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Trauma
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Management of flail chest

Aaron M Ranasinghe

Department of Cardiothoracic Surgery, University Hospital NHS Trust, Birmingham B15 2TH, UK

Jonathan AJ Hyde

Department of Cardiothoracic Surgery, University Hospital NHS Trust, Birmingham B15 2TH, UK

Timothy R Graham

Department of Cardiothoracic Surgery, University Hospital NHS Trust, Birmingham B15 2TH, UK

Thoracic injuries are directly responsible for 25% of trauma deaths in the United Kingdom, and a significant contributory factor to another 25%. The majority of these injuries are due to blunt thoracic trauma and flail chest can be a significant component in these injuries. Flail chest is a condition that is managed by a range of specialties, including cardiothoracic and orthopaedic surgeons, as well as anaesthetists and intensivists. Simple cases can be easily managed by analgesia and supplemental oxygen therapy. However, the literature available supports a number of practices including elective ventilation and possibly surgical fixation for more complex cases. This article sets out to review the literature on the pathophysiology, investigation, and management of this potentially life-threatening condition with particular regard to the additional management of underlying pulmonary contusion.

Key Words: flail chest • pulmonary contusion • thoracic trauma

Trauma, Vol. 3, No. 4, 235-247 (2001)
DOI: 10.1177/146040860100300406
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This article has been cited by other articles:


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 TraumaHome page
Z. Qasim and C. Gwinnutt
Flail chest: pathophysiology and management
Trauma, January 1, 2009; 11(1): 63 - 70.
[Abstract] [PDF]

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 TraumaHome page
N. R. Tai and K. D Boffard
Thoracic trauma: principles of early management
Trauma, April 1, 2003; 5(2): 123 - 136.
[Abstract] [PDF]


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