• Ann. Thorac. Surg. · Aug 1975

    Control of respiratory therapy in flail chest.

    • F L Lewis, A N Thomas, and R M Schlobohm.
    • Ann. Thorac. Surg. 1975 Aug 1; 20 (2): 170-6.

    AbstractPulmonary mechanics and oxygenation were measured in 24 consecutive patients with posttraumatic flail chest requiring continuous mechanical ventilation. The mean duration of mechanical ventilation was fourteen days. Mortality was 38% for all patients, 29% if deaths from head injury are excluded. Pneumonia occurred in 4 patients (17%) and pneumothorax in 1 (4%). Vital capacity and maximal inspiratory force measurements were useful in assessing chest wall stabilization. Total lung compliance correlated negatively with fatal outcome from respiratory failure. The alveolar-arterial oxygen gradient was not useful in assessing chest wall stabilization.

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