Pulmonary contusion: an update on recent advances in clinical management.

Stephen M. Cohn, Joseph J. Dubose

Research output: Contribution to journalArticle

81 Citations (Scopus)

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 2010

Fingerprint

Contusions
Lung
Wounds and Injuries
Thorax
Hypercapnia
Acute Lung Injury
Adult Respiratory Distress Syndrome
Artificial Respiration
Pneumonia
Tomography
Hemorrhage

ASJC Scopus subject areas

  • Surgery

Cite this

Pulmonary contusion : an update on recent advances in clinical management. / Cohn, Stephen M.; Dubose, Joseph J.

In: World Journal of Surgery, Vol. 34, No. 8, 08.2010, p. 1959-1970.

Research output: Contribution to journalArticle

Cohn, Stephen M. ; Dubose, Joseph J. / Pulmonary contusion : an update on recent advances in clinical management. In: World Journal of Surgery. 2010 ; Vol. 34, No. 8. pp. 1959-1970.
@article{3fd89ea543fc450dbeb4dd9bbd1fb15c,
title = "Pulmonary contusion: an update on recent advances in clinical management.",
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.",
author = "Cohn, {Stephen M.} and Dubose, {Joseph J.}",
year = "2010",
month = "8",
doi = "10.1007/s00268-010-0599-9",
language = "English (US)",
volume = "34",
pages = "1959--1970",
journal = "World Journal of Surgery",
issn = "0364-2313",
publisher = "Springer New York",
number = "8",

}

TY - JOUR

T1 - Pulmonary contusion

T2 - an update on recent advances in clinical management.

AU - Cohn, Stephen M.

AU - Dubose, Joseph J.

PY - 2010/8

Y1 - 2010/8

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=78049443377&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=78049443377&partnerID=8YFLogxK

U2 - 10.1007/s00268-010-0599-9

DO - 10.1007/s00268-010-0599-9

M3 - Article

C2 - 20407767

AN - SCOPUS:78049443377

VL - 34

SP - 1959

EP - 1970

JO - World Journal of Surgery

JF - World Journal of Surgery

SN - 0364-2313

IS - 8

ER -