The Association Between Pulmonary Contusion Severity and Respiratory Failure

2021 ◽  
pp. respcare.09145
Author(s):  
S Whitney Zingg ◽  
D A Millar ◽  
Michael D Goodman ◽  
Timothy A Pritts ◽  
Christopher F Janowak
Keyword(s):  
Respiratory Failure ◽  
Pulmonary Contusion

Pulmonary Contusion in the Pediatric Population

2010 ◽  
Vol 76 (7) ◽  
pp. 721-724 ◽  
Author(s):  
Miller Carlton Hamrick ◽  
Ryan Donsworth Duhn ◽  
David Edward Carney ◽  
William Carson Boswell ◽  
Mims Gage Ochsner
Keyword(s):  
Respiratory Failure ◽  
Injury Severity Score ◽  
Lung Volume ◽  
Severity Score ◽  
Injury Severity ◽  
Adult Population ◽  
Pulmonary Contusion ◽  
Total Lung Volume ◽  
Arterial Blood ◽  
Increased Risk

Pulmonary contusion in the adult population is an independent risk factor for respiratory failure, ventilator associated pneumonia, and acute respiratory distress syndrome. Pilot studies in adults note an increased risk when volume of pulmonary contusion exceeds 20 per cent of total lung volume. The purpose of this study was to determine if children with pulmonary contusion suffer the same morbidity as adults. From January 2005 to May 2007, all trauma patients ages 3 to 18-years-old were assessed for CT evidence of pulmonary contusion. Children were excluded if injury included confounding variables, which could result in respiratory failure independent of contusion status. CT images were reviewed and pulmonary contusion was calculated as a percentage of total lung volume. Outcomes including need for invasive ventilation, pneumonia, and development of oxygenation problems were recorded. Data collected included patient age, Injury Severity Score, arterial blood gas findings, and number of rib fractures. Twenty-six patients met criteria for the study with a mean age of 13.35 years and mean Injury Severity Score of 24. The mean percentage of pulmonary contusion was 19.81 per cent. No patients required intubation. Pediatric pulmonary contusion does not carry the same morbidity as noted in the adult population. Invasive airway management is rarely required.

scholarly journals Extracorporeal membrane oxygenation in respiratory failure for pulmonary contusion and bronchial disruption after trauma

2007 ◽  
Vol 133 (6) ◽  
pp. 1673-1674 ◽  
Author(s):  
Andrea Campione ◽  
Marco Agostini ◽  
Mario Portolan ◽  
Antonella Alloisio ◽  
Carlo Fino ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Extracorporeal Membrane Oxygenation ◽  
Pulmonary Contusion ◽  
Membrane Oxygenation

scholarly journals Bilateral pulmonary contusion, flail chest and respiratory failure on late iatrogenic diaphragmatic eventration and severe kyphoskoliosis: a case report

Cases Journal ◽  
2008 ◽  
Vol 1 (1) ◽  
Author(s):  
Panagiotis Hountis ◽  
Sotirios Moraitis ◽  
Panagiotis Dedeilias ◽  
Nikolaos Antonopoulos ◽  
Levon Toufektzian ◽  
...  
Keyword(s):  
Case Report ◽  
Respiratory Failure ◽  
Flail Chest ◽  
Pulmonary Contusion ◽  
Diaphragmatic Eventration

Profile of Chest Injuries and Oxygen Therapy in Trauma Patients with Acute Respiratory Failure after the Jiangsu Tornado in China: A Retrospective Study

2020 ◽  
Vol 35 (3) ◽  
pp. 335-340
Author(s):  
Gen hua Mu ◽  
Zhong qian Lu ◽  
Xing Li ◽  
Ping fa Chen ◽  
Lei He ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Acute Respiratory Failure ◽  
Oxygen Therapy ◽  
Chest Trauma ◽  
Noninvasive Positive Pressure Ventilation ◽  
Pulmonary Contusion ◽  
Positive Pressure ◽  
Trauma Patients ◽  
Chest Injuries ◽  
Clinical Records

AbstractBackground:The aim of this study was to analyze the profile of chest injuries, oxygen therapy for respiratory failure, and the outcomes of victims after the Jiangsu tornado, which occurred on June 23, 2016 in Yancheng City, Jiangsu Province, China.Methods:The clinical records of 144 patients referred to Yancheng City No.1 People’s Hospital from June 23 through June 25 were retrospectively investigated. Of those patients, 68 (47.2%) sustained major chest injuries. The demographic details, trauma history, details of injuries and Abbreviated Injury Scores (AIS), therapy for respiratory failure, surgical procedures, length of intensive care unit (ICU) and hospital stay, and mortality were analyzed.Results:Of the 68 patients, 41 (60.3%) were female and 27 (39.7%) were male. The average age of the injured patients was 57.1 years. Forty-six patients (67.6%) suffered from polytrauma. The mean thoracic AIS of the victims was calculated as 2.85 (SD = 0.76). Rib fracture was the most common chest injury, noted in 56 patients (82.4%). Pulmonary contusion was the next most frequent injury, occurring in 12 patients (17.7%). Ten patients with severe chest trauma were admitted to ICU. The median ICU stay was 11.7 (SD = 8.5) days. Five patients required intubation and ventilation, one patient was treated with noninvasive positive pressure ventilation (NPPV), and four patients were treated with high-flow nasal cannula (HFNC). Three patients died during hospitalization. The hospital mortality was 4.41%.Conclusions:Chest trauma was a common type of injury after tornado. The most frequent thoracic injuries were rib fractures and pulmonary contusion. Severe chest trauma is usually associated with a high incidence of respiratory support requirements and a long length of stay in the ICU. Early initiation of appropriate oxygen therapy was vital to restoring normal respiratory function and saving lives. Going forward, HFNC might be an effective and well-tolerated therapeutic addition to the management of acute respiratory failure in chest trauma.

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