• F Christin, N Meyer, A Launoy, M N Roedlich, J R Diebolt, F Veillon, and T Pottecher.
• Département d'anesthésie-réanimation-Samu, hôpital Edouard-Herriot, place d'Arsonval, 69437 cedex 03, Lyon, France. Christin.Francoise@wanadoo.fr <Christin.Francoise@wanadoo.fr>
• Ann Fr Anesth Reanim. 2003 May 1; 22 (5): 408-13.

ObjectiveTo evaluate computed tomography quantification of injured pulmonary volume after thoracic trauma and its relevance for severity grade of patients with lung contusion.Study DesignRetrospective study in a major French Level I university trauma center.Patients And MethodsClinical and biological data including oxygenation index (PaO2/FIO2) and therapeutics modalities during the first 5 days: positive end expiratory pressure (Peep) and nitric oxide (NO), were collected on 49 patients with lung contusion resulting from thoracic trauma. Injured pulmonary volume was evaluated on initial thoracic tomodensitometry by 2 senior radiologists. The correlation between oxygenation index, therapeutics modalities and initial injured pulmonary volume was assessed for signification.ResultsInjured pulmonary volume larger than 37.75% of total lung volume is associated with both hypoxemia at the twenty-fourth hour (PaO2/FIO2 <300), and need for Peep >6 cm H2O and /or ongoing NO administration on day 5.ConclusionInjured parenchymal pulmonary volume evaluation on initial tomodensitometry seems to be an important indicator of lung contusion severity. Thoracic computed tomography provides additional prognostic information in the initial evaluation of thoracic trauma with parenchymal injury.

27 keywords...

hide…