Lung

Pulmonary Contusion

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Pulmonary Contusion, Lung Contusion, Chest Contusion

  • Epidemiology
  1. Pulmonary Contusion is the most common potentially lethal Chest Injury
  • Pathophysiology
  1. Traumatic Injury to chest results in Lung Contusion
    1. May occur without Rib Fracture
  2. Slow, insidious Respiratory Failure may ensue resulting in Hypoxia
  • Indications
  • Early Intubation
  1. Arterial Blood Gas with PaO2 <65 mmHg or
  2. Oxygen Saturation <90%
  • Management
  • Disposition
  1. Admit most patients (especially elderly)
    1. Respiratory status can deteriorate rapidly
  2. Discharge indications
    1. Young, healthy, stable and compliant patient and
    2. Near normal Chest XRay and
    3. Will perform incentive Spirometry at home frequently (every 1-2 hours) and
    4. Has close follow-up scheduled