Flail Chest Hkhi

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FLAIL CHEST Lili Suriani 07060018

Transcript of Flail Chest Hkhi

Page 1: Flail Chest Hkhi

FLAIL CHEST

Lili Suriani07060018

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Insidensi

10%-20% trauma tumpul toraks10%-35% MortalitasPria > Wanita

Cedera : - langsung mengenai dada

- tenaga kinetik besar

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• Flail chest paradoxal movement and pain decrease of tidal volume

--------- > collaps of alveoli arteriovenous shunting OPERATIVE hypoxemia

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Algoritme pengelolaan flail chest dengan kontusio pulmonum

Severe Flail ChestSevere Flail Chest

Associated thoracic injuries requiring thoracotomy

Associated thoracic injuries requiring thoracotomy

Associated thoracic injuries not requiring thoracotomy

Associated thoracic injuries not requiring thoracotomy

Surgical stabilization Surgical stabilization Respiratory failureRespiratory failure No respiratory failureNo respiratory failure

Surgical stabilization Surgical stabilization Internal Pneumatic Stabilization

Internal Pneumatic Stabilization

Pulmonary contusion present

Pulmonary contusion present

Pulmonary contusion absent

Pulmonary contusion absent

Surgical stabilization Surgical stabilization Internal Pneumatic Stabilization

Internal Pneumatic Stabilization

Prolonged ventilationProlonged ventilation ResolutionResolution

Surgical stabilization Surgical stabilization

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Management of Pulmonary Contusion and Flail Chest

Management of Pulmonary Contusion and Flail Chest

Flail Chest & ARDS

Flail Chest & ARDS

Costal Cartilage Injury in Acute Trauma Poster... · unilateral flail chest Bilateral flail chest *Increase one grade for bilaterality Figure 5. A right costochondral separation,

Costal Cartilage Injury in Acute Trauma Poster... · unilateral flail chest Bilateral flail chest *Increase one grade for bilaterality Figure 5. A right costochondral separation,

BREATHING ( Pernapasan ) - · PDF file• Inspeksi (Lihat) • Palpasi (Raba) • Perkusi (Ketuk) • Auskultasi ... Flail chest •tutup luka •tutup luka •fiksasi pleister

BREATHING ( Pernapasan ) - · PDF file• Inspeksi (Lihat) • Palpasi (Raba) • Perkusi (Ketuk) • Auskultasi ... Flail chest •tutup luka •tutup luka •fiksasi pleister

O Doente com Trauma em UCI - amacc.med.up.pt Congresso - Apresentações - 2 - TraumaUCIsEvoraI.pdf · Tension Pneumothorax Flail Chest Traumatic Asphyxia Diaphragmatic Rupture. CHEST

O Doente com Trauma em UCI - amacc.med.up.pt Congresso - Apresentações - 2 - TraumaUCIsEvoraI.pdf · Tension Pneumothorax Flail Chest Traumatic Asphyxia Diaphragmatic Rupture. CHEST

Flail Chest Bab 2

Flail Chest Bab 2

Surgical fixation using rib stabilizers for flail chest ... · Shoko T (201) Surgical fixation using rib stabilizers for flail chest injuries in elderly patients: three cases Trauma

Surgical fixation using rib stabilizers for flail chest ... · Shoko T (201) Surgical fixation using rib stabilizers for flail chest injuries in elderly patients: three cases Trauma

Laporan Kasus 9 Juni 2014 Pneumothorax+Flail Chest

Laporan Kasus 9 Juni 2014 Pneumothorax+Flail Chest

2d - trauma.co.nz · Flail Chest Injury Rib fractures: 10 to 39% of patients with blunt chest trauma Flail Injury: 2.5-5.8% patients with rib fractures 'Defined as 3 or more consecutive

2d - trauma.co.nz · Flail Chest Injury Rib fractures: 10 to 39% of patients with blunt chest trauma Flail Injury: 2.5-5.8% patients with rib fractures 'Defined as 3 or more consecutive

Flail Chest Nninis

Flail Chest Nninis

Emergent needle decompression for tension pneumothorax ... · pneumothorax, open pneumothorax, massive hemothorax, flail chest and cardiac tamponade. The procedures to manage these

Emergent needle decompression for tension pneumothorax ... · pneumothorax, open pneumothorax, massive hemothorax, flail chest and cardiac tamponade. The procedures to manage these

Surgical stabilization - thorax.bmj.com · Surgical stabilization of traumatic flail chest TypeI Nonperforated strut. Length30cm. Thickness 1 mm.Breadth 5mm. TypeII Strutswiththreeholes.Length30cm.

Surgical stabilization - thorax.bmj.com · Surgical stabilization of traumatic flail chest TypeI Nonperforated strut. Length30cm. Thickness 1 mm.Breadth 5mm. TypeII Strutswiththreeholes.Length30cm.

PURCHASING EXCEPTIONS...The iStan Medium/Standard is a Patient Care Simulator with high-quality features, including flail chest (acute chest injury), cyanosis, central IV lines, and

PURCHASING EXCEPTIONS...The iStan Medium/Standard is a Patient Care Simulator with high-quality features, including flail chest (acute chest injury), cyanosis, central IV lines, and

Pulmonary Contusion and Flail Chest Management

Pulmonary Contusion and Flail Chest Management

The Management of Flail Chest - Tata

The Management of Flail Chest - Tata

Ryg- og thoraxskader - yngreortopaedkirurger.dk · – Multiple fraktur – flail chest, hæmothorax, pneumothorax. Røntgenbillede. Fraktur? Pneumothorax? • Jesper har kørt for

Ryg- og thoraxskader - yngreortopaedkirurger.dk · – Multiple fraktur – flail chest, hæmothorax, pneumothorax. Røntgenbillede. Fraktur? Pneumothorax? • Jesper har kørt for

Chapter 7 Body Systems - Lane Community College · Figure 21-1. Flail chest. Double fractures of three or more adjacent ribs produce instability of the chest wall and paradoxical

Chapter 7 Body Systems - Lane Community College · Figure 21-1. Flail chest. Double fractures of three or more adjacent ribs produce instability of the chest wall and paradoxical

Clinical Study Flail Chest in Polytraumatized Patients ...downloads.hindawi.com/journals/bmri/2015/624723.pdfClinical Study Flail Chest in Polytraumatized Patients: Surgical Fixation

Clinical Study Flail Chest in Polytraumatized Patients ...downloads.hindawi.com/journals/bmri/2015/624723.pdfClinical Study Flail Chest in Polytraumatized Patients: Surgical Fixation

Surgical stabilization of flail chest injuries with ... Stabilization of flail chest... · Flail chest injury is diagnosed by paradoxical ... et al. Surgical stabilization of flail

Surgical stabilization of flail chest injuries with ... Stabilization of flail chest... · Flail chest injury is diagnosed by paradoxical ... et al. Surgical stabilization of flail

Value Analysis Brief: Operative Fixation for Flail Chestsynthes.vo.llnwd.net/o16/LLNWMB8/US Mobile/Synthes North America... · • Background: Flail chest is a life-threatening injury

Value Analysis Brief: Operative Fixation for Flail Chestsynthes.vo.llnwd.net/o16/LLNWMB8/US Mobile/Synthes North America... · • Background: Flail chest is a life-threatening injury