The American Journal of Surgery
Volume 190, Issue 6 , Pages 945-950 , December 2005

Blast lung injury: clinical manifestations, treatment, and outcome

Presented at the 57th Annual Meeting of the Southwestern Surgical Congress, San Antonio, Texas, April 10–12, 2005

  • Vered Avidan, M.D.

      Affiliations

    • Department of Surgery, Sharee Zedek Medical Center, Jerusalem, Israel
    • ,
  • Moshe Hersch, M.D., M.Sc.

      Affiliations

    • Department of Anesthesiology and Intensive Care, Sharee Zedek Medical Center, Jerusalem, Israel
    • ,
  • Yaron Armon, M.D.

      Affiliations

    • Department of Surgery, Sharee Zedek Medical Center, Jerusalem, Israel
    • ,
  • Ram Spira, M.D.

      Affiliations

    • Department of Surgery, Sharee Zedek Medical Center, Jerusalem, Israel
    • ,
  • Dvora Aharoni, M.D.

      Affiliations

    • Department of Radiology, Sharee Zedek Medical Center, Jerusalem, Israel
    • ,
  • Petachia Reissman, M.D. (F.A.C.S.)

      Affiliations

    • Department of Surgery, Sharee Zedek Medical Center, Jerusalem, Israel
    • ,
  • William P. Schecter, M.D. (F.A.C.S.)

      Affiliations

    • Department of Surgery, Sharee Zedek Medical Center, Jerusalem, Israel
    • Department of Surgery, University of California, San Francisco, San Francisco General Hospital, 1001 Potrero Avenue, 3A33, San Francisco, CA 94110, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1-415-206-4626; fax: +1-415-206-5484.

Received 8 April 2005 ,Revised 8 August 2005

References 

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  2. Cooper GJ , Maynard RL , Cross NL , Hill JF . Casualties from terrorist bombings . J Trauma . 1983;23:955–967
  3. Phillips YY . Primary blast injuries . Ann Emerg Med . 1986;15:1446–1450
  4. Argyros GJ . Management of primary blast injury . Toxicology . 1997;121:105–115
  5. Coppel DL . Blast injuries to the lungs . Br J Surg . 1976;63:735–737
  6. Gutierrez de Ceballos JP , Fuentes FT , Diaz DP , et al.   Casualties treated at the closest hospital in Madrid, March 11, terrorist bombings . Crit Care Med . 2005;33:S107–S112
  7. Pizov R , Oppenheim-Eden A , Matot I , et al.   Blast lung injury from an explosion on a civilian bus . Chest . 1999;115:165–172
  8. Leibovici D , Gofrit ON , Stein M , et al.   Blast injuries (bus versus open-air bombings—a comperative study of injuries in survivors of open-air versus confined-space explosions) . J Trauma . 1996;41:1030–1035
  9. Stein M , Hirshberg A . Medical consequences of terrorism (the conventional weapon threat) . Surg Clin North Am . 1999;79:1537–1552
  10. Avidan V , Hersch M , Reissman P , et al.   Terrorist suicide bombing (Spectrum of severe injury) . 2004; Presented at: The 2004 International Conference on Medical Consequences of Terrorism. Tel Aviv, Israel, June 15–17
  11. Caseby NG , Porter MF . Blast injuries to the lungs (clinical presentation, management and course) . Injury . 1976;8:1–12
  12. Hersch M , Klotstein M , Melzer E . Blast lung injury . Harefuah . 1987;112:443–446
  13. Sorkine P , Szold O , Kluger Y , et al.   Permissive hypercapnea ventilation in patients with severe pulmonary blast injury . J Trauma . 1998;45:35–38
  14. Tsokos M , Paulsen F , Petri S , et al.   Histologic, immunohistochemical, and ultrastructural findings in human blast injury . Am J Respir Crit Care Med . 2003;168:549–555
  15. Hirshberg B , Oppenheim-Eden A , Pizov R , et al.   Recovery from blast lung injury (one-year follow-up) . Chest . 1999;116:1683–1688
  16. Katz E , Ofek B , Adler J , et al.   Primary blast injury after a bomb explosion in a civilian bus . Ann Surg . 1989;209:484–488

PII: S0002-9610(05)00721-X

doi: 10.1016/j.amjsurg.2005.08.022

The American Journal of Surgery
Volume 190, Issue 6 , Pages 945-950 , December 2005

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