Chest Trauma And Thoracic Injuries Minus Pneumothorax

Question 0

Flail chest

Answer 0

Results from multiple rib fractures, causing an unstable chest wall. The diagnosis of flail chest is based on the fracture of two or more ribs, in two or more separate locations, causing an unstable segment

Question 1

Rib fractures

Answer 1

Most common type of chest injury resulting from blunt trauma; clinical manifestations include pain at the site, especially with inspiration and coughing. the main treatment goal is to decrease pain to Promote effective breathing. patients need to be taught deep breathing, coughing, and use of incentives spirometry

Question 2

Therapy for flail chest

Answer 2

Initial therapy consists of airway management, adequate ventilation, supplemental oxygen therapy, careful administration of IV solutions, and pain control; the definitive therapy is reexpand the lungs and ensure adequate oxygenation

Question 3

Chest tubes and plural drainage

Answer 3

Used to remove the air and fluid from the pleural space and to restore normal intrapleural pressure so that the lungs can re-expand

Question 4

Monitoring chest tubes and pleural drainage

Answer 4

Done to assess adequate function of the chest tube units; involves Observing for tidaling and bubbling in the waterseal chamber, assessing for subcutaneous emphysema, listening for breath sounds over the lung fields, and measuring the amount of fluid drainage

Question 5

Thoracotomy

Answer 5

Surgical opening into the thoracic cavity; considered major chest surgery because the incision of large, cutting in a bone, muscle, and cartilage; the two types of thoracic incisions are median sternotomy which is performed by splitting the sternum, and lateral thoracotomy

Question 6

Video assisted thoracic surgery

Answer 6

Minimally invasive thorascopic surgical procedure that in many cases can avoid the impact of a full thoracotomy