Traumatic Pneumonectomy

[Duchesne, Juan C]

Trauma Case:
 Just recently one of our trauma partners did a pneumonectomy on a 18 year old male for GSW to hylum with intra-op use of 54 u PRBC, 52 FFP and 26 plts, 10 Cryoprecipitate with 1.2 L of crystalloids! 
This is part of our Damage Control Resuscitation (DCR) at Charity Trauma Center. 
What to expect?
1. place swanz and monitor pulmonary pressures......get flolan, NO in the room.....get ready for a bumpy road!
2. early trach, peg
3. Get DNR
4. DCR is voodoo!
5. extubate and transfer to floor in 5 days
juan
Juan C Duchesne MD, FACS, FCCP
Trauma and Critical Care Surgery Section
Surgical Hospital Center Director
Director Surgical Intensive Care Unit  
Louisiana ATLS / PHTLS State Faculty
 
 
 
Tulane University School of Medicine
1430 Tulane Ave., SL-22
New Orleans LA 70112-2699
Tel. 504-988-5111
Fax. 504-988-3683