Table Of ContentTHORACIC TRAUMA AND CRITICAL CARE
THORACIC TRAUMA
AND
CRITICAL CARE
edited by
Riyad Karmy-Jones, MD
Avery Nathens, MD
Eric J. Stern, MD
Harborview Medical Center
University of Washington
Seattle, Washington
Springer-Science+Business Media, B.V.
Library of Congress Cataloging-in-Publication Data
Thoracic trauma and critical care / edited by Riyad Karmy-Jones, Avery Nathens, Eric 1.
Stem.
p.;cm.
Includes bibliographical references and index.
ISBN 978-1-4613-5407-9 ISBN 978-1-4615-1127-4 (eBook)
DOI 10.1007/978-1-4615-1127-4
1. Chest--Wounds and injuries. 2. Chest--Surgery. 3. Respiratory distress syndrome. 4.
Critical care medicine. I. Karmy-Jones, Riyad. II. Nathens, Avery III. Stem, Eric 1.
[DNLM: 1. Thoracic Injuries--therapy. 2. Critical Care--methods. 3. Infection Control.
4. Respiratory Distress Syndrome, Adult--therapy. 5. Thoracic Surgical Procedures. 6.
Ventilators, Mechanical. WF 985 T4873 2002]
RD536 .T4825 2002
617.5'4--dc21
2002029044
Copyright © 2002 by Springer Science+Business Media Dordrecht
Originally published by Kluwer Academic Publishers in 2002
Softcover reprint of the Hardcover 1s t edition 2002
All rights reserved. No part of this work may be reproduced, stored in a retrieval system,
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and executed on a computer system, for exclusive use by the purchaser of the work.
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Printed on acid-free paper.
The Publisher offers discounts on this book for course use and bulk purchases.
For further information, send email [email protected].
To my wife, Lorie, who every day
demonstrates concentration, courage and
compassion-RKJ
To my wife, Jane, whose enduring patience
has made this book possible-AN
To my colleagues at Harborview who strive
daily (and nightly) to care for those less
fortunate than ourselves and to my beautiful
wife, Karen who supports me in all my
endeavors.-EJS
CONTRIBUTORS
Blaine Achen MD John J. Borsa, MD, FRCPC
Resident, Department of Anesthesia Assistant Professor - Interventional
University of Alberta Radiology
Edmonton, Alberta University of Washington Medical
Center
Richard K. Albert, M.D. Seattle, WA
Professor
Pulmonary and Critical Care Edward Boyle, Jr., MD
Medicine Attending Cardiothoracic Surgeon
Denver Health Medical Center St. Charles Medical Center
Denver, CO Heart Institute of the Cascades
Bend, OR
Scott K. Alpard MD
Division of Cardiothoracic Surgery Susan I. Brundage, MD, MPH,
University of Texas Medical Branch FACS
Galveston, Texas Assistant Professor of Surgery
The Michael E. DeBakey Department
Gregory J. Bauer, MD of Surgery
Assistant Professor of Surgery Baylor College of Medicine
Cornell-Weill Medical School Houston, Texas
NewYork,NY
Eileen M. Bulger, MD
Walter L. Bim, MD,FACS Assistant Professor
Assistant Professor of Surgery Department of Surgery
Chief, Pediatric Trauma Harborview Medical Center
Denver Health Medical Center Seattle, WA
University of Colorado Health
Sciences Center Yvonne M. Carter MD
Chief Resident
Tyler Black MD Department of Surgery
Department of Surgery Harborview Medical Center
University of Alberta Seattle, WA
Edmonton, AB
Carole Cornejo MD
Robert D. Bloch MD Assistant Professor
Assistant Professor Department of Surgery
Section of Interventional Radiology Harborview Medical Center
Department of Radiology Seattle, WA
University of Washington
Seattle, WA Joseph Cuschieri, MD
Assistant Professor
Michael E. Boczar, DO Department of Surgery
Department of Emergency Medicine University of Cincinnati
University of Michigan School of Cincinnati, OH
Medicine
Hurley Medical Center
Flint, Michigan
Steven Deem MD Adam Goldin MD
Associate Professor, Anesthesiology Chief Resident
and Medicine (adjunct, Pulmonary Department of Surgery
and Critical Care) University of Washington Medical
University of Washington, Center
Harborview Medical Center, Seattle, Seattle, WA
WA
Larry M. Gentilello MD, FACS
Daniel J. DiBardino MD Associate Professor
Surgical Resident Harvard Medical School
The Michael E. DeBakey Department Chief, Division of Trauma and
of Surgery Critical Care
Baylor College of Medicine Beth Israel Deaconess Medical Center
Houston, Texas Boston,MA
Robert DuBose MD Nicole Gibran MD, FACS
Surgical Resident Associate Professor
Uni versity of Washington University of Washington Burn
Seattle, WA Center
Harborview Medical Center
Thomas R. Eubanks, DO Seattle, WA
Assistant Professor
Department of Surgery David Gourlay MD
University of Washington Research Fellow,
Seattle, WA Division of Trauma
University of Washington,
Samir M. Fakhry MD, FACS. Seattle, WA
Associate Chair for Research and
Education Mystan A. Gurkin MD
Chief, Trauma Services Department of Surgery
Inova Fairfax Hospital Henry Ford Hospital
Falls Church, V A Detroit, MI
Clinical Professor of Surgery
Georgetown University R. Alan Hall MD
Washington, DC Attending Surgeon
Division Cardiothoracic Surgery
Mitchell S. Farber MD, FACS Virginia Mason Medical Center
Attending Surgeon Seattle, WA
Hurley Medical Center
Flint, MI Robert Harrington, MD
Assistant Professor Associate Professor
Department of Surgery Infectious Diseases
Michigan State University University of Washington
Harborview Medical Center
Seattle, WA
viii
David M. Heimbach, MD,FACS Riyad Karmy-Jones MD,
Professor, Department of Surgery FACS,FRCS(C),FCCP,FAHA
University of Washington Chief, Thoracic Surgery
Seattle, WA Harborview Medical Center
H. Mathilda Horst, MD, FACS, Associate Professor Surgery
FCCM Division of Cardiothoracic Surgery
Chief, SICU U ni versity of Washington
Hemy Ford Hospital Seattle, WA
Detroit, MI
Lillian S Kao MD
James H. Holmes IV, MD Assistant Professor
Chief Resident Department of Surgery
Virginia Mason Medical Center University of Texas
Seattle, WA Houston, TX
Eric Hoffer MD Robert R. Kempainen, MD
Associate Professor, Department of Assistant Professor
Radiology, University of Washington Division of Allergy, Pulmonary and
Co-Director, UW AMC Endovascular Critical Care Medicine
Services Program University of Minnesota
Associate Director of Radiology, Minneapolis, MN
Harborview Medical Center
Nadeem A. Khan, M.D., M.P.H.
F. Frank Isik MD, FACS Clinical Research Fellow
Associate Professor, Division of Trauma Services
Plastic Surgery Inova Fairfax Hospital
Department of Surgery Falls Church, V A
University of Washington School of
Medicine Andrew W Kirkpatrick MD
FRCS(C), FACS
Jay A. Johannigman, M.D. FACS Section of Trauma Services
Associate Professor Vancouver General Hospital,
Chief, Division of Trauma Vancouver, Canada
Department of Surgery
University of Cincinnati John B. Kortbeek MD,
Cincinnati, OH FRCSC,FACS
Director Trauma Services
Divya Kapoor MD Calgary Health Region
Department of Internal Medicine Clinical Associate Professor
University of Utah Department of Surgery
Salt Lake City, UT University of Calgary
Calgary, AB
Kurt Kralovich MD, FACS
Division of Trauma/SICU
Hemy Ford Hospital
Detroit, MI
ix
David H. Lewis MD Michael S. Mulligan MD
Associate Professor Chief, Lung Transplant Program
Director Nuclear Medicine Division of Cardiothoracic Surgery
Harborview Medical Center University of Washington
Seattle, WA Seattle, WA
Donald E. Low,MD,FACS,FRCS(C) A very Nathens MD, PhD,
Section of General, Thoracic Surgery FRCSC,FACS
Virginia Mason Medical Center Assistant Professor
Seattle, Washington Chief, SICU
Harborview Medical Center
Ronald V. Maier MD, FACS Seattle. WA
Professor and Vice-Chairman Margaret J. NeffMD, MSc
Department of Surgery Assistant Professor of Medicine
Uni versity of Washington Director, Critical Care Research
Surgeon-in-Chief Division of Pulmonary & Critical
Harborview Medical Center Care
Seattle, WA Harborview Medical Center
Seattle, WA
Cairen J. McNamee MD, FRCS(C)
Consultant, Thoracic Surgery Lindsey A. Nelson MD
University of Alberta Department of Surgery
Edmonton, Alberta University of Cincinnati
Cincinnati, OH
Mark H. Meissner, MD, FACS
Associate Professor Savvas Nicolaou MD, FRCP(C)
Department of Surgery Department of Radiology, Vancouver
Harborview Medical Center General Hospital, Vancouver, Canada
University of Washington School of
Medicine Stephen Nichols, MD, FACS
Assistant Professor
Ernest E. Moore, MD, FACS Chief, Vascular Surgery
Chief, Department of Surgery Harborview Medical Center
Denver Health Medical Center Seattle, WA
Professor and Vice-Chairman of
Surgery Ram Nirula MD, MPH, FACS
University of Colorado Health Fellow, Trauma/SICU
Sciences Center Department of Surgery
Harborview Medical Center
Jeffrey Monson MD University of Washington School of
Chief Resident Medicine
Department of Surgery
University of Washington Dinh Nguyen MD
Seattle, WA Trauma/SICU Fellow
Hurley Medical Center
Flint, MI
x
David P. O'Brien, M.D Matthew Rosengart MD
Department of Surgery Chief Resident
University of Cincinnati University of Washington
Cincinnati, OH Seattle, WA
Farouck N. Obeid MD, FACS Scott Sattler MD
Chief, Department of Trauma/SICU Chief Resident
Hurley Medical Center Department of Surgery
Flint, MI University of Washington
Professor Seattle, WA
Department of Surgery
Michigan State University Romualdo J. Segrola, Jr., MD
Donald Oxorn MD, CM, FRCPC, Fellow, Cardiothoracic Surgery
FACC University of Minnesota
Associate Professor of Anesthesiology Minneapolis, MN
Adjunct Associate Professor of
Medicine David V. Shatz MD, FACS
University of Washington School of Associate Professor
Medicine Department of Surgery
Seattle, Washington University of Miami School of
Medicine
Manesh Parikshak, MD Miami,FL
Trauma/Critical Care Fellow
Henry Ford Hospital Scott E. Sinclair, M.D.
Detroit, Michigan Acting Clinical Instructor
Pulmonary and Critical Care
David J. Pierson MD Medicine
Proffessor, Pulmonary and Critical University of Washington
Care Medicine Seattle, WA
Medical Director, Respiratory Care
Harborview Medical Center Shawn J. Skerrett MD
Seattle, WA Associate Professor
Pulmonary and Critical Care
Timothy H. Pohlman MD, FACS Medicine
Professor University of Washington
Department of Surgery Harborview Medical Center
Harborview Medical Center Seattle, WA
University of Washington School of
Medicine Victor J. Sorensen MD, FACS
Attending Surgeon
Emanuel P. Rivers, MD, MPH, Trauma/SICU
FCCM Hurley Medical Center
Departments of Emergency Medicine Flint, MI
and Surgery Assistant Professor
Case Western Reserve University Department of Surgery
Henry Ford Hospital Michigan State University
Detroit, Michigan
xi
Eric Stern MD Eric Vallieres, MD, FRCS(C)
Professor Associate Professor
Chief Thoracic Radiology Division of Cardiothoracic Surgery
Harborview Medical Center University of Washington
University of Washington Seattle, WA
Seattle, WA
Curtis F. Veal, Jr., M.D., FACP,
Gregory D. Trachiotis, MD, FACS FCCP
Associate Professor of Surgery Medical Director, Kindred Hospital
Vice-Chief, Division of Seattle
Cardiothoracic Surgery Co-director, Critical Care Services,
The George Washington University Swedish Health Systems
Medical Center Clinical Associate Professor of
Medicine, University of Washington
Kristin Wagner, MD
Chief Resident, Department of Joseph B. Zwischenberger
Surgery MD,FACS
The George Washington University Professor of Surgery, Medicine and
Medical Center Radiology
Washington, DC Director General Thoracic Surgery
and ECMO program
Cheryl A. White MD, PhD University of Texas Medical Branch
Senior Resident Galveston, Texas
Division of Plastic Surgery
Department of Surgery
University of Washington School of
Medicine
Douglas E. Wood, MD, FACS
Associate Professor
Chief, Section of Thoracic Surgery
The UW Endowed Chair in Lung
Cancer Research
Division of Cardiothoracic Surgery
University of Washington
Seattle, WA
Stewart Worrell MD
Department of Surgery
University of Washington School of
Medicine
John D Urschel, MD, FRCSC,
FACS, FRCSEd
Associate Professor
Department of Surgery
McMaster University,
Hamilton, Ontario
Xll
