• Southern medical journal · Jul 2004

    Case Reports

    Thoracic packing for uncontrolled bleeding in penetrating thoracic injuries.

    • Manuel Caceres, Kennan J Buechter, Areti Tillou, Jennifer A Shih, Donald Liu, and Glenn Steeb.
    • Department of Surgery, Louisiana State University Medical Center, New Orleans, LA 70112, USA. caceres_manuel@hotmail.com
    • South. Med. J. 2004 Jul 1; 97 (7): 637-41.

    AbstractWe present a series of three patients who suffered penetrating thoracic injury, and in whom thoracic packing was used as a life-saving procedure. Survival among these patients paralleled the severity and extent of the original injuries. Restriction of cardiac filling and lung expansion are potential deterrents from using this technique; however, its use seems to be a valid adjunct, especially in the setting of chest wall bleeding coming from the intercostal arteries. Damage control surgery in pentrating thoracic trauma, including thoracic packing, is a sound alternative when uncontrollable bleeding, hypothermia and coagulopathy compromises the survival of a patient.

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