Modern concepts in the management of flail chest
Mangete, E.D.; Kombo, B.B.; Igbaseimokumo, U.; Nwosu, R.N.
East African Medical Journal 69(3): 167-170
1992
ISSN/ISBN: 0012-835X PMID: 1505409 Document Number: 1081
Seven patients with varying degrees of paradoxical chest wall movement (flail chest) were managed conservatively at the University of Port Harcourt Teaching Hospital with frusemide, methylprednisolone, non administration of crystalloid fluids and limitation of fluid intake. Patients showed considerable improvement within the first 24-48 hours which was sustained throughout the period of management. All seven survived and showed no signs of respiratory distress in the resting state or while performing simple exercise. One patient however had slight to moderate chestwall deformity.
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