PURPOSE OF REVIEW: The treatment of blunt @entity764 is complex and evolving. The aim of this review is to focus on what is new with ventilation for blunt @entity764 as well as an update on the current management strategies for blunt @entity130 and @entity174 . RECENT FINDINGS: Early use of noninvasive ventilation appears to be well tolerated in select hemodynamically stable blunt @entity130 @entity1 . For those @entity1 requiring intubation, airway pressure release ventilation is an excellent mode to decrease the risk of posttraumatic @entity647 . Endovascular repair of blunt @entity764 provides benefit over open repair and, if possible, delayed repair confers a mortality advantage. Despite its increasing use, there continue to be conflicting results about the role of surgical rib fixation for the treatment of flail chest. SUMMARY: Blunt @entity764 are commonly treated in the ICU and a solid knowledge of mechanical ventilation strategies (both noninvasive and invasive) is essential. Blunt @entity764 require early diagnosis and aggressive blood pressure management. Not all such injuries need operative repair but those that do benefit from an endovascular approach. The management of flail chest includes @entity146 multimodal @entity1337 , adequate @entity26 , and ventilatory support. Surgical rib fixation should be considered in select @entity1 .

Blunt thoracic XXXX : recent advances and outstanding questions.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity174 :: ('MESH:D050723', 'Disease') :: ['rib fractures'] @entity146 :: ('MESH:D001523', 'Disease') :: ['early aggressive'] @entity26 :: ('MESH:D010100', 'Chemical') :: ['oxygen'] @entity1337 :: ('MESH:D000699', 'Disease') :: ['analgesia'] @entity764 :: ('MESH:D013898', 'Disease') :: ['thoracic injuries', 'chest trauma', 'thoracic aortic injuries'] @entity130 :: ('MESH:D014947', 'Disease') :: ['aortic injury', 'trauma'] @entity647 :: ('MESH:D055371', 'Disease') :: ['acute lung injury']
@entity130 :: (MESH:D014947,Disease) :: ['trauma']
