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2015 ; 23
(ä): 73
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Comparison of two pediatric flail chest cases
#MMPMID26408024
Yasuda R
; Okada H
; Shirai K
; Yoshida S
; Nagaya S
; Ikeshoji H
; Suzuki K
; Kitagawa Y
; Tanaka T
; Nakano S
; Nachi S
; Kato H
; Yoshida T
; Kumada K
; Ushikoshi H
; Toyoda I
; Ogura S
Scand J Trauma Resusc Emerg Med
2015[Sep]; 23
(ä): 73
PMID26408024
show ga
Flail chest is a rare complication in pediatric patients with blunt chest trauma.
There is no general consensus on which treatment is most appropriate for flail
chest in pediatric patients, although it has been reported that surgical fixation
is associated with beneficial outcomes for flail chest in adults. The present
report described two pediatric cases of flail chest, which was rare in pediatric
blunt trauma. In small children, functional residual capacity is smaller, and the
thorax is pliable due to high thoracic compliance. Therefore, it is only
advisable to select intubation and mechanical ventilation treatment. Likewise, in
pediatric flail chest, the available evidence does not suggest that ventilator
management protocols should be adopted routinely, and the treatment for pediatric
flail chest was not established completely. There were not huge different between
the described patients, including injury severity and ventilation setting.
However, one had a relapse of flail chest after extubation and chest taping was
required, while the other patient's condition was stable after decannulation. As
described above, it is difficult to predict a recurrence of flail chest in
pediatric patients even if treatment goes well. Therefore, T-piece trial should
be considered prior to extubation.