Evidence map›Paper›PMID 41303077›Full record

ArticleJournal of clinical medicine2025

Contemporary and Future Perspectives on Thoracic Trauma Care: Surgical Stabilization, Multidisciplinary Approaches, and the Role of Artificial Intelligence.

Chiara Angeletti, Gino Zaccagna, Maurizio Vaccarili, Giulia Salve, Andrea De Vico, Alessandra Ciccozzi, Duilio Divisi

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. ARDS management in trauma patients.Intensive care medicine · 2026
    Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Chiara AngelettiAnesthesiology, Intensive Care and Pain Medicine, "Giuseppe Mazzini" Hospital of Teramo, 64100 Teramo, Italy.ORCID 0000-0002-3656-1040
Gino ZaccagnaThoracic Surgery Unit, "Giuseppe Mazzini" Hospital of Teramo, 64100 Teramo, Italy.
Maurizio VaccariliThoracic Surgery Unit, "Giuseppe Mazzini" Hospital of Teramo, 64100 Teramo, Italy.
Giulia SalveAnesthesiology, Intensive Care and Pain Medicine, "Giuseppe Mazzini" Hospital of Teramo, 64100 Teramo, Italy.ORCID 0000-0002-6463-3339
Andrea De VicoThoracic Surgery Unit, "Giuseppe Mazzini" Hospital of Teramo, 64100 Teramo, Italy.ORCID 0000-0002-3369-5676
Alessandra CiccozziDepartment of Life, Health and Environmental Sciences (MeSVA), University of L'Aquila, 67100 L'Aquila, Italy.ORCID 0000-0003-0250-7991
Duilio DivisiThoracic Surgery Unit, "Giuseppe Mazzini" Hospital of Teramo, 64100 Teramo, Italy.ORCID 0000-0002-8137-7533

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesThoracic trauma remains a leading cause of trauma-related illness and death. Despite advances in imaging, ventilation strategies, and surgical fixation, its management remains a topic of debate, with varying practices across hospitals. Current Gaps: Although surgical stabilization of rib fractures (SSRF) has shown a mortality benefit in cases of flail chest and in elderly patients, its indications for non-flail cases remain uncertain. Analgesia strategies are evolving, and epidural remains the gold standard; however, it is limited by contraindications. In contrast, regional blocks, such as the erector spinae plane block (ESPB) and serratus anterior plane block (SAPB), are emerging as safer alternatives to opioid and thoracic epidural analgesia (TEA). Artificial intelligence (AI) is transforming imaging interpretation and risk stratification; however, its integration into daily trauma care is still in its early stages of development. PERSPECTIVE: This article examines the integration of surgical innovation, regional anesthesia, and AI-powered diagnostics as integral components of future thoracic trauma care. We emphasize the importance of standardized surgical criteria, multimodal pain management approaches, and AI-assisted decision-making tools.

conclusionsThoracic trauma care is shifting toward a personalized, multidisciplinary, and technology-enhanced approach. Incorporating evidence-based SSRF, advanced pain management techniques, and AI-supported imaging can help reduce mortality, enhance recovery, and optimize resource utilization.

Indexed as

artificial intelligenceflail chestregional anesthesiarib fracturessurgical stabilizationthoracic trauma

Identifiers

PMID41303077
PMCPMC12653104

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.