraping, can be placed on the slide before adding a drop of liquid to prepare the wet mount. Sometimes the liquid is simply water, but stains are often added...
8.0K