Rib fractures – Sira Debate

This month’s question: What factors should influence the decision to proceed to surgical fixation of rib fractures? Does anyone have any experience/anecdotes of rib fixation improving the clinical position of a patient? What regional analgesic strategies have people employed and have these been successful? This month’s very recent paper comes out of SJUH’s Thoracic team on … More Rib fractures – Sira Debate

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This month’s question: What factors should influence the decision to proceed to surgical fixation of rib fractures? Does anyone have any experience/anecdotes of rib fixation improving the clinical position of a patient? What regional analgesic strategies have people employed and have these been successful? This month’s very recent paper comes out of SJUH’s Thoracic team on … More Next debate

Pulmonary Embolism

This month’s questions: In patients with pulmonary embolism and evidence of right ventricular failure as a result of acute pulmonary artery hypertension: 1. How is the decision made as to whether to thrombolysis is appropriate? 2. When should surgical or mechanical thrombectomy be considered? 3. Is there a role for inotropes and if so, what is … More Pulmonary Embolism