TY  - CHAP
M1  - Book, Section
TI  - Trauma Thoracotomy: General Principles and Techniques
A1  - Tsai, Peter I.
A1  - Wall, Jr., Matthew J.
A1  - Mattox, Kenneth L.
A2  - Moore, Ernest E.
A2  - Feliciano, David V.
A2  - Mattox, Kenneth L.
PY  - 2017
T2  - Trauma, 8e
AB  - The  chest  takes  up  one-fourth  of  the  total  body  mass  and  is  therefore  often  subjected  to  injury  during  trauma  from  any  etiology.  Currently,  in  the  United  States  more  than  16,000  deaths  occur  annually  as  a  direct  result  of  thoracic  trauma.1  A  patient  with  thoracic  trauma  requires  logical  and  sequential  evaluation,  followed  by  focused  therapy,  which  less  than  20%  of  the  time  involves  an  operation.  A  physician,  especially  an  evaluating  and  treating  surgeon,  needs  to  understand  the  anatomy,  physiology,  and  function  of  each  of  the  thoracic  organs,  as  each  decision  and  treatment  will  affect  outcome.  It  is  critical  to  be  able  to  recognize  when  a  minor  intervention  or  damage  control  should  be  applied  to  a  chest  injury  condition  versus  when  a  formal  surgical  and  potentially  complex  intervention  is  indicated.  Once  an  intervention  is  decided,  it  is  secondarily  important  to  realize  the  indications  and  limitations  of  the  various  patient  positions  and  incisions.  Finally,  as  every  evaluation  and  therapy  has  its  potential  hazard  or  contraindication,  the  acute  care  surgeon  realizes  that  many  traditional  concepts  in  thoracic  trauma  are  continuously  changing,  and  both  traditional  and  emerging  concepts  are  often  controversial.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1147416371
ER  -