• Injury · Jun 2019

    Review

    Clinical management of rib fractures and methods for prevention of pulmonary complications: A review.

    • Thomas J Martin, Ashley Szabo Eltorai, Ryan Dunn, Andrew Varone, Maurice F Joyce, Tareq Kheirbek, Charles Adams, Alan H Daniels, and Eltorai Adam E M AEM The Warren Alpert Medical School of Brown University, Providence, RI, United States. Electronic address: adam_eltorai@brown.edu..
    • The Warren Alpert Medical School of Brown University, Providence, RI, United States. Electronic address: thomas_martin@brown.edu.
    • Injury. 2019 Jun 1; 50 (6): 1159-1165.

    AbstractRib fractures are common injuries associated with significant morbidity and mortality, largely due to pulmonary complications. Despite equivocal effectiveness data, incentive spirometers are widely utilized to reduce pulmonary complications in the postoperative setting. Few studies have evaluated the effectiveness of incentive spirometry after rib fracture. Multiple investigations have demonstrated incentive spirometry to be an important screening tool to identify high-risk rib fracture patients who could benefit from aggressive, multidisciplinary pulmonary complication prevention strategies. This review evaluates the epidemiology of rib fractures, their associated pulmonary complications, along with the evidence for optimizing their clinical management through the use of incentive spirometry, multimodal analgesia, and surgical fixation.Copyright © 2019 Elsevier Ltd. All rights reserved.

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