Trauma Toracico - LANCi
-
Upload
jorge-dantas -
Category
Health & Medicine
-
view
13.141 -
download
4
Transcript of Trauma Toracico - LANCi
![Page 1: Trauma Toracico - LANCi](https://reader034.fdocuments.in/reader034/viewer/2022052311/559ff54c1a28ab463e8b45f2/html5/thumbnails/1.jpg)
Trauma TorácicoDr. Jorge Lúcio Dantas
Cirurgião Torácico
Professor Substituto da Disciplina de Doenças do Sistema Respiratório -
UFRN
![Page 2: Trauma Toracico - LANCi](https://reader034.fdocuments.in/reader034/viewer/2022052311/559ff54c1a28ab463e8b45f2/html5/thumbnails/2.jpg)
![Page 3: Trauma Toracico - LANCi](https://reader034.fdocuments.in/reader034/viewer/2022052311/559ff54c1a28ab463e8b45f2/html5/thumbnails/3.jpg)
Trauma Torácico
25% dos traumas
Acidentes automobilísticos
25% das mortes por trauma
EUA
![Page 4: Trauma Toracico - LANCi](https://reader034.fdocuments.in/reader034/viewer/2022052311/559ff54c1a28ab463e8b45f2/html5/thumbnails/4.jpg)
Proteção
Óssea
Muscular
Coração e grandes vasos
Pulmão
![Page 5: Trauma Toracico - LANCi](https://reader034.fdocuments.in/reader034/viewer/2022052311/559ff54c1a28ab463e8b45f2/html5/thumbnails/5.jpg)
Trauma Torácico
<15% requer toracotomia!!!
• Entubação
• Drenagem torácica
• Reanimação volêmica
![Page 6: Trauma Toracico - LANCi](https://reader034.fdocuments.in/reader034/viewer/2022052311/559ff54c1a28ab463e8b45f2/html5/thumbnails/6.jpg)
Gradil costal 63%
Hemo/pneumotórax 42%
Contusão pulmonar 38%
Lesão cardíaca 4%
Lesão diafragmática 4%
Lesão de grandes vasos 2%
Lesão traqueobrônquica 0,5%
Ruptura cardíaca 0,5%
Ruptura de esôfago 0,2%
Trauma Torácico
![Page 7: Trauma Toracico - LANCi](https://reader034.fdocuments.in/reader034/viewer/2022052311/559ff54c1a28ab463e8b45f2/html5/thumbnails/7.jpg)
Trauma Torácico
Lesão de Via Aérea Alta
Pneumotórax hipertensivo
Pneumotórax aberto
Tórax instável
Hemotórax maciço
Tamponamento cardíaco
Avaliação Inicial
A
B
B
B
C
C
![Page 8: Trauma Toracico - LANCi](https://reader034.fdocuments.in/reader034/viewer/2022052311/559ff54c1a28ab463e8b45f2/html5/thumbnails/8.jpg)
Toracotomia de reanimação
![Page 9: Trauma Toracico - LANCi](https://reader034.fdocuments.in/reader034/viewer/2022052311/559ff54c1a28ab463e8b45f2/html5/thumbnails/9.jpg)
Toracotomia de reanimação
Secção do ligamento pulmonar
Abertura do pericárdio
Massagem cardíaca
Clampear pulmão
Clampear aorta torácica
![Page 10: Trauma Toracico - LANCi](https://reader034.fdocuments.in/reader034/viewer/2022052311/559ff54c1a28ab463e8b45f2/html5/thumbnails/10.jpg)
Pneumotórax hipertensivo
Descompressão imediata
Choque circulatório
Drenagem torácica
![Page 11: Trauma Toracico - LANCi](https://reader034.fdocuments.in/reader034/viewer/2022052311/559ff54c1a28ab463e8b45f2/html5/thumbnails/11.jpg)
Escape aéreo valvular
Aumento pressão pleural
Desvio mediastinal
Choque circulatório
![Page 12: Trauma Toracico - LANCi](https://reader034.fdocuments.in/reader034/viewer/2022052311/559ff54c1a28ab463e8b45f2/html5/thumbnails/12.jpg)
Drenagem torácica
60 - 70% tratamento definitivo
trauma torácico
Hemotórax
Pneumotórax
![Page 13: Trauma Toracico - LANCi](https://reader034.fdocuments.in/reader034/viewer/2022052311/559ff54c1a28ab463e8b45f2/html5/thumbnails/13.jpg)
![Page 14: Trauma Toracico - LANCi](https://reader034.fdocuments.in/reader034/viewer/2022052311/559ff54c1a28ab463e8b45f2/html5/thumbnails/14.jpg)
Posicionamento do dreno
Posterior
Apical
Orifícios de drenagem
![Page 15: Trauma Toracico - LANCi](https://reader034.fdocuments.in/reader034/viewer/2022052311/559ff54c1a28ab463e8b45f2/html5/thumbnails/15.jpg)
Tórax Instável e Contusão
Pulmonar
Fraturas de mais de 3 costelas
consecutivas em 2 pontos diferentes
Alta energia
Contusão pulmonar associada
Observação em UTI
Analgesia potente
Oxigenioterapia
![Page 16: Trauma Toracico - LANCi](https://reader034.fdocuments.in/reader034/viewer/2022052311/559ff54c1a28ab463e8b45f2/html5/thumbnails/16.jpg)
![Page 17: Trauma Toracico - LANCi](https://reader034.fdocuments.in/reader034/viewer/2022052311/559ff54c1a28ab463e8b45f2/html5/thumbnails/17.jpg)
Exames complementares
Radiografia de tórax
Ultrassonografia FAST
Tomografia de tórax
Broncoscopia
Pleuroscopia
![Page 18: Trauma Toracico - LANCi](https://reader034.fdocuments.in/reader034/viewer/2022052311/559ff54c1a28ab463e8b45f2/html5/thumbnails/18.jpg)
![Page 19: Trauma Toracico - LANCi](https://reader034.fdocuments.in/reader034/viewer/2022052311/559ff54c1a28ab463e8b45f2/html5/thumbnails/19.jpg)
![Page 20: Trauma Toracico - LANCi](https://reader034.fdocuments.in/reader034/viewer/2022052311/559ff54c1a28ab463e8b45f2/html5/thumbnails/20.jpg)
Trauma
TorácicoABCDE
Instabilidade
Toracotomia de reanimação
Punção com jelco calibroso
Drenagem torácica
Estabilidade
Exames complementares
Observação
Cirurgia