If the trauma is severe enough to cause multiple fractures, a large segment of the chest is immobilized. The decrease in cough and tidal exchange may be large. Secretions are pooled, and wet lung develops. The treatment consists of measures aimed at getting the tracheal-bronchial tree cleaned of secretions. If the condition is not severe, relief of pain will permit the patient to cough, and this will be sufficient to allow cleaning of secretions. This relief is best accomplished by intercostal nerve blocks. This procedure is relatively simple, and it does not have the objections that other methods
BOESE RJ. Fractures of the Thoracic Cage. AMA Arch Surg. 1957;75(5):728. doi:10.1001/archsurg.1957.01280170038021
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