Mechanical ventilation in thoracic trauma and ARDS

Abstract

After significant thoracic trauma, patient may present with a variety of injuries that necessitate different levels of intervention. In some cases, such as mild pulmonary contusions, supplemental oxygen via face mask or oxygen tent with natural respiration may be sufficient to support the patient. However, many patients require more intensive interventions owing to a more severe level of trauma. Thoracic trauma may be of a penetrating or non-penetrating nature. By far, the most common form of thoracic injury is the result of high speed motor vehicle accidents, with a “closed chest” injury or contusion coupled with a variety of other orthopedic and head injuries as a result of crash trauma. Fortunately, with newer car technology, some of these injuries can be less severe than in times past, yet thoracic injuries may still result from these crashes.