Title |
Narkose, Beatmung und Schmerztherapie beim Thoraxtrauma
|
---|---|
Published in |
Die Unfallchirurgie, June 2018
|
DOI | 10.1007/s00113-018-0523-6 |
Pubmed ID | |
Authors |
M. Weigeldt, M. Paul, S. Schulz-Drost, M. D. Schmittner |
Abstract |
The management of anesthesia plays a central role in the treatment of thoracic trauma, both in the initial phase when safeguarding the difficult airway and in the intensive care unit. A rapid transfer to a trauma center should be considered in order to recognize and treat organ dysfunction in time. Development of atelectasis, pneumonia and acute lung failure are common pulmonary complications. Non-invasive ventilation combined with physiotherapy and respiratory training can help to minimize these pulmonary complications. If single lung ventilation is necessary as part of the operative patient care, a double-lumen tube, a bronchial blocker and the Univent®-Tubus (Fuji Systems Corporation, Tokyo, Japan) can be used. Special attention should be paid to the hypoxic pulmonary vasoconstriction that occurs in this maneuver. Pain therapy is ideally carried out patient-adapted with epidural anesthesia. In addition, intraoperatively inserted catheters in the sense of a continuous intercostal block or serratus plane block are good alternatives. The aim of these therapies should be early mobilization and transfer of the patient to rehabilitation. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 43 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 6 | 14% |
Student > Master | 6 | 14% |
Other | 5 | 12% |
Student > Bachelor | 2 | 5% |
Student > Postgraduate | 2 | 5% |
Other | 4 | 9% |
Unknown | 18 | 42% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 14 | 33% |
Nursing and Health Professions | 2 | 5% |
Economics, Econometrics and Finance | 1 | 2% |
Agricultural and Biological Sciences | 1 | 2% |
Social Sciences | 1 | 2% |
Other | 1 | 2% |
Unknown | 23 | 53% |