To Fix or Not to Fix, That Is the Question: Severe Chest Wall Trauma in the Mechanically Ventilated

Concurrent Session Moderator(s)

• JD

  Jose Diaz, Jr., CNS, MD, FACS, CPE

  Surgery Quality Officer, Professor, and Chief Acute Care Surgery
  UMMC, R. Adams Cowley Shock Trauma Center
  Baltimore, MD

  Disclosure(s): Acumed/Acute innovations: Consultant (Ongoing), Grant/Research Support (Ongoing), Speaker/Honoraria (includes speakers bureau, symposia, and expert witness) (Ongoing)
• 

  Sean Dieffenbaugher, MD

  Assistant Professor
  Carolinas Medical Center
  Charlotte, North Carolina

  Disclosure(s): Johnson & Johnson: Consultant (Ongoing)

Multiple rib fractures can have a good prognosis if patients receive timely therapy. The selection of conservative versus operative therapy is an important factor regarding therapeutic effects, recovery, and potential complications. This session will debate the two different treatment approaches for multiple rib fractures and compare the benefits, allowing development of guidelines to optimize management of this high-risk trauma population. Additional therapies, such as cryoablation, regional anesthesia, multimodal analgesia, and ventilator weaning protocols to reduce ICU length of stay and improve outcomes will also be highlighted.

Presentations:

• Spare My Ribs: Conservative Management for Severe Chest Wall Injury in Mechanically Ventilated Patients
  

  Concurrent Session Faculty: Joseph D. Forrester, MD, MSc, FAWM, FACS (he/him/his) – Stanford Health Care
• Plating for Success: Surgical Fixation of Severe Chest Wall Trauma Improves Outcomes in Mechanically Ventilated Patients
  

  Concurrent Session Faculty: Jose J. Diaz, Jr., CNS, MD, FACS, CPE – UMMC, R. Adams Cowley Shock Trauma Center
• Follow the Yellow Brick Road: Algorithmic Development for Severe Chest Wall Trauma in the ICU
  

  Concurrent Session Faculty: Sean Dieffenbaugher, MD – Carolinas Medical Center