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Flail chest occurs when a series of adjacent ribs are fractured in at least 2 places, anteriorly and posteriorly. This section of the chest wall becomes unstable and it moves inwards during spontaneous inspiration.A flail segment of the chest wall will negatively affect respiration in three ways: ineffective ventilation, pulmonary contusion, and hypoventilation with atelectasis. There is ineffective ventilation because of increased dead space, decreased intrathoracic pressure, and increased oxygen demand from injured tissue.Chest wall blunt trauma is the cause of flail chest. It’s called chest wall blunt trauma because it’s the result of a blunt or flat object hitting the chest wall, destabilizing it and leaving it “floating”. It’s common for trauma to the chest to occur during road accidents.
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| Flail chest | |
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| Specialty | Emergency medicine |
What are the pathophysiological changes to the respiratory system that can occur with flail chest injury?
A flail segment of the chest wall will negatively affect respiration in three ways: ineffective ventilation, pulmonary contusion, and hypoventilation with atelectasis. There is ineffective ventilation because of increased dead space, decreased intrathoracic pressure, and increased oxygen demand from injured tissue.
What is the most common cause of flail chest?
Chest wall blunt trauma is the cause of flail chest. It’s called chest wall blunt trauma because it’s the result of a blunt or flat object hitting the chest wall, destabilizing it and leaving it “floating”. It’s common for trauma to the chest to occur during road accidents.
Flail Chest – Everything You Need To Know – Dr. Nabil Ebraheim
Images related to the topicFlail Chest – Everything You Need To Know – Dr. Nabil Ebraheim
What causes paradoxical breathing in flail chest?
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| Flail chest | |
|---|---|
| Specialty | Emergency medicine |
What is the motion called caused by a flail chest?
One of the most notable symptoms of flail chest is called paradoxical movement. When you breathe in and your ribcage expands, the broken segment will be sucked inward. Alternately, when you breathe out and your rib cage deflates, it can bulge outward.
What happens to lungs in flail chest?
A flail chest is a chest in which sections of broken ribs are isolated from, and interfering with, normal chest movements. That means the chest cannot expand properly and cannot properly draw air into the lungs. This is why stabilization after blunt trauma is important.
Flail Chest Mnemonic
Images related to the topicFlail Chest Mnemonic
What happens in flail chest?
Flail chest — defined as two or more contiguous rib fractures with two or more breaks per rib — is one of the most serious of these injuries and is often associated with considerable morbidity and mortality. It occurs when a portion of the chest wall is destabilized, usually from severe blunt force trauma.
See some more details on the topic What is the pathophysiology of flail chest? here:
Flail Chest – StatPearls – NCBI Bookshelf
Flail chest occurs in isolation in less than 40% of cases. More often it is accompanied by pulmonary contusions, hemo/pneumothorax, head …
Flail Chest – Health Encyclopedia – University of Rochester …
A flail chest is a chest in which sections of broken ribs are isolated from, and interfering with, normal chest movements. That means the chest cannot expand …
Flail Chest – Physiopedia
This pathology of rib fracture associated with decrease chest movement due to pain that reduces the tidal volume and may predispose to significant atelectasis, …
Flail Chest: Background, History of the Procedure, Problem
Flail chest is a clinical anatomic diagnosis noted in blunt trauma patients with paradoxical or reverse motion of a chest wall segment while …
What is management of flail chest?
Isolated flail chest may be successfully managed with aggressive pulmonary toilet including facemask oxygen, CPAP, and chest physiotherapy. Adequate analgesia is of paramount importance in patient recovery and may contribute to the return of normal respiratory mechanics.
What causes paradoxical chest movement?
Paradoxical breathing is a sign that you aren’t breathing properly. It occurs when your diaphragm moves in the opposite direction than it should when you’re inhaling and exhaling. Typically, when you breathe, your diaphragm (a muscle between the lungs and heart) pushes up or down to help control your airflow.
Open Pneumothorax Flail Chest – Emergency Medicine | Lecturio
Images related to the topicOpen Pneumothorax Flail Chest – Emergency Medicine | Lecturio
Which of the following is the correct description of a flail chest?
Flail chest refers to a type of injury that follows a blunt trauma to the chest. It happens when three or more ribs are each broken in more than one place, causing a segment of bone to detach from the chest wall.
How do you stabilize a flail chest?
Use a pillow to put pressure on the flail segment. Holding the flail segment in place keeps it from moving in the opposite direction of the surrounding muscle and bone. Stabilizing the area will reduce the chances of damage to the heart, lungs, and surrounding tissues.
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