Chief Regional Trauma Program and Division Acute Care Surgery University of South Florida Tampa, Florida
Disclosure(s):
Jose J. Diaz, MD, FCCM, Jr.: Acumed/Acute innovations: Consultant (Ongoing), Consulting fees or other remuneration (Ongoing), Speaker/Honoraria (includes speakers bureau, symposia, and expert witness) (Ongoing)
This pro/con session will summarize the literature, discuss complex cases, and answer attendees’ questions. The pro side will highlight the algorithmic process that allows patient selection and mobilization of resources to minimize the need for mechanical ventilation. The con side will argue that analgesia has improved to the point where surgery is not needed with the use of early focused analgesia including blocks, different pain pumps, focused patient mobilization, and transition to home pain management. Attendees will have cases and questions sent to SCCM before the session to allow speakers to discuss their best plans for managing the complex geriatric patient with chest wall injuries.
Learning Objectives:
Determine the best analgesia plan for the geriatric patient with chest wall injuries and rib fractures to prevent the need for mechanical ventilation
Demonstrate that with a multimodal algorithmic approach to surgical rib fixation can prevent the need for mechanical ventilation in the geriatric patient with chest wall injuries
Illustrate the best management plan, whether operative or nonoperative, for challenging geriatric patients with critical chest wall injuries using attendee participation
