Management of the crushed chest

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


Thoracic injuries are very common among trauma victims. This article reviews the current literature on the management of multiple aspects of the care of the patient with severe chest injury. The mechanics of chest injury are complex and varied. Chest wall injuries are the most common and noticeable manifestation of thoracic trauma. Overall morbidity and mortality are primarily determined by associated injuries. New ventilatory strategies permit oxygenation of the severely hypoxic patient. Acute pain management modalities offer the potential of decreasing associated pulmonary complications. Surgical chest wall fixation is clearly indicated in extreme cases of pulmonary herniation and chest wall disruption. There are potential benefits of surgical fixation in other settings, although further trials are needed.

Original languageEnglish (US)
Pages (from-to)S469-S477
JournalCritical care medicine
Issue numberSUPPL. 9
StatePublished - Sep 2010


  • acute respiratory distress syndrome
  • airway pressure release ventilation
  • flail chest
  • high-frequency oscillatory ventilation
  • pulmonary contusion
  • rib fracture
  • trauma

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine


Dive into the research topics of 'Management of the crushed chest'. Together they form a unique fingerprint.

Cite this