Lung Contusion

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Tim,

Agreed - In fact the ones with massive contusions don't tolerate much of ANYTHING very well!

Ron

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of Dr Timothy Hardcastle
Sent: Friday, January 30, 2009 11:35 AM
To: Trauma & Critical Care mailing list
Subject: RE: Lung Contusion

Ron wrote:
> How 'bout repair of the fractures?  Looks like this "antiquated" procedure
> is coming back into use - with initial results appearing to be impressive.
>  Anecdotal but impressive.  No LARGE studies to date, to my knowledge and
> this is why we are looking to put together a multicenter PRT to look at
> this very issue.
>
> Any takers?
>
> Ron
>
> Ronald I. Gross, MD, FACS
> Chief of Trauma & Emergency Surgery Services
> Baystate Medical Center
> 759 Chestnut Street
> Springfield, MA  01199
> 413-794-4022  phone
> 413-794-0142  fax
> ronald.gross at baystatehealth.org
Ron

My take on the limited studies is that it has not been beneficial in
patients with massive contusion, but may have a place in the group with
the so-called "stove-in chest" where there is significant anatomic
derangement.

The patients with the massive contusions don't tolerate the procedure very
well.

Tim
Dr T C Hardcastle
M.B., Ch.B. (Stell); M. Med. (Chir) (Stell); FCS (SA)
Principal Specialist Trauma Surgeon /
Honorary Lecturer UKZN Dept Surgery
Deputy Director - IALCH Trauma Service
Durban - South Africa

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