ما هو علاج كسور الأضلاع عندما يكون التثبيت الجراحي مُشاراً إليه؟

References

DOI: 10.1097/TA.0000000000004750

• Chest wall instability is considered an indication for SSRF.
• Patients may be considered for SSRF if they have three or more rib fractures and fail to wean from the ventilator, and it is determined that the failure is due to the rib fractures.
• Ideally, SSRF should be performed within 72 hours of the initial injury, as several retrospective studies have demonstrated improved patient outcomes, including improved pain control, shorter ICU and hospital LOS, decreased ventilator days, decreased rates of pneumonia, decreased need for tracheostomy, decreased operative times, and earlier mobilization and return to ADLs.
• SSRF should not be avoided if it cannot be performed within 72 h of injury if the patient meets the indications for the operation and it would provide benefit to the patient.
• Surgical stabilization of rib fractures may be considered for refractory pain despite maximal optimization of multimodal analgesia and locoregional techniques.