Re: MCQ - flail chest

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Posted by german from IP 64.136.26.235 on May 1, 2012 at 14:03:11:

In Reply to: MCQ - flail chest posted by Shreya on April 28, 2012 at 20:10:17:

Medical therapy: Internal pneumatic stabilization was popularized in the 1950's for flail chest but, subsequently, it has been shown to be unnecessary in most patients. Trinkle et al provided compelling evidence in a report in the mid 1970's that many patients fared better with adequate pain control and pulmonary toilet, including medical management of their pulmonary injury, than did those placed on mechanical ventilation. This remains the standard today. Mechanical ventilation is reserved for patients with persistent respiratory insufficiency or failure after adequate pain control, or when there are complications related to excessive narcotic use. Patient controlled analgesia machines, oral pain medications, and indwelling epidural catheters form the mainstay of current treatment.(eMedicine Journal > Medicine, Ob/Gyn, Psychiatry, and Surgery > Trauma > Flail Chest)

The answer E, says no treatment, but you need analgesia and medical therapy of pulmonary contusion so i think that the correct answer is not listed.

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