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This article reviews current animal models and laboratory studies investigating the pathophysiology of lung contusion (LC), a common and severe condition in patients with blunt thoracic trauma. Emphasis is on studies elucidating cells, mediators, receptors, and processes important in the innate pulmonary inflammatory response that contribute to LC injury. Surfactant dysfunction in the pathogenesis of LC is also discussed, as is the potential role of epithelial cell or neutrophil apoptosis. Studies examining combination injuries where LC is exacerbated by secondary insults such as gastric aspiration in trauma patients are also noted. The need for continuing mechanism-based research to further clarify the pathophysiology of LC injury, and to define and test potential therapeutic interventions targeting specific aspects of inflammation or surfactant dysfunction to improve clinical outcomes in patients with LC, is also emphasized.
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http://dx.doi.org/10.1097/SHK.0b013e31819c385c | DOI Listing |
Pediatr Crit Care Med
September 2025
Waisman Brain Imaging Laboratory, University of Wisconsin, Madison, WI.
Objectives: Elevated intracranial pressure (ICP) is a complication of severe traumatic brain injury (TBI) that carries a risk of secondary brain injury. This study investigated the association between ICP burden and brain injury patterns on MRI in children with severe TBI.
Design, Setting, And Patients: Secondary analysis of the Approaches and Decisions in Acute Pediatric TBI (ADAPT) study, which included children with severe TBI (Glasgow Coma Scale score < 9) who received a clinical MRI within 30 days of injury.
Ann Biomed Eng
September 2025
School of Mechanical Engineering, Ningxia University, Yinchuan, 750021, Ningxia, China.
Purpose: To investigate injury mechanisms and vulnerable regions for severe pulmonary contusion (PC) in astronauts during off-nominal capsule landings, establishing critical injury thresholds.
Methods: Six distinct high-intensity landing scenarios (≤52.1 g) were simulated using a drop-tower test stand and a Hybrid III anthropometric test device(ATD).
BMC Complement Med Ther
September 2025
Department of Pharmacognosy, Faculty of Pharmacy, Mahidol University, Bangkok, 10400, Thailand.
Background: Acanthopanax trifoliatus (L.) Voss or phak-paem, a traditional Thai plant in the Araliaceae family, has been reported to promote adaptogenic effects for a long time. The leaves have been used as a tonic to improve general weakness and to treat tuberculosis, lung hemorrhages, bruises, ulcers and contusions.
View Article and Find Full Text PDFCrit Care Nurs Clin North Am
September 2025
Department of Surgery, Banner University Medical Center - Phoenix, 1111 E. McDowell Road, Phoenix, AZ 85006, USA. Electronic address:
There is a high incidence of traumatically injured patients who have rib fractures and/or pulmonary contusions, and these injuries accompany a significant morbidity and mortality rate. By ensuring adequate pain control through multimodal analgesia and other minimally invasive modalities, we can help facilitate early mobilization, incentive spirometer use, coughing, deep breathing, and secretion mobilization, which will in turn prevent hypoxia and hypoventilation. By preventing hypoxia and hypoventilation, we prevent and/or reduce the need to mechanically ventilate our trauma patients with chest wall trauma, which decreases intensive care unit and hospital length of stay and overall health care costs.
View Article and Find Full Text PDFEur J Trauma Emerg Surg
August 2025
Radiology Department, Maggiore Hospital Carlo Alberto Pizzardi, Bologna, Italy.
Purpose: Pulmonary contusion is a common injury in thoracic trauma patients and a significant risk factor for respiratory complications such as pneumonia. This study aimed to investigate the role of pulmonary contusion volume and radiomics as predictors of pneumonia within 7 days of trauma and the degree of overlap between contused lung segments and those where pneumonia subsequently developed.
Methods: This retrospective observational study included all consecutive adult trauma patients admitted to the ED with a whole-body CT scan available within 6 h from admission.