SCCM Resource Library-Follow the Yellow Brick Road: Algorithmic Development for Severe Chest Wall Trauma in the ICU

Follow the Yellow Brick Road: Algorithmic Development for Severe Chest Wall Trauma in the ICU

Video Transcription

Video Summary

Dr. Diaz, Dr. Diefenbacher, and other colleagues discussed the algorithm for managing severe chest wall trauma in mechanically ventilated and non-mechanically ventilated patients. They emphasized the importance of early intervention and multimodal approaches, including surgical fixation, cryoablation, VATS, regional anesthesia, and respiratory therapy. They also highlighted the need for a multidisciplinary team involving physical therapy, respiratory therapy, anesthesia, and emergency medicine. The goal is to improve outcomes, reduce complications, and enhance patient recovery. They mentioned that there is limited data on some of the techniques used, but they believe in their effectiveness. They also discussed the indications for surgery, such as clinical flail, radiographic flail, significant chest wall deformity, and non-flail with partial displacement. They noted that age and traumatic brain injury should not be a deterrent for surgery, as studies have shown improved outcomes in these populations. The presenters stressed the importance of standardized protocols, continuous evaluation, and team collaboration for successful chest wall injury programs.

Asset Subtitle

Trauma, 2023

Asset Caption

Type: one-hour concurrent | To Fix or Not to Fix, That Is the Question: Severe Chest Wall Trauma in the Mechanically Ventilated (SessionID 1228192)

Meta Tag

Content Type Presentation

Knowledge Area Trauma

Membership Level Professional

Membership Level Select

Tag Blunt Chest Trauma

Year 2023

Keywords

severe chest wall trauma

multimodal approaches

surgical fixation

respiratory therapy

team collaboration

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