الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Thoracic trauma is common, and is the leading cause of death from physical trauma after head and spinal cord injury. Road traffic accidents are the most common cause of blunt trauma; gunshots are the most common cause of penetrating trauma. 6-10% of thoracic trauma requires urgent thoracotomy; most of thoracic trauma injuries managed with simple tube thoracotomy, mechanical ventilation, aggressive pain control. Trauma is associated with delayed gastric emptying so rapid sequence induction with cricoid pressure is indicated. One lung ventilation is indicated in most of cases to allow optimal surgical field. Preoperative insertion of chest tube is indicated to decrease the risk of intraoperative peumothorax. The general principles of trauma anesthesia such as oxygenation, restoration of circulating volume, correction of hypothermia and coagulopathy certainly apply to patients with thoracic injuries.