About: Combining the use of Nuss procedure and rib fixation for severe flail chest: a case report

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About: Combining the use of Nuss procedure and rib fixation for severe flail chest: a case report Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Combining the use of Nuss procedure and rib fixation for severe flail chest: a case report
Creator	Zhang, Jianhua Cai, Kaican Guo, Quanwei Zhang, Jinghui
source	PMC
abstract	BACKGROUND: Severe flail chest is a life-threatening situation. The Nuss procedure is a new effective treatment for severe flail chest patients who cannot be weaned from prolonged mechanical ventilation in the last few years. However, the procedure is not suitable when there are multiple fractures in both the anterior and lateral chest walls. Here, we reported a rare case of severe flail chest in a patient who suffered multiple fractures in both the anterior and lateral chest walls in a traffic accident. CASE PRESENTATION: A 49-year-old patient suffered severe flail chest by a steering wheel in a traffic accident with multiple fractures in both the anterior and lateral chest walls. In the beginning, the patient was administrated with mechanical ventilation because of acute respiratory distress syndrome (ARDS) for more than 1 week. Then the patient suffered from a severe lung infection and decreased blood oxygen saturation. After a multidiscipline discussion (MDT), three rib fixation plates were first used to rebuild the stability of lateral chest walls, then two Nuss bars were inserted to eliminate paradoxical movement in the anterior chest wall. Finally, the patient recovered smoothly after the combining procedure. CONCLUSIONS: Severe flail chest patients with both the anterior and lateral chest walls after trauma are in a life-threatening situation, and require an appropriate procedure to get out of danger in time. Rib fixation is an effective treatment when the fractured sites are few and the fractured area is small. The Nuss procedure is a new effective method for severe flail chest with multiple fractures in an anterior chest wall, which is also a minimally invasive and short time-consuming procedure. However, it does not suitable for the patient with multiple fractures in lateral chest walls. Combining the use of Nuss procedure and rib fixation can solve severe flail chest with multiple ribs and sternum fractures in both the anterior and lateral chest walls, and the outcome of this procedure is satisfying in the present rare case.
has issue date	2020-05-05(xsd:dateTime)
bibo:doi	10.1186/s12893-020-00747-2
bibo:pmid	32370809
has license	cc-by
sha1sum (hex)	a06cef99d8a6ba4a4757f0d707745cf9f482b1ea
schema:url	https://doi.org/10.1186/s12893-020-00747-2
resource representing a document's title	Combining the use of Nuss procedure and rib fixation for severe flail chest: a case report
has PubMed Central identifier	PMC7201783
has PubMed identifier	32370809
schema:publication	BMC Surg
resource representing a document's body	covid:a06cef99d8a6ba4a4757f0d707745cf9f482b1ea#body_text
is schema:about of	named entity 'severe' named entity 'rare' named entity 'anterior' named entity 'chest' named entity 'traffic accident' named entity 'flail chest' named entity 'rib' named entity 'SHORT' named entity 'HERE' named entity 'STEERING WHEEL' named entity 'SUITABLE' named entity 'CONCLUSIONS' covid:arg/a06cef99d8a6ba4a4757f0d707745cf9f482b1ea named entity 'walls' named entity 'minimally invasive' named entity 'chest wall' named entity 'steering wheel' named entity 'anterior' named entity 'anterior' named entity 'fractured' named entity 'fractures' named entity 'ventilator' named entity 'thoracic surgery' named entity 'fixation' named entity 'patients' named entity 'anterior' named entity 'walls' named entity 'multiple' named entity 'mechanical ventilation' named entity 'acute respiratory distress syndrome' named entity 'blood oxygen saturation' named entity 'Nuss procedure' named entity 'sternum fractures' named entity 'flail chest' named entity 'chest wall' named entity 'steering wheel' named entity 'flail chest' named entity 'lung infection' named entity 'intercostal space' named entity 'rib fractures' named entity 'chest tube' named entity 'chest wall' named entity 'lateral' named entity 'ventilator' named entity 'chest wall' named entity 'lateral' named entity 'emergency department' named entity 'vital signs' named entity 'lung infection' named entity 'lateral' named entity 'lateral' named entity 'traffic accident' named entity 'Gansu' named entity 'lateral' named entity 'lateral' named entity 'length of stay' named entity 'Beijing' named entity 'chest wall' named entity 'respiration' named entity 'traffic accident' named entity 'pectus excavatum' named entity 'flail chest' named entity 'China' named entity 'chest wall' named entity 'chest wall' named entity 'chest wall' named entity 'chest wall' named entity 'lateral' named entity 'China' named entity 'lateral' named entity 'chest wall' named entity 'flail chest' named entity 'surgical treatment' named entity 'mid-axillary line' named entity 'chest wall' named entity 'respiratory failure' named entity 'flail chest' named entity 'sternum'

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