title: [Surgical aspects during the intensive care of chest trauma (author's transl)].
abstract: A wide range of surgical methods is available in the intensive care of patients with a chest trauma. Discussions with the anaesthetist as to the planning and co-ordination of diagnosis and treatment must take into consideration a great number of factors. The indications for surgery in polytraumatized persons are different from those that apply to single injuries. Table 6 which lists the cause and time of death of 52 persons with multiple injuries provides evidence that during the first 7 days after a severe accident all surgical intervention that is not absolutely necessary should be avoided and attention focused on the problem of adequate ventilation and primary and secondary complications of shock.
mesh_terms: D000328:Adult; D000368:Aged; D002916:Chylothorax / Q000601:surgery; D003422:Critical Care; D005593:Fracture Fixation, Internal; D006801:Humans; D010347:Patient Care Planning; D011379:Prognosis; D012121:Respiration, Artificial; D012253:Rib Fractures / Q000628:therapy; D012774:Shock, Traumatic / Q000628:therapy; D013352:Subcutaneous Emphysema / Q000601:surgery; D013898:Thoracic Injuries / Q000601:surgery*
vernacular_title: Chirurgische Aspekte während der Intensivtherapie des Thoraxtraumas.