Pulmonary Contusion: An Update on Recent Advances in Clinical Management

Stephen M. Cohn, Joseph J. DuBose

Research output: Contribution to journalReview article

83 Scopus citations

Abstract

Pulmonary contusion is a common finding after blunt chest trauma. The physiologic consequences of alveolar hemorrhage and pulmonary parenchymal destruction typically manifest themselves within hours of injury and usually resolve within approximately 7 days. Clinical symptoms, including respiratory distress with hypoxemia and hypercarbia, peak at about 72 h after injury. The timely diagnosis of pulmonary contusion requires a high degree of clinical suspicion when a patient presents with trauma caused by an appropriate mechanism of injury. The clinical diagnosis of acute parenchymal lung injury is usually confirmed by thoracic computed tomography, which is both highly sensitive in identifying pulmonary contusion and highly predictive of the need for subsequent mechanical ventilation. Management of pulmonary contusion is primarily supportive. Associated complications such as pneumonia, acute respiratory distress syndrome, and long-term pulmonary disability, however, are frequent sequelae of these injuries.

Original languageEnglish (US)
Pages (from-to)1959-1970
Number of pages12
JournalWorld journal of surgery
Volume34
Issue number8
DOIs
StatePublished - Aug 1 2010

Keywords

  • Acute Respiratory Distress Syndrome
  • Blunt Chest Trauma
  • Hypertonic Saline
  • Injury Severity Score
  • Lung Injury

ASJC Scopus subject areas

  • Surgery

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