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Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

455
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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Flail Chest-I01:24

Flail Chest-I

524
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...
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Pneumothorax-I01:26

Pneumothorax-I

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A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
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Physical Assessment of the Respiratory Tract II: Palpation01:24

Physical Assessment of the Respiratory Tract II: Palpation

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Physical assessment of the respiratory tract is critical in identifying potential health issues. One key component of this assessment is palpation, a technique healthcare providers use to assess the body for abnormalities. This content explores the method of palpation in evaluating the respiratory tract, focusing on thoracic palpation and tactile fremitus.
Thoracic Palpation
Thoracic palpation detects tenderness, masses, lesions, respiratory excursions, and vocal fremitus. The nurse assesses...
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Pneumothorax-II01:27

Pneumothorax-II

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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.
Clinical Manifestations:
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Assessment of Respiration01:23

Assessment of Respiration

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The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
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Erratum to "Practical approach to inhaled sedation in the Critically ill patient. Sedation, analgesia and Delirium Working Group (GTSAD) of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC)" [Med Intensiva (Engl Ed) (2024) 467-476].

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Related Experiment Video

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Author Spotlight: Simulating Pediatric Cardiac Surgery Using a Neonatal Piglet Model
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Author Spotlight: Simulating Pediatric Cardiac Surgery Using a Neonatal Piglet Model

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[Flail chest in pediatric patient. Case report].

Melisa Gamerman1, Enrique Romero Manteola2, Sofía Contreras2

  • 1Sanatorio Allende, Córdoba, Argentina. melisagamerman@hotmail.com.

Archivos Argentinos De Pediatria
|January 28, 2020
PubMed
Summary

Surgical osteosynthesis effectively treated flail chest in a pediatric patient, reducing mechanical ventilation and hospitalization. This surgical management offers a favorable outcome for severe blunt chest trauma.

Area of Science:

  • Trauma Surgery
  • Pediatric Surgery
  • Thoracic Surgery

Background:

Keywords:
flail chestpediatricsthoracic injuries

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  • Flail chest, a severe consequence of blunt chest trauma, involves multiple rib fractures and paradoxical chest movement.
  • It affects 2-4% of blunt chest trauma cases, carrying a 10-15% mortality rate.
  • Current treatments include conservative management with analgesia and positive pressure ventilation, or surgical osteosynthesis.