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Noninvasive Ventilation in the Polytraumatized Patient

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Book cover Noninvasive Ventilation in High-Risk Infections and Mass Casualty Events

Abstract

Trauma is the leading cause of death in persons younger than 44 years of age and is the fourth leading cause of death overall [1]. Approximately 140,000 trauma-related deaths occur in the United States annually. Chest trauma is the cause of death in up to one-fourth of patients with multiple-systems trauma.

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References

  1. Centers for Disease Control and Prevention. Medical expenditures attributable to injuries: United States, 2000. MMWR Morb Mortal Wkly Rep. 2004;53:1–4.

    Google Scholar 

  2. Szucs-Farkas Z, Kaelin I, Flach PM, et al. Detection of chest trauma with whole-body low-dose linear slit digital radiography: a multireader study. AJR Am J Roentgenol. 2010;194:W388–95.

    Article  PubMed  Google Scholar 

  3. Wanek S, Mayberry JC. Blunt thoracic trauma: flail chest, pulmonary contusion, and blast injury. Crit Care Clin. 2004;20:71–81.

    Article  PubMed  Google Scholar 

  4. Burford TH, Burbank B. Traumatic wet lung: observations on certain physiologic fundamentals of thoracic trauma. J Thorac Surg. 1945;14:415–24.

    PubMed  CAS  Google Scholar 

  5. Jensen NK. Recovery of pulmonary function after crushing injury to the chest. Chest. 1952;22:319–46.

    Article  CAS  Google Scholar 

  6. Vidhani K, Kause J, Parr M. Should we follow ATLS guidelines for the management of traumatic pulmonary contusion: the role of non-invasive ventilatory support. Resuscitation. 2002;52(3):265–8.

    Article  PubMed  Google Scholar 

  7. British Thoracic Society Standards of Care Committee. Non-invasive ventilation in acute respiratory failure. Thorax. 2002;57(3):192–211.

    Article  Google Scholar 

  8. Karmy-Jones R, Jurkovich GJ, Shatz DV, et al. Management of traumatic lung injury: a Western Trauma Association multicenter review. J Trauma. 2001;51:1049–53.

    Article  PubMed  CAS  Google Scholar 

  9. Richter M, Krettek C, Otte D, et al. Correlation between crash severity, injury severity, and clinical course in car occupants with thoracic trauma: a technical and medical study. J Trauma. 2001;51:10–6.

    Article  PubMed  CAS  Google Scholar 

  10. Trinkle JK, Richardson JD, Franz JL, et al. Management of flail chest without mechanical ventilation. Ann Thorac Surg. 1975;19:355–63.

    Article  PubMed  CAS  Google Scholar 

  11. Nelson LD. Ventilatory support of the trauma patient with pulmonary contusion. Respir Care Clin N Am. 1996;2:425–47.

    PubMed  CAS  Google Scholar 

  12. Allen GS, Coates NE. Pulmonary contusion: a collective review. Am Surg. 1996;62:895–900.

    PubMed  CAS  Google Scholar 

  13. Cohn SM. Pulmonary contusion. Review of a clinical entity. J Trauma. 1997;42(5):973–9.

    Article  PubMed  CAS  Google Scholar 

  14. Clemedson CJ. Blast injury. Physiol Rev. 1956;36:336–54.

    PubMed  CAS  Google Scholar 

  15. Miller PR, Croce MA, Kilgo PD, et al. Acute respiratory distress syndrome in blunt trauma: identification of independent risk factors. Am Surg. 2002;68:845–50.

    PubMed  Google Scholar 

  16. Miller PR, Croce MA, Bee TK, et al. ARDS after pulmonary contusion: accurate measurement of contusion volume identifies high-risk patients. J Trauma. 2001;51:223–8.

    Article  PubMed  CAS  Google Scholar 

  17. Dicker RA, Morabito DJ, Pittet JF, et al. Acute respiratory distress syndrome criteria in trauma patients: why the definitions do not work. J Trauma. 2004;57:522–6.

    Article  PubMed  Google Scholar 

  18. Croce MA, Fabian TC, Davis KA, et al. Early and late acute respiratory distress syndrome: two distinct clinical entities. J Trauma. 1999;46:361–6.

    Article  PubMed  CAS  Google Scholar 

  19. Pallister I, Dent C, Topley N. Increased neutrophil migratory activity after major trauma: a factor in the etiology of acute respiratory distress syndrome? Crit Care Med. 2002;30:1717–21.

    Article  PubMed  Google Scholar 

  20. Hoth JJ, Stitzel JD, Gayzik S, et al. The pathogenesis of pulmonary contusion: an open chest model in the rat. J Trauma. 2006;61:32–45.

    Article  PubMed  Google Scholar 

  21. Gregory TJ, Longmore WJ, Moxley MA, et al. Surfactant chemical composition and biophysical activity in acute respiratory distress syndrome. J Clin Invest. 1991;88:1976–81.

    Article  PubMed  CAS  Google Scholar 

  22. Keenan SP, Sinuff T, Cook DJ, et al. Does noninvasive positive pressure ventilation improve outcome in acute hypoxemic respiratory failure? A systematic review. Crit Care Med. 2004;32:2516–23.

    Article  PubMed  Google Scholar 

  23. Brochard L. Noninvasive ventilation for acute respiratory failure. JAMA. 2002;288:932–5.

    Article  PubMed  Google Scholar 

  24. American Thoracic Society/Infectious Diseases Society of America. Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia. Am J Respir Crit Care Med. 2005;171:388–416.

    Article  Google Scholar 

  25. Schweiger JW, Downs JB, Smith RA. Chest wall disruption with and without acute lung injury: effects of continuous positive airway pressure therapy on ventilation and perfusion relationships. Crit Care Med. 2003;31:2364–70.

    Article  PubMed  Google Scholar 

  26. Antonelli M, Conti G, Moro ML, et al. Predictors of failure of noninvasive positive pressure ventilation in patients with acute hypoxemic respiratory failure: a multi-center study. Intensive Care Med. 2001;27(11):1718–28.

    Article  PubMed  CAS  Google Scholar 

  27. Ferrer M, Esquinas A, Leon M, et al. Noninvasive ventilation in severe hypoxemic respiratory failure. A randomized trial. Am J Respir Crit Care Med. 2003;168(12):1438–44.

    Article  PubMed  Google Scholar 

  28. Tanaka H, Tajimi K, Endoh Y, et al. Penumatic stabilization for flail chest injury: an 11-year study. Surg Today. 2001;31:12–7.

    Article  PubMed  CAS  Google Scholar 

  29. Bolliger CT, Van Eeden SF. Treatment of multiple rib fractures. Randomized controlled trial comparing ventilatory with nonventilatory management. Chest. 1990;97:943–8.

    Article  PubMed  CAS  Google Scholar 

  30. Gunduz M, Unlugenc H, Ozalevli M, et al. A comparative study of continuous positive airway pressure (CPAP) and intermittent positive pressure ventilation (IPPV) in patients with flail chest. Emerg Med J. 2005;22:325–9.

    Article  PubMed  CAS  Google Scholar 

  31. Hernandez G, Fernandez R, Lopez-Reina P, et al. Noninvasive ventilation reduces intubation in chest trauma-related hypoxemia. A Randomized Clinical Trial. Chest. 2010;137(1):74–80.

    Article  PubMed  Google Scholar 

  32. Gajic O, Frutos-Vivar F, Esteban A, et al. Ventilator settings as a risk factor for acute respiratory distress syndrome in mechanically ventilated patients. Intensive Care Med. 2005;31:922–6.

    Article  PubMed  Google Scholar 

  33. Squadrone V, Coha M, Cerutti E, et al. Continuous positive airway pressure for treatment of postoperative hypoxemia: a randomized controlled trial. JAMA. 2005;293:589–95.

    Article  PubMed  CAS  Google Scholar 

  34. van Kaam AH, Lachmann RA, Herting E, et al. Reducing atelectasis attenuates bacterial growth and translocation in experimental pneumonia. Am J Respir Crit Care Med. 2004;169:1046–53.

    Article  PubMed  Google Scholar 

  35. Croce MA, Fabian TC, Mueller EW, et al. The appropriate diagnostic threshold for ventilator-associated pneumonia using quantitative cultures. J Trauma. 2004;56:931–4.

    Article  PubMed  Google Scholar 

  36. Croce MA, Fabian TC, Waddle-Smith L, et al. Identification of early predictors for post-traumatic pneumonia. Am Surg. 2001;67:105–10.

    PubMed  CAS  Google Scholar 

  37. Duggan M, Kavanagh BP. Pulmonary atelectasis: a pathogenic perioperative entity. Anesthesiology. 2005;102:838–54.

    Article  PubMed  Google Scholar 

  38. L’Her E, Deye N, Lellouche F, et al. Physiologic effects of noninvasive ventilation during acute lung injury. Am J Respir Crit Care Med. 2005;172:1112–8.

    Article  PubMed  Google Scholar 

  39. Festic E, Gajic O, Limper AH, et al. Acute respiratory failure due to pneumocystis pneumonia in patients without human immunodeficiency virus infection: outcome and associated features. Chest. 2005;128:573–9.

    Article  PubMed  Google Scholar 

  40. Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med. 2000;342:1301–8.

    Article  Google Scholar 

  41. Regel G, Grotz M, Weltner T, et al. Pattern of organ failure following severe trauma. World J Surg. 1996;20:422–9.

    Article  PubMed  CAS  Google Scholar 

  42. Putensen C, Zech S, Wrigge H, et al. Long-term effects of spontaneous breathing during ventilatory support in patients with acute lung injury. Am J Respir Crit Care Med. 2001;164:43–9.

    Article  PubMed  CAS  Google Scholar 

  43. Baker SP, O’Neill B, Haddum W, et al. The injury severity score: a method of describing patients with multiple injuries and evaluating emergency care. J Trauma. 1974;14:187–96.

    Article  PubMed  CAS  Google Scholar 

  44. Pape HC, Remmers D, Rice J, et al. Appraisal of early evaluation of blunt chest trauma: development of a standardized scoring system of initial clinical decision making. J Trauma. 2000;24:496–504.

    Article  Google Scholar 

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Correspondence to Peter J. Papadakos MD, FCCP, FCCM .

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© 2014 Springer-Verlag Wien

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Karcz, M.K., Papadakos, P.J. (2014). Noninvasive Ventilation in the Polytraumatized Patient. In: Esquinas, A. (eds) Noninvasive Ventilation in High-Risk Infections and Mass Casualty Events. Springer, Vienna. https://doi.org/10.1007/978-3-7091-1496-4_8

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  • DOI: https://doi.org/10.1007/978-3-7091-1496-4_8

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  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-1495-7

  • Online ISBN: 978-3-7091-1496-4

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