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Doctor insights on: Flail Chest In Children

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What is flail chest?

What is flail chest?

Broken ribs: Flail chest occurs when a segment of the chest wall moves independent of the rest with respiration due to multiple rib fractures. It is usually the result of major trauma. ...Read more

Dr. Benjamin Taylor
64 Doctors shared insights

Flail Chest (Definition)

Dangerous condition that occurs when part of rib cage breaks from the rest of the chest wall. This is usually due to trauma ...Read more


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What's flail chest caused by?

What's flail chest caused by?

Trauma: Flail chest is caused by trauma to the chest, typically blunt force injury. The ribs are broken with this injury creating a situation in which it can be quite painful to breathe. Underlying injuries to the lungs and heart and structures in the chest may be associated with this and can help determine the managent strategy required. ...Read more

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How do you treat a flail chest?

How do you treat a flail chest?

Surgery: Evidence is mounting that fixing the ribs broken in a flail chest helps significantly. Pulmonary support is also key. ...Read more

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What do you do for a flail chest?

Fix them: I fix them using plate and screw constructs. I've developed a muscle sparing technique that works well. It has been shown to improve patient outcomes and speed up time to get out of the hospital and icu. ...Read more

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How would you treat a flail chest?

How would you treat a flail chest?

Pain control: Flail chest is generally treated with pain control to allow the patient to cough, deep breathe and clear any secretions. Pain control can be obtained with IV narcotics, oral narcotics, subcutaneous pain pumps or an epidural catheter. Recently, there has been increased interest in fixing the ribs with plates. The jury is still out on this but is appropriate in the right patient. ...Read more

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Information site on a flail chest?

Information site on a flail chest?

Check out trauma. Org: Http://www. Trauma. Org/archive/thoracic/chestflail. Html.

Get a more detailed answer ›
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What are the symptoms of flail chest?

What are the symptoms of flail chest?

Many: Shortness of breath, pain, labored breathing, cardiac abnormalities, and sometimes it can even lead to death. ...Read more

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What sort of disorder is a flail chest?

Rib fractures: A flail chest occurs when several ribs adjacent to each other ate fractured and a segment of the chest wall are then able to move paradoxically. During inhalation, the fractured ribs are sucked inward and during exhalation, they move outward which is opposite of the normal rib movements ...Read more

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What are you supposed to do for a flail chest?

What are you supposed to do for a flail chest?

Not get one: Flail chest is when 2 or 3 or more ribs are fractured in 2 or more places (definition varies). Major issues are controlling pain and maintaining oxygenation. Ribs will heal on their own usually-take 12 weeks, cause they move when we breathe. For severe cases, we utilize titanium plates internally screwed into the ribs to stabilize them. This is becoming a more common procedure in the last 10 years ...Read more

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How would you treat a flail chest and chest wound?

How would you treat a flail chest and chest wound?

See below: Flail chest, multiple ribs fractured in multiple places on one side of the chest, can cause inability of the lung to expand on that side. Usually ventilator support and underlying lung healing will allow the ribs to heal on their own. Rarely surgery is needed to fixate the ribs if there is too much damage or lack of self-healing. Chest wound is treated with cleaning, suturing only if appropriate. ...Read more

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What is the definition or description of: Flail chest?

What is the definition or description of: Flail chest?

Flail chest: Dangerous condition that occurs when part of rib cage breaks from the rest of the chest wall. This is usually due to trauma to the chest wall. ...Read more

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How long will I stay in the icu with a flail chest?

How long will I stay in the icu with a flail chest?

Until you're better: Ribs have to heal sufficiently to allow the thorax to function well enough for you to reliably breath on your own. Probably weeks. ...Read more

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What is reconstructive surgery for flail chest?

What is reconstructive surgery for flail chest?

Flail chest: Either bone realignment or tendon transfers are used. ...Read more

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Possible to have reconstructive surgery for flail chest?

Possible to have reconstructive surgery for flail chest?

Yes: Surgery for flail chest is controversial...It's an old idea that fell out of favor but is being used more frequently in recent years. ...Read more

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Is it possible to have reconstructive surgery for flail chest?

Yes but usually heal: While flail chest can be treated with surgery to stabilize the unstable segment, in many instances it will heal on its own. ...Read more

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Could it be possible to have reconstructive surgery for flail chest?

Could it be possible to have reconstructive surgery for flail chest?

Yes, but: Surgery for flail chest, when done, is usually for difficulty with ventilation. If you are not hospitalized and acutely ill, surgery is probably unnecessary. If you have a severe deformity from the rib fractures, a thoracic surgeon can offer options to correct that. ...Read more

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Blunt/penetrating trauma to the thorax? Flail chest? What do these terms mean?

Blunt/penetrating trauma to the thorax? Flail chest? What do these terms mean?

I agree: I agree with the other definitions above, but to be more specific, a flail chest is defined as three or more consecutive segmental rib fractures. This means the ribs are broken in two or more spots. ...Read more

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What are pericardial tamponade, myocardial contusion, flail chest?

What are pericardial tamponade, myocardial contusion, flail chest?

See below: Pericardial tamponade is a serious emergency problem of fluid or blood collection in the sac around the heart, causing heart dysfunction. Myocardial contusion is a potentially serious condition of direct trauma and bruising of the heart muscle. Flail chest is a serious problem of multiple rib fractures in several locations on one side of the chest resulting in the lung to not expand correctly. ...Read more

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1st rib removed. 2-4 resectioned. 5-6 separated from sternum. Is there danger in having 2-4 resection again? I have flail chest.

1st rib removed. 2-4 resectioned. 5-6 separated from sternum. Is there danger in having 2-4 resection again? I have flail chest.

Chest surgery: In general, resection of several consecutive ribs do not lead to any major respiratory compromise. It obviously depends on the indication for surgery and the extent of the resection. ...Read more

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I have chest pain in children 9 yrs old, any suggestions?

I have chest pain in children 9 yrs old, any suggestions?

Chest pain: I would have her see her pediatrician for ekg and maybe chest xray. If child has no significant medical problems probably is just growing pains. ...Read more

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What are the correct chest compressions to rescue breaths ratios for children and infants?

What are the correct chest compressions to rescue breaths ratios for children and infants?

Depends upon: For one rescuer: 30 compressions and 2 breaths ratio;
for 2 rescuers: 15 compressions and 2 breaths ratio. ...Read more

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Can a person who is paralyzed from the chest down still have sex or have children?

Can a person who is paralyzed from the chest down still have sex or have children?

Sort of, and yes: Paraplegics have little or no sensation during sexual activity. Both men and women can have leg spasms, which make body positioning challenging. Men usually no longer have any or adequate erections. Fertility in paraplegic women is not changed. With a paraplegic man, there are special ways to collect sperm, which doctors can then put into his wife to create a pregnancy. ...Read more

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After I had my son my breast have literally sagged and I almost look flat chested I'm only 21! I want more children too?

After I had my son my breast have literally sagged and I almost look flat chested I'm only 21! I want more children too?

Kids: The change you've described sounds normal after childbirth and nursing. There is no reason why you can't have more kids. ...Read more

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Should you get small children to cough up and spit out mucus from chest congestion?

Should you get small children to cough up and spit out mucus from chest congestion?

Cough in chidren sma: Small children unfortunately can not cough up the mucus and the just swallow it, which is ok, as it does not cause any ill effects. Cough in small children should not be suppressed, but if there is coexisting bronchospasm or pneumonia it should be appropritely treated. There is no need for cough medicines in this age group as it does not help much and can be harmful. ...Read more

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Do older children get bronchiolitis? Most of what I'm reading says younger children get it, but my 6 yr old was diagnosed w/it after ER chest xray.

Do older children get bronchiolitis? Most of what I'm reading says younger children get it, but my 6 yr old was diagnosed w/it after ER chest xray.

Yes: Actually, even an adult can get bronchiolitis, although that is very unusual. But children can certainly get it, especially if they have underlying respiratory conditions like asthma of cystic fibrosis, or if they live in areas with lots of respiratory irritants like smoke or dust. Supportive care is all that is needed for most cases. Make sure they drink lots of fluids, keep environment clean! ...Read more

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My 2yr old has a little bit of hives rash in his whole belly&chest since last night, I gave him children's benedryl last night. How lng wil it go away?

My 2yr old has a little bit of hives rash in his whole belly&chest since last night, I gave him children's benedryl last night. How lng wil it go away?

Hives in a 2 year ol: If the child is itching it could be allergic reaction, the hives will keep coming back as long as he is still exposed to the offending agent, red raised blotches that keep coming back could also be erythema infectiosum, a viral illness also known as 5th disease can last for several wks. Your pediatrician can check him & run blood work to make the Dx. Good luck. ...Read more