Pleural, Lung and Tracheal Injuries

  • Francesco Guerrera
  • Filippo Antonacci
  • Stéphane Renaud
  • Alberto Oliaro


Traumas are the leading cause of death in the first four decades of life: taking into account all age groups, only neoplasms and atherosclerotic disease exceed traumas as the prime cause of death. Many patients die on arrival at the hospital, but many of them can be saved by early diagnosis and immediate and simple medical-surgical treatment. Frequently, in case of pleural and lung injuries, procedures like thoracentesis and chest drain are enough on their own to save the lives of many thoracic trauma patients. On the other hand, tracheobronchial injuries are rare conditions often not recognized at the time of trauma and frequently represent a life-threatening event. Small lesions may be treated conservatively. In case of major injuries (larger than 2 cm), surgical repair is indicated. Extracorporeal life support has emerged as an important adjunct in the context of traumatic airway injuries both in the conservative and in the operative management.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Francesco Guerrera
    • 1
  • Filippo Antonacci
    • 2
  • Stéphane Renaud
    • 3
  • Alberto Oliaro
    • 1
  1. 1.Department of Thoracic SurgeryAzienda Ospedaliera Universitaria Città della Salute e della Scienza di TorinoTorinoItaly
  2. 2.Department of Thoracic SurgeryFondazione IRCCS Policlinico San MatteoPaviaItaly
  3. 3.Department of Thoracic Surgery, Institut Lorrain Du Coeur Et Des Vaisseaux Louis MathieuNancy University HospitalNancyFrance

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