Continuous oscillation therapy for the treatment of pulmonary contusion.
Pulmonary contusion as a result of blunt trauma carries significant morbidity and mortality. In an attempt to improve therapy, a prospective study was performed in which 30 patients were randomized to either receive or not receive continuous oscillation therapy on the Kinetic Treatment Table. Pulmonary contusion was defined by mechanism of injury (blunt trauma secondary to a motor vehicle accident), hypoxemia, and radiographic confirmation. Patients who received continuous oscillation therapy had a significantly higher injury severity score (more severely injured group of patients), yet had a hospital course similar to those patients who did not receive continuous oscillation therapy and had a significantly lower injury severity score.
Shapiro
M J
MJ
Department of Surgery, St. Louis University Medical Center, Missouri 63110-0250.
Keegan
M J
MJ
D000328:Adult; D001784:Blood Gas Analysis; D001794:Blood Pressure; D001831:Body Temperature; D003404:Creatinine / Q000097:blood; D015600:Glasgow Coma Scale; D006400:Hematocrit; D006785:Hospitals, University; D006801:Humans; D015601:Injury Severity Score; D007902:Length of Stay / Q000706:statistics & numerical data; D055370:Lung Injury; D008923:Missouri; D015915:Motion Therapy, Continuous Passive / Q000592:standards*; D011446:Prospective Studies; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000097:blood / Q000175:diagnosis / Q000628:therapy*
D003404:Creatinine