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Mon Jul 13 17:48:24 BST 2009

A mind is a terrible thing to waste!!  I do remember that, but missed your inuendo!  Oh well.  we are still working on putting that study together - will let you know when it comes to be!
be well,
Ron
________________________________________
From: trauma-list-bounces at trauma.org [trauma-list-bounces at trauma.org] On Behalf Of Dr Timothy Hardcastle [dr.tchardcastle at absamail.co.za]
Sent: Friday, July 10, 2009 8:49 AM
To: Trauma-List [TRAUMA.ORG]
Subject: RE: Non invasive Ventilation with Flail Chest

Ron

That was said with tongue firmly in cheek - from our previous mails you
would recall I would participate in such a study.

I don't believe in using metal plates - the absorbable ones work just as
well and they give no long-term issues. Having said that I think that the
real role is for the flail or "stove-in" chest without significant
contusion who would simply require mechanical stability, the cases with
real contusion usually require tube and vent - then when they come off the
pump after about 7 - 10 days the ribs are usually reletively stable
already.

Tim

Dr T C Hardcastle
M.B., Ch.B. (Stell); M. Med. (Chir) (Stell); FCS (SA)
Principal Specialist Trauma Surgeon /
Honorary Lecturer University of KwaZulu-Natal Dept Surgery
Deputy Director - IALCH Trauma Service
Durban - South Africa
> Tim,
> Trunkey, Mayberry and others (including yours truly) would disagree
> (respectfully, of course).  Would you be interested in participating in a
> study using this technology?
> Ron
>
> None
>
> I think it is still a procedure looking for a pathology!
>
> Tim
>> Dear Dr. Hardcastle,
>>
>> Your experience with blunt chest injuries is impressive. May I ask how
>> many
>> of these flails were surgically repaired with metal plates, etc.?

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Non invasive Ventilation with Flail Chest