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Thoracic Surgery Lecture 3: Thoracic Injuries

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Thoracic Surgery Lecture 3: Thoracic Injuries

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Questions and Answers

What is the most common cause of airway obstruction in trauma?

Bilateral mandibular fracture

Laryngeal or tracheal injuries

Secretions and blood (correct)

Expanding neck hematoma

What leads to the development of tension pneumothorax?

Blunt chest trauma with parenchymal lung injury

Mediastinum displacement

Iatrogenic lung puncture from subclavian central venous insertion

Mechanical positive pressure ventilation (correct)

What is the recommended management for airway edema in trauma?

Nasal oxygen supplementation

Immediate tracheostomy

Administration of bronchodilators

Early endotracheal intubation (correct)

What are the clinical features of a patient with tension pneumothorax?

Panicky with dyspnea, tachypnea, and distended neck veins with cyanosis Signup and view all the answers

What diagnostic procedure can confirm the suspected injury involving the aortic arch?

Arch aortography Signup and view all the answers

Which diagnostic method is used to identify tracheobronchial injuries?

Bronchoscopy Signup and view all the answers

How should blunt diaphragmatic injury be managed when diagnosed acutely?

Repair through laparotomy Signup and view all the answers

What is the recommended management for esophageal injury caused by penetrating trauma?

Operative repair Signup and view all the answers

What is the recommended management for initial drain of >1500ml or continuous bleeding of >200ml/hr for 3 hours?

Urgent Thoracotomy Signup and view all the answers

What is a characteristic feature of Flail chest?

Paradoxical chest wall movement with respiration Signup and view all the answers

In thoracic aortic disruption, what causes the rupture of the aorta during blunt trauma?

Intima and media disruption Signup and view all the answers

When might endotracheal intubation be necessary in the management of thoracic trauma?

To correct hypovolemic state Signup and view all the answers