Non invasive mechanical ventilation in multiple trauma - Blunt chest injury
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Date
2021
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Publisher
Nova Science Publishers, Inc.
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info:eu-repo/semantics/closedAccess
Abstract
Blunt chest injury frequently accompanies patients with multiple traumas. Airway injury, pneumothorax, hemothorax, are life-threatening injuries unless rapidly treated. Rib fractures, flail chest, pulmonary contusions, and other traumatic chest circumstances frequently restrain respiratory function at several levels. Multiple large contusions seen on the first chest radiographs and hypoxemia at admission are indicators of poor outcome and the need for respiratory support. Also severe chest pain often causes respiratory problems such as shallow breathing, increasing effort for inspiration, and decreasing maximum coughing power. Early intervention of aggressive pain control, decreased fluid administration and prophylactic effective chest physiotherapy, is considered as a key factor in preventing respiratory complications. Ventilation management in the multiple trauma patients with blunt chest injury is more challenging because of the difficulty in maintaining a balance between avoiding further damage to the lungs and adequate ventilation. Understanding the impact of blunt injury on chest physiology and clinical symptoms is important for successful treatment management and effective NIV administration in blunt trauma patients with acute respiratory failure. © 2021 Nova Science Publishers, Inc. All rights reserved.
Description
Keywords
Analgesia, Blunt thoracic trauma, Chest injury, Flail chest, NIV, Noninvasive ventilation, Pulmonary contusion, Rib fractures, Trauma
Journal or Series
Respiratory Care in Non Invasive Mechanical Ventilatory Support: Principles and Practice
