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?

<p>Panicky with dyspnea, tachypnea, and distended neck veins with cyanosis (A)</p> Signup and view all the answers

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

<p>Arch aortography (D)</p> Signup and view all the answers

Which diagnostic method is used to identify tracheobronchial injuries?

<p>Bronchoscopy (D)</p> Signup and view all the answers

How should blunt diaphragmatic injury be managed when diagnosed acutely?

<p>Repair through laparotomy (C)</p> Signup and view all the answers

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

<p>Operative repair (C)</p> 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?

<p>Urgent Thoracotomy (A)</p> Signup and view all the answers

What is a characteristic feature of Flail chest?

<p>Paradoxical chest wall movement with respiration (B)</p> Signup and view all the answers

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

<p>Intima and media disruption (C)</p> Signup and view all the answers

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

<p>To correct hypovolemic state (C)</p> Signup and view all the answers

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