trauma-list Digest, Vol 45, Issue 18

[Ahmed, Naveed]

Dear RD,
You are absolutely right in your approach . Thoracic surgeons in our
institution are excellent but seldom participate in care of trauma
patients,they approach trauma patients asthey would cancer patients more
anatomical resections and hardly any VATS, which they consider mostly a
diagnostic procedure. One of our residents reviewed role early
VATS(with-in 2 days)for retained Heamothorax (HTX) ,compared to retained
HTX  treated by other means. Early VATs seems to decrease LOS and
decortications, most of these were done with either Rt sided intubations
(in LT HTX) or with out one lung ventilation as our goal was to evacuate
clot ,R/O diaphragmatic injury especially on the left side and place a
chest tube under direct vision ( Rt sided diaphragmatic injuries got
mostly CT abd and Lt sided laproscopy/otomy). He is presenting his
abstract at ACS Spring meeting in Vegas. Hopefully, we will get some
good input from you there.
N AHMED
Cleveland, OH

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Sent: Sunday, March 18, 2007 8:00 AM
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Subject: trauma-list Digest, Vol 45, Issue 18

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