Big T Trauma Series Ep. 10 - Rib Fractures

Behind The Knife: The Surgery Podcast

Science, Health & Fitness, Medicine, Education

4.8 • 1.4K Ratings

🗓️ 18 May 2020

⏱️ 39 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

Hosts: Patrick Georgoff, MD and Jayne McCauley, MD

This…episode….covers…rib…fractures…sorry, I am splinting. Was that a fever? Am I developing pneumonia?! Could this have been avoided with regional anesthesia? Or surgical fixation? Tune in to find out everything you need to know about the management of rib fractures.

References:

Kasotakis G, Hasenboehler EA, Streib EW, et al. Operative fixation of rib fractures after blunt trauma: A practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg 2017; 82:618.
Carver TW, Milia DJ, Somberg C, et al. Vital capacity helps predict pulmonary complications after rib fractures. J Trauma Acute Care Surg. 2015 Sep;79(3):413-6.
Galvagno SM Jr, Smith CE, Varon AJ, et al. Pain management for blunt thoracic trauma: A joint practice management guideline from the Eastern Association for the Surgery of Trauma and Trauma Anesthesiology Society. J Trauma Acute Care Surg. 2016 Nov;81(5):936-951.
Cheema FA, Chao E, Buchsbaum J, et al. State of Rib Fracture Care: A NTDB Review of Analgesic Management and Surgical Stabilization. Am Surg. 2019 May 1;85(5):474-478.
Pieracci FM, Leasia K, Bauman Z, et al. A multicenter, prospective, controlled clinical trial of surgical stabilization of rib fractures in patients with severe, nonflail fracture patterns (Chest Wall Injury Society NONFLAIL). J Trauma Acute Care Surg. 2020;88(2):249.
Pieracci FM, Coleman J, Ali-Osman F, et al. A multicenter evaluation of the optimal timing of surgical stabilization of rib fractures. J Trauma Acute Care Surg. 2018;84(1):1.

Transcript

Click on a timestamp to play from that location

0:00.0	Behind the knife, the Surgery Podcast, where we take a behind the scenes intimate look at surgery
0:06.0	from leaders in the Knife. In this series we cover clinically
0:26.6	oriented material that focuses on how best to care for the dramatically injured and
0:31.6	critically ill patient.
0:33.0	My name is Patrick Georgeoff.
0:34.0	I'm a Trauma Surgery Fellow at the University of Texas Memorial Hermann, Red Duke Trauma Institute
0:39.0	in Houston, Texas.
0:40.0	And today I'm joined by Dr. Jane McCaulay, also a trauma surgery
0:44.4	to file at the University of Texas in Houston. And today we're going to cover
0:48.7	rib fractures. And before we do so I want to thank Dr. John Harvin and Dr David Meyer for taking the time out of their busy schedules
0:55.7	to review this episode and make sure Jane and I aren't saying anything goofy. So Jane, thanks for being here. Why is it important that we talk about rib fractures?
1:04.0	Thanks for having you back, Patrick.
1:06.3	Yeah, so rib fractures are common
1:09.1	and they present in at least 10% of all trauma patients and approximately 30% of patients with chest trauma specifically.
1:16.2	Right and refractures cause all sorts of problems correct? Oh yeah so that's definitely correct.
1:21.1	One of the main things we worry about is respiratory function
1:24.8	which rib fractures can definitely compromise. Right. Rib fractures are very
1:29.2	painful and this leads to splinting and other issues with pulmonary mechanics.
1:33.4	Yeah, sure. So a splinting occurs when somebody's ability to breathe is limited by pain.
1:40.6	And so they ultimately take small breaths.
1:43.6	Right, and this can easily be observed.
1:45.1	If you ask the patient take a deep breath,
	...

Please login to see the full transcript.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from Behind The Knife: The Surgery Podcast, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Behind The Knife: The Surgery Podcast and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.