Rib fracture fixation in a patient on veno-venous extracorporeal membrane oxygenation following a motor vehicle collision

Trauma Surgery & Acute Care Open

article

Yousof Fawzy¹  David Hindin¹  Bradley Faliks¹  Jamie Tung¹  Joseph D Forrester¹ 

[1] Department of Surgery , Stanford University School of Medicine

关键词: extracorporeal membrane oxygenation;    thoracic surgical procedures;    fracture fixation;    internal;    rib fractures;   

DOI  :  10.1136/tsaco-2022-001004

学科分类：社会科学、人文和艺术（综合）

来源: BMJ Publishing Group

【 摘 要 】

An individual in their 20s presented to our traumacenter via flight transfer from an outside hospitalafter sustaining multisystem trauma as a helmetedmotorcyclist. The patient arrived intubated withtwo right-sided chest tubes and one left-sided chesttube. Clinical exam identified flail chest and flailsternum, right pneumothorax with right pneumomediastinum, and extensive subcutaneous emphysema (see figure 1). The patient’s persistent hypoxiaprompted bedside bronchoscopy, which revealed a25% circumferential tear in the right middle lobebronchus proximal to takeoff.

【 授权许可】

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