{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T02:32:53Z","timestamp":1770777173364,"version":"3.50.0"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2021,1,12]],"date-time":"2021-01-12T00:00:00Z","timestamp":1610409600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,1,12]],"date-time":"2021-01-12T00:00:00Z","timestamp":1610409600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum M\u00fcnster"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Unfallchirurg"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Es wird der Fall eines 69-j\u00e4hrigen Patienten vorgestellt, welcher nach wiederholter Herzdruckmassage (CPR) multiple Rippenfrakturen und eine Sternumfraktur mit inverser Atmung zeigte. Aufgrund der insuffizienten Atemmechanik wurde am 10.\u00a0Tag nach Reanimation die Indikation zur Plattenosteosynthese der Rippen gestellt. Der Patient konnte am 4.\u00a0postoperativen Tag extubiert werden. Die Literatur zeigt 5 weitere F\u00e4lle. W\u00e4hrend es \u00fcber die Verletzungsmuster nach CPR zahlreiche internationale Arbeiten gibt, ist zur Behandlung des instabilen Thorax nach CPR keine Evidenz gegeben. Jedoch konnte die Osteosynthese von Rippenfrakturen bei traumatischer Genese Vorteile wie verringerte Intensivbehandlungszeit, geringere beatmungsassoziierte Pneumonien, weniger atemabh\u00e4ngige Schmerzen und geringere Kosten f\u00fcr das Gesundheitssystem zeigen. Bei der Behandlung von reanimierten Patienten sollte im interdisziplin\u00e4ren Konsens auch die Osteosynthese von Rippenfrakturen ber\u00fccksichtigt werden.<\/jats:p>","DOI":"10.1007\/s00113-020-00950-z","type":"journal-article","created":{"date-parts":[[2021,1,13]],"date-time":"2021-01-13T07:27:32Z","timestamp":1610522852000},"page":"774-778","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Verbesserung der Atemmechanik durch Plattenosteosynthese der Rippen nach Herzdruckmassage","Improvement in breathing mechanics by plate osteosynthesis of the ribs after cardiac massage"],"prefix":"10.1007","volume":"124","author":[{"given":"Karl Friedrich","family":"Abshagen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Josef","family":"Stolberg-Stolberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan Philipp","family":"Loyen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver","family":"Riesenbeck","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jens","family":"Everding","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hendrik","family":"Freise","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael J.","family":"Raschke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,1,12]]},"reference":[{"issue":"S8","key":"950_CR1","doi-asserted-by":"publisher","first-page":"951","DOI":"10.21037\/jtd.2018.04.69","volume":"10","author":"JRM de Campos","year":"2018","unstructured":"de Campos\u00a0JRM, White\u00a0TW (2018) Chest wall stabilization in trauma patients: why, when, and how? J\u00a0Thorac Dis 10(S8):951\u2013962","journal-title":"J Thorac Dis"},{"issue":"2","key":"950_CR2","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1016\/j.thorsurg.2017.01.004","volume":"27","author":"S Majercik","year":"2017","unstructured":"Majercik\u00a0S, Pieracci\u00a0FM (2017) Chest wall trauma. Thorac Surg Clin 27(2):113\u2013121","journal-title":"Thorac Surg Clin"},{"key":"950_CR3","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezw365","author":"GJ Kocher","year":"2016","unstructured":"Kocher\u00a0GJ, Sharafi\u00a0S, Azenha\u00a0LF, Schmid\u00a0RA (2016) Chest wall stabilization in ventilator-dependent traumatic flail chest patients: who benefits? Eur J Cardiothorac Surg. https:\/\/doi.org\/10.1093\/ejcts\/ezw365","journal-title":"Eur J Cardiothorac Surg"},{"issue":"5","key":"950_CR4","doi-asserted-by":"publisher","first-page":"1220","DOI":"10.1111\/1556-4029.13411","volume":"62","author":"M Thompson","year":"2017","unstructured":"Thompson\u00a0M, Langlois\u00a0NEI, Byard\u00a0RW (2017) Flail chest following failed cardiopulmonary resuscitation. J\u00a0Forensic Sci 62(5):1220\u20131222","journal-title":"J Forensic Sci"},{"issue":"6","key":"950_CR5","doi-asserted-by":"publisher","first-page":"1642","DOI":"10.1097\/01.CCM.0000217926.40975.4B","volume":"34","author":"KJ Brasel","year":"2006","unstructured":"Brasel\u00a0KJ, Guse\u00a0CE, Layde\u00a0P, Weigelt\u00a0JA (2006) Rib fractures: relationship with pneumonia and mortality. Crit Care Med 34(6):1642\u20131646","journal-title":"Crit Care Med"},{"issue":"suppl_2","key":"950_CR6","doi-asserted-by":"publisher","first-page":"A103","DOI":"10.1161\/circ.130.suppl_2.103","volume":"130","author":"N Friberg","year":"2014","unstructured":"Friberg\u00a0N, Walther\u00a0C, Englund\u00a0E (2014) Abstract 103: Rib and sternum fractures after cardiopulmonary resuscitation: an autopsy study. Circulation 130(suppl_2):A103\u2013A103","journal-title":"Circulation"},{"issue":"8","key":"950_CR7","doi-asserted-by":"publisher","first-page":"605","DOI":"10.1007\/s00113-018-0532-5","volume":"121","author":"S Schulz-Drost","year":"2018","unstructured":"Schulz-Drost\u00a0S, Ekkernkamp\u00a0A, Stengel\u00a0D (2018) Epidemiologie, Verletzungsentit\u00e4ten und Behandlungspraxis der Thoraxwandverletzungen: Aktuelle wissenschaftliche Erkenntnisse und Therapieempfehlungen. Unfallchirurg 121(8):605\u2013614","journal-title":"Unfallchirurg"},{"issue":"8","key":"950_CR8","doi-asserted-by":"publisher","first-page":"624","DOI":"10.1007\/s00113-018-0529-0","volume":"121","author":"S Krinner","year":"2018","unstructured":"Krinner\u00a0S, Langenbach\u00a0A, Hennig\u00a0FF, Ekkernkamp\u00a0A, Schulz-Drost\u00a0S (2018) Verletzungen der anterioren Brustwand \u2013 Bedeutung zus\u00e4tzlicher Frakturen der Wirbels\u00e4ule. Unfallchirurg 121(8):624\u2013633","journal-title":"Unfallchirurg"},{"issue":"1","key":"950_CR9","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1001\/jamasurg.2013.671","volume":"148","author":"HS Kazaure","year":"2013","unstructured":"Kazaure\u00a0HS, Roman\u00a0SA, Rosenthal\u00a0RA, Sosa\u00a0JA (2013) Cardiac arrest among surgical patients: an analysis of incidence, patient characteristics, and outcomes in ACS-NSQIP. JAMA Surg 148(1):14","journal-title":"JAMA Surg"},{"issue":"3","key":"950_CR10","doi-asserted-by":"publisher","first-page":"478","DOI":"10.1510\/icvts.2009.218750","volume":"10","author":"O Ananiadou","year":"2010","unstructured":"Ananiadou\u00a0O, Karaiskos\u00a0T, Givissis\u00a0P, Drossos\u00a0G (2010) Operative stabilization of skeletal chest injuries secondary to cardiopulmonary resuscitation in a\u00a0cardiac surgical patient. Interact CardioVasc Thorac Surg 10(3):478\u2013480","journal-title":"Interact CardioVasc Thorac Surg"},{"issue":"S8","key":"950_CR11","doi-asserted-by":"publisher","first-page":"1103","DOI":"10.21037\/jtd.2018.12.51","volume":"11","author":"A Drahos","year":"2019","unstructured":"Drahos\u00a0A, Fitzgerald\u00a0M, Ashley\u00a0D, Christie\u00a0DB III (2019) Chest wall stabilization with rib plating after cardiopulmonary resuscitation. J\u00a0Thorac Dis 11(S8):1103\u20131105","journal-title":"J Thorac Dis"},{"key":"950_CR12","first-page":"D1861","volume":"162","author":"NSA Pouwels","year":"2018","unstructured":"Pouwels\u00a0NSA, van Embden\u00a0D, Hoogendoorn\u00a0JM (2018) Rib fixation for flail chest after resuscitation. Ned Tijdschr Geneeskd 162:D1861","journal-title":"Ned Tijdschr Geneeskd"},{"issue":"12","key":"950_CR13","first-page":"1013","volume":"69","author":"S Taketani","year":"2016","unstructured":"Taketani\u00a0S, Makimoto\u00a0Y, Kunitake\u00a0M, Anegawa\u00a0T (2016) Surgically managed flail chest caused by resuscitation. Kyobu Geka 69(12):1013\u20131016","journal-title":"Kyobu Geka"}],"container-title":["Der Unfallchirurg"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00113-020-00950-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00113-020-00950-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00113-020-00950-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,7]],"date-time":"2021-10-07T23:12:07Z","timestamp":1633648327000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00113-020-00950-z"}},"subtitle":["Fallbericht und Literatur\u00fcbersicht","Case report and review of the literature"],"short-title":[],"issued":{"date-parts":[[2021,1,12]]},"references-count":13,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["950"],"URL":"https:\/\/doi.org\/10.1007\/s00113-020-00950-z","relation":{},"ISSN":["0177-5537","1433-044X"],"issn-type":[{"value":"0177-5537","type":"print"},{"value":"1433-044X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1,12]]},"assertion":[{"value":"16 December 2020","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 January 2021","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"K.F.\u00a0Abshagen, J.\u00a0Stolberg-Stolberg, J.P.\u00a0Loyen, O.\u00a0Riesenbeck, J.\u00a0Everding, H.\u00a0Freise und M.J.\u00a0Raschke geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien. F\u00fcr Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts, \u00fcber die Patienten zu identifizieren sind, liegt von ihnen und\/oder ihren gesetzlichen Vertretern eine schriftliche Einwilligung vor.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}