{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T16:18:14Z","timestamp":1778084294973,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T00:00:00Z","timestamp":1745366400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The hypothesis of this study is that recent advances in mechanical cardiopulmonary support and operative management have improved survival in patients requiring a trauma pneumonectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective, single center study from January 2003 to December 2023 of all patients who underwent a pneumonectomy for trauma. Data collected included demographics, admission physiology, use of venovenous extracorporeal membrane oxygenation (VV-ECMO), and mortality, defined as early (within 24 hours of surgery) and late (&gt;24 hours after surgery). Outcomes were compared between decades, the first decade (2003-2010) and second decade (2011-2023).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty patients met inclusion criteria, 9 in the first decade and 11 in the second decade. There were no differences in Injury Severity Score (ISS) (26.4 vs 34.3,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.23). However, those in the second decade had significantly lower mean admission pH (6.89 vs 7.14,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.01) and higher admission base deficit (19.3 vs 9.8,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.003). The use of thoracic damage control surgery increased from 33% in the first decade to 100% in the second decade (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.002). VV-ECMO with lung rest ventilation increased from 22% to 64% (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.06). Overall and early mortality did not change (55.6% vs 45.5%, p-0.65 and 11% vs 36.3%,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.09, respectively). However, late mortality was dramatically lower in the second decade compared to the first (9% vs 50%,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.06).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Early mortality remains high; however, the combination of thoracic damage control and early initiation of VV-ECMO may contribute to the dramatic decrease in late mortality in the second decade.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348251337164","type":"journal-article","created":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T19:03:01Z","timestamp":1745434981000},"page":"1348-1354","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Trauma Pneumonectomy: Has Survival Improved Over Two Decades?"],"prefix":"10.1177","volume":"91","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-2651-0695","authenticated-orcid":false,"given":"Seema P.","family":"Anandalwar","sequence":"first","affiliation":[{"name":"Department of Trauma, R Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amar","family":"Deshwar","sequence":"additional","affiliation":[{"name":"Department of Trauma, R Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Powell","sequence":"additional","affiliation":[{"name":"Department of Trauma, R Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Scalea","sequence":"additional","affiliation":[{"name":"Department of Trauma, R Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"O\u2019Connor","sequence":"additional","affiliation":[{"name":"Department of Trauma, R Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,4,23]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2006.05.009"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2019.12.019"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2017.08.570"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000001416"},{"issue":"3","key":"e_1_3_3_6_2","first-page":"136","article-title":"Emergency pneumonectomy for penetrating and blunt trauma","volume":"51","author":"Bowling R","year":"1985","unstructured":"Bowling R, Mavroudis C, Richardson JD, Flint LM, Howe WR, Gray LA. 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