Hemothorax Related to Trauma

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Management of hemothoraces related to trauma follows basic tenets well respected by both trauma and cardiothoracic surgeons. In most instances, a nonoperative approach is adequate with a defined group of patients requiring only tube thoracostomy. It is only in a true minority of individuals that operative intervention necessary. For both blunt and penetrating injuries, the presence of retained hemothorax is well treated by early intervention with thoracoscopic techniques, shown to decrease hospital stay and costs. Controversial areas including the use of prophylactic antibiotics, sequence of operative intervention in patients with combined thoracoabdominal trauma, and the use of emergency department thoracotomy, remain a challenge but recent literature can serve to guide the clinician.

Original languageEnglish (US)
Pages (from-to)47-55
Number of pages9
JournalThoracic Surgery Clinics
Volume17
Issue number1
DOIs
StatePublished - Feb 2007

Fingerprint

Hemothorax
Wounds and Injuries
Thoracostomy
Nonpenetrating Wounds
Hospital Costs
Thoracotomy
Hospital Emergency Service
Length of Stay
Anti-Bacterial Agents

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Hemothorax Related to Trauma. / Meyer, Dan M.

In: Thoracic Surgery Clinics, Vol. 17, No. 1, 02.2007, p. 47-55.

Research output: Contribution to journalArticle

Meyer, Dan M. / Hemothorax Related to Trauma. In: Thoracic Surgery Clinics. 2007 ; Vol. 17, No. 1. pp. 47-55.
@article{2214d9f5281948ea9e3a8fedeca50c08,
title = "Hemothorax Related to Trauma",
abstract = "Management of hemothoraces related to trauma follows basic tenets well respected by both trauma and cardiothoracic surgeons. In most instances, a nonoperative approach is adequate with a defined group of patients requiring only tube thoracostomy. It is only in a true minority of individuals that operative intervention necessary. For both blunt and penetrating injuries, the presence of retained hemothorax is well treated by early intervention with thoracoscopic techniques, shown to decrease hospital stay and costs. Controversial areas including the use of prophylactic antibiotics, sequence of operative intervention in patients with combined thoracoabdominal trauma, and the use of emergency department thoracotomy, remain a challenge but recent literature can serve to guide the clinician.",
author = "Meyer, {Dan M.}",
year = "2007",
month = "2",
doi = "10.1016/j.thorsurg.2007.02.006",
language = "English (US)",
volume = "17",
pages = "47--55",
journal = "Thoracic Surgery Clinics",
issn = "1547-4127",
publisher = "W.B. Saunders Ltd",
number = "1",

}

TY - JOUR

T1 - Hemothorax Related to Trauma

AU - Meyer, Dan M.

PY - 2007/2

Y1 - 2007/2

N2 - Management of hemothoraces related to trauma follows basic tenets well respected by both trauma and cardiothoracic surgeons. In most instances, a nonoperative approach is adequate with a defined group of patients requiring only tube thoracostomy. It is only in a true minority of individuals that operative intervention necessary. For both blunt and penetrating injuries, the presence of retained hemothorax is well treated by early intervention with thoracoscopic techniques, shown to decrease hospital stay and costs. Controversial areas including the use of prophylactic antibiotics, sequence of operative intervention in patients with combined thoracoabdominal trauma, and the use of emergency department thoracotomy, remain a challenge but recent literature can serve to guide the clinician.

AB - Management of hemothoraces related to trauma follows basic tenets well respected by both trauma and cardiothoracic surgeons. In most instances, a nonoperative approach is adequate with a defined group of patients requiring only tube thoracostomy. It is only in a true minority of individuals that operative intervention necessary. For both blunt and penetrating injuries, the presence of retained hemothorax is well treated by early intervention with thoracoscopic techniques, shown to decrease hospital stay and costs. Controversial areas including the use of prophylactic antibiotics, sequence of operative intervention in patients with combined thoracoabdominal trauma, and the use of emergency department thoracotomy, remain a challenge but recent literature can serve to guide the clinician.

UR - http://www.scopus.com/inward/record.url?scp=34248650704&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34248650704&partnerID=8YFLogxK

U2 - 10.1016/j.thorsurg.2007.02.006

DO - 10.1016/j.thorsurg.2007.02.006

M3 - Article

C2 - 17650696

AN - SCOPUS:34248650704

VL - 17

SP - 47

EP - 55

JO - Thoracic Surgery Clinics

JF - Thoracic Surgery Clinics

SN - 1547-4127

IS - 1

ER -