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Transfixant Injuries of the Mediastinum: Always a Challenge

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Transfixant Injuries of the Mediastinum: Always a Challenge


Wysterlânyo Kayo Pereira Barros | Isadora Priscila De Oliveira Sizenando | Tâmara Azevedo De Medeiros | Thomas Di Nardi Medeiros | Wagner Gomes Da Nóbrega Silva | Amália Cinthia Meneses Rêgo | Irami Araújo-Filho



Wysterlânyo Kayo Pereira Barros | Isadora Priscila De Oliveira Sizenando | Tâmara Azevedo De Medeiros | Thomas Di Nardi Medeiros | Wagner Gomes Da Nóbrega Silva | Amália Cinthia Meneses Rêgo | Irami Araújo-Filho "Transfixant Injuries of the Mediastinum: Always a Challenge" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-5, August 2019, pp.93-100, URL: https://www.ijtsrd.com/papers/ijtsrd25224.pdf

Transfixant injuries of the mediastinum are those in which the aggressor object travels through the midline of the thorax, where the mediastinum is located, being associated with high morbidity and mortality. This review of the literature addressed several aspects of the theme, including diagnosis and treatment. A search was carried out in Pubmed, Scopus and Scielo databases, using indexed descriptors and selection of articles by peers. Mortality rates from 20% to 87% among the victims of this injury modality were observed, varying due to the proportion of unstable patients. In patients undergoing thoracotomy resuscitation, mortality rates between 85-100%. The treatment consisted of maintaining the patient's hemodynamic status, so that patients with imminent death in the emergency service should undergo resuscitation thoracotomy, unstable patients should undergo emergency thoracotomy After a brief clinical/diagnostic evaluation, while stable patients benefit from further investigation and in up to 60% of the cases, do not require a surgical approach. It was concluded, therefore, that such lesions are associated with high morbidity and mortality, and their approach differs according to the patient's hemodynamic profile in the emergency room. Emergency services should be prepared to meet this new patient profile, which arrives at prompt care with severe injuries and increasingly critical clinical conditions.

thorax, penetrating wounds, injury, mediastinum, thoracotomy, hospital service emergencies


IJTSRD25224
Volume-3 | Issue-5, August 2019
93-100
IJTSRD | www.ijtsrd.com | E-ISSN 2456-6470
Copyright © 2019 by author(s) and International Journal of Trend in Scientific Research and Development Journal. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (http://creativecommons.org/licenses/by/4.0)

International Journal of Trend in Scientific Research and Development - IJTSRD having online ISSN 2456-6470. IJTSRD is a leading Open Access, Peer-Reviewed International Journal which provides rapid publication of your research articles and aims to promote the theory and practice along with knowledge sharing between researchers, developers, engineers, students, and practitioners working in and around the world in many areas like Sciences, Technology, Innovation, Engineering, Agriculture, Management and many more and it is recommended by all Universities, review articles and short communications in all subjects. IJTSRD running an International Journal who are proving quality publication of peer reviewed and refereed international journals from diverse fields that emphasizes new research, development and their applications. IJTSRD provides an online access to exchange your research work, technical notes & surveying results among professionals throughout the world in e-journals. IJTSRD is a fastest growing and dynamic professional organization. The aim of this organization is to provide access not only to world class research resources, but through its professionals aim to bring in a significant transformation in the real of open access journals and online publishing.

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