Whole Body Ultrasonography in the Critically Ill (eBook)

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2010 | 1. Auflage
XX, 326 Seiten
Springer-Verlag
978-3-642-05328-3 (ISBN)

Lese- und Medienproben

Whole Body Ultrasonography in the Critically Ill -  Daniel A. Lichtenstein
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Over the past two decades it has been increasingly recognized that whole-body ultrasound is an invaluable tool in the critically ill. In addition to offering rapid whole-body assessment, it has the advantage of being a bedside approach that is available at all times and can be repeated at will. Accordingly, it permits the immediate institution of appropriate therapeutic management. Whole-Body Ultrasound in the Critically Ill is the sequel to the author's previous books on the subject, which were first published in French in 1992 and 2002 and in English in 2004. This new volume reflects the latest state of knowledge by including a variety of improvements, revised definitions, and updated algorithms. Findings in respect of individual organs are clearly presented, and a particular feature is the in-depth coverage of the lungs, traditionally regarded as an area unsuitable for ultrasound. Throughout, the emphasis is on the practical therapeutic impact of the technique. Its value in a variety of settings, including unexplained shock, management of hemodynamic instability, acute respiratory failure (the BLUE protocol), and the critically ill neonate, is carefully explained. Interventional ultrasound and less widely recognized applications, such as mesenteric infarction, pneumoperitoneum, and intracranial hypertension, are also described. Pitfalls of the technique receive due attention. Today, whole-body ultrasound touches upon every area of critical care. This book, from the chief pioneer in the field, shows that the technique enables critical care physicians to detect therapeutically relevant signs easily and quickly. It will serve as an invaluable guide to the practice of a form of visual medicine.

Preface 6
Contents 10
Part I Introductive Chapters 20
Basic Notions of Critical Ultrasound 21
The Ultrasound Equipment 29
Specific Notions of Critical Ultrasound in the Critically Ill 37
Part II Organ by Organ Analysis 43
Introduction to Abdominal Ultrasound: Normal Patterns 44
Peritoneum 49
Gastrointestinal Tract 58
Liver 68
Gallbladder 73
Urinary Tract 83
Various Targets in the Abdomen ( Spleen, Adrenals, Pancreas, Lymph Nodes) 91
Aorta 96
Principles of Examination of the Deep Veins in the Critically Ill 102
Principles of Examination of the Deep Veins in the Critically Ill 112
Introduction to Lung Ultrasound 129
Pleural Effusion 140
Lung: Alveolar Syndrome 150
Lung and Interstitial Syndrome 161
Pneumothorax 172
Basic Applications of Lung Ultrasound in the Critically Ill: 1 – A Bedside Alternative to CT and Other Irradiating Techniques 189
Basic Applications of Lung Ultrasound in the Critically Ill: 2 – The Ultrasound Approach of an Acute Respiratory Failure: The BLUE Protocol 197
Applications of Lung Ultrasound in the Critically Ill: 3 – Lung Ultrasound in the Neonate 211
Simple Emergency Cardiac Sonography 219
Simple Critical Ultrasound Considering Hemodynamic Therapy: Our Limited Investigation 230
Head and Neck 250
Soft Tissues and Miscellaneous Areas 260
Part III Clinical Applications of Ultrasound 266
Interventional Ultrasound 267
Ultrasound in the Surgical Intensive -Care Unit: Some Peculiarities 274
Critical Ultrasound Outside the Intensive Care Unit 276
Analytic Study of Severe and/or Frequent Situations in the Critically Ill 284
Free Considerations 297
A Way to Learn Critical Ultrasound 312
Critical Ultrasound, Not Just a New Technique: Also a Philosophy 316
Index 323

Erscheint lt. Verlag 3.7.2010
Zusatzinfo XX, 326 p.
Verlagsort Berlin
Sprache englisch
Themenwelt Medizin / Pharmazie Medizinische Fachgebiete Innere Medizin
Medizin / Pharmazie Medizinische Fachgebiete Intensivmedizin
Medizin / Pharmazie Medizinische Fachgebiete Notfallmedizin
Schlagworte Computed tomography (CT) • Critical Ultrasound • Intensive care unit • Lung ultrasound • sonography • ultrasonography • Ultrasound
ISBN-10 3-642-05328-9 / 3642053289
ISBN-13 978-3-642-05328-3 / 9783642053283
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