Mederos CON, Barrera Ortega,Juan Carlos; Mederos Trujillo, Orlando Noel

Language: Spanish
References: 5
Page: 144-145
PDF size: 107.47 Kb.

Text Extraction

The purpose of this communication is to present some considerations on the paper Tratamiento quirúrgico del tórax inestable. ¿Dónde nos encontramos? Experiencia de un hospital privado (Surgical treatment of flail chest. Where are we? Experience in a private hospital), published in Cirujano General, 2017, Vol. 39 Num. 4, pages 237-246. Above all, we wish to congratulate the authors for an excellent review and the results obtained.
The treatment of flail chest has changed according to the understanding of its physiopathology: when instability of the chest wall was considered the essential problem, external compression methods or subcutaneous or skeletal traction with weights and pulleys were used. During the Second World War (1939-1945), anesthetic block and physical therapy were recommended and, in some cases, mechanical ventilation.

REFERENCES

1. Avery EE, Benson DW, Morch ET. Critically, crushed chest; a new method of treatment with continuos mechanical hyperventilation to produce alkalotic apnea and internal pneumatic stabilization. J Thorac Surg. 1983; 32: 291-311.

2. Trinkle JK, Richardson JD, Franz JL, Grover FL, Arom KV, Holmstrom FM. Management of flail chest without mechanical ventilation. Ann Thorac Surg. 1985; 19: 335-363.

3. Mederos CO, Albaladejo R, Barreras OJ, Romero DC, Cantero RA, Valdés JJ. Estabilizador para tórax batiente. Revista Avances Médicos de Cuba. 2001; 8: 54.

4. Mederos CO, Barreras OJ, Valdés JJ, Romero DC, Cantero RA. Uso de fijador externo en la inestabilidad de la pared torácica anterior. Rev Cubana Cir. 2005; 44.

5. Nolasco-de la Rosa AL, Mosiñoz-Montes R, Matehuala-García J, Cuautle-Ramírez AA, Román-Guzmán E, Reyes-Miranda AL y cols. Fijación de tórax inestable con placas y tornillos bioabsorbibles. Acta Ortop Mex. 2016; 30: 311-315.