Long-term follow-up of patients with operative stabilisation of a flail chest.

Détails

ID Serval
serval:BIB_93587A1657BA
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Long-term follow-up of patients with operative stabilisation of a flail chest.
Périodique
Thoracic and Cardiovascular Surgeon
Auteur(s)
Mouton W., Lardinois D., Furrer M., Regli B., Ris H.B.
ISSN
0171-6425 (Print)
ISSN-L
0171-6425
Statut éditorial
Publié
Date de publication
1997
Volume
45
Numéro
5
Pages
242-244
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
The outcome is reported of patients after external chest wall stabilisation for respiratory insufficiency due to a traumatic flail chest. Since 1990, all patients with a flail chest causing respiratory insufficiency despite peridural analgesia and without further reason for prolonged mechanical ventilation underwent osteosynthesis of the chest wall using the AO-technique with 3.5 mm thick reconstruction plates, and were prospectively followed-up by use of clinical and radiological evaluation. 23 patients underwent external chest wall fixation between 1990 and 1996 and were followed for a mean time of 28 months. 2 patients died after the operation, giving a 30-day-survival rate of 91.3% 21 patients survived and were extubated and transferred to the ward after a mean time interval of 3.9 and 7.8 days, respectively. 95% of the survivors revealed a 100% working capacity at assessment and 86% returned to preoperative sports activities without complaining of chest wall or shoulder girdle pain or dysfunction. External chest wall fixation appears to be an attractive alternative to prolonged intubation and mechanical ventilation for selected patients with flail-chest respiratory insufficiency despite peridural analgesia, providing they do not require prolonged intubation for other reasons.
Mots-clé
Adult, Aged, Aged, 80 and over, Bone Plates, Female, Flail Chest/complications, Flail Chest/surgery, Follow-Up Studies, Humans, Male, Middle Aged, Respiratory Insufficiency/etiology, Respiratory Insufficiency/surgery, Thoracic Surgical Procedures, Treatment Outcome
Pubmed
Web of science
Création de la notice
29/01/2008 14:00
Dernière modification de la notice
20/08/2019 15:56
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