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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.
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History:
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Pulmonary Cycle: Exhalation01:17

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In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
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The Bronchial Tree01:23

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The human bronchi and bronchial tree play a crucial role in the respiratory system, facilitating the exchange of oxygen and carbon dioxide. Let's delve into the intricate structure and functions of these respiratory components.
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Overview of Flail Chest
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Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...
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Related Experiment Video

Updated: Dec 5, 2025

A Model of Self-limited Acute Lung Injury by Unilateral Intra-bronchial Acid Instillation
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Bronchial injuries: a tale of differing presentations.

Niraj Maskey1, Ranjan Sapkota1, Bibhusal Thapa1

  • 1Manmohan Cardio-thoracic Vascular and Transplant Centre, Institute of Medicine, Tribhuvan University, Maharajgunj, Kathmandu, Nepal.

Indian Journal of Thoracic and Cardiovascular Surgery
|October 16, 2020
PubMed
Summary

Major bronchial injuries, often from thoracic trauma, can present late and be hard to diagnose. Surgical resection and anastomosis of damaged segments offer good outcomes for these rare but serious conditions.

Keywords:
Blunt thoracic traumaBronchial injuriesPneumonectomy

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Area of Science:

  • Thoracic Surgery
  • Trauma Surgery
  • Pulmonary Medicine

Background:

  • Bronchial disruptions are rare but severe injuries, typically resulting from significant thoracic trauma.
  • Diagnosis can be challenging due to late presentations and association with other critical injuries.

Observation:

  • This report details two cases of main bronchial injury presenting with post-traumatic lung collapse.
  • The patients experienced vastly different post-injury courses, highlighting diagnostic variability.

Findings:

  • Both cases necessitated thoracotomy with resection and anastomosis of the affected bronchial segment.
  • Surgical intervention resulted in successful lung re-expansion and no anastomotic stenosis during follow-up.

Implications:

  • Major bronchial injuries require a high index of suspicion for timely diagnosis.
  • Prompt surgical management, specifically resection and anastomosis, yields favorable outcomes in these challenging cases.