Treatment
Treatment of the flail chest initially follows the principles of advanced trauma life support. Further treatment includes:
- Good analgesia including intercostal blocks, avoiding narcotic analgesics as much as possible. This allows much better ventilation, with improved tidal volume, and increased blood oxygenation.
- Positive pressure ventilation, meticulously adjusting the ventilator settings to avoid pulmonary barotrauma.
- Chest tubes as required.
- Adjustment of position to make the patient most comfortable and provide relief of pain.
- Aggressive pulmonary toilet
Surgical fixation can help in significantly reducing the duration of ventilatory support and in conserving the pulmonary function.
A patient may be intubated with a double lumen tracheal tube. In a double lumen endotracheal tube, each lumen may be connected to a different ventilator. Usually one side of the chest is affected more than the other, so each lung may require drastically different pressures and flows to adequately ventilate.
Read more about this topic: Flail Chest
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“I will use treatment to help the sick according to my ability and judgment, but never with a view to injury and wrongdoing. Neither will I administer a poison to anybody when asked to do so, nor will I suggest such a course. Similarly, I will not give to a woman a pessary to cause abortion. I will keep pure and holy both my life and my art.”
—Hippocrates (c. 460–c. 370 B.C.)
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