• Der Unfallchirurg · Sep 2021

    Review Case Reports

    [Improvement in breathing mechanics by plate osteosynthesis of the ribs after cardiac massage : Case report and review of the literature].

    • Karl Friedrich Abshagen, Josef Stolberg-Stolberg, Jan Philipp Loyen, Oliver Riesenbeck, Jens Everding, Hendrik Freise, and Michael J Raschke.
    • Klinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstraße 1, 48149, Münster, Deutschland. karlfriedrich.abshagen@ukmuenster.de.
    • Unfallchirurg. 2021 Sep 1; 124 (9): 774-778.

    AbstractThis article reports the case of a 69-year-old patient with multiple rib fractures and sternal fracture after repetitive cardiopulmonary resuscitation (CPR). Because of secondary respiratory failure due to an unstable thorax, rib fixation was performed 10 days after CPR. Subsequently, ventilation improved resulting in successful extubation 4 days after rib plating. A review of the literature revealed only five documented cases of rib osteosynthesis after CPR. Although flail chest occurs in up to 15% of patients after CPR, there is little evidence of the effect of rib fixation. The benefit of this procedure after chest trauma is reduced pain, shortened intensive care unit stay, lower rates of ventilation-associated pneumonia and lower costs for the healthcare system. Further clinical research is needed and interdisciplinary treatment should be kept in mind when dealing with patients resuscitated with prolonged mechanical ventilation.© 2021. The Author(s).

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