General Ultrasound in the Critically Ill

ISBN-13: 9783540736233 / Angielski / Miękka / 2007 / 202 str.

Daniel A. Lichtenstein

Opis

General ultrasound in the critically ill describes a new clinical tool: ultrasound for the intensive care and emergency physician. Written by an intensivist familiar with ultrasound, it specifically details findings of immediate clinical relevance throughout its approx. 220 pages. Through a whole-body approach, this book considers new emergency applications regarding the abdomen, venous system, head, heart, and the most original topic, the lung. Flow charts are proposed to resolve daily intensive care and emergency occurrences: acute dyspnea, shock, unexplained fever, etc. The strong points and pitfalls of ultrasound are reviewed in detail. This book shows just how critical ultrasound has proven to be in satisfying a major concern in the intensive care and emergency medicine fields: speed and accuracy. With this ever-present requirement for rapid diagnosis in mind, General ultrasound in the critically ill provides a key to practicing a visual medicine, a great benefit to the critically ill patient, especially since ultrasound is noninvasive and can be done at the bedside. This volume is not only an exhaustive atlas dealing with the most variable aspects of the critically ill patient, but it is above all a guide, a permanent aid in the therapeutic decision.

Spis treści

Generalities.- Basic Notions.- The Ultrasound Equipment.- Specific Notions of Ultrasound in the Critically Ill.- General Ultrasound: Normal Patterns.- Organ by Organ Analysis.- Peritoneum.- Gastrointestinal Tract.- Liver.- Gallbladder.- Urinary Tract.- The Retroperitoneal Space.- Spleen, Adrenals, and Lymph Nodes.- Upper Extremity Central Veins.- Inferior Vena Cava.- Lower Extremity Veins.- Pleural Effusion and Introduction to the Lung Ultrasound Technique.- Pneumothorax and Introduction to Ultrasound Signs in the Lung.- Lung.- Lung Ultrasound Applications.- Mediastinum.- General Ultrasound of the Heart.- Head and Neck.- Soft Tissues.- Clinical Applications of Ultrasound.- Ultrasound in the Surgical Intensive Care Unit.- Ultrasound in Trauma.- Emergency Ultrasound Outside the Intensive Care Unit.- Interventional Ultrasound.- Emergency Ultrasound and Antibiotic Therapy.- Analytic Study of Frequent and/or Severe Situations.- Learning and Logistics of Emergency Ultrasound.- Ultrasound, a Tool for the Clinical Examination.- Concluding Remarks.

Blurb

General ultrasound in the critically ill describes a bedside tool destined for use by the intensivist and any physician involved in emergencies. It specifically deals with findings of immediate clinical relevance throughout the body. New emergency applications of ultrasound in the abdomen, the vessels, the head and the heart are considered. The major topic, the lung, is extensively discussed. Interventional ultrasound forms part of nearly every chapter.

Flow charts simplify daily concerns: acute dyspnea, shock, unexplained fever, etc. The strong points and pitfalls of ultrasound are reviewed. Technical notes are mingled with general considerations.

Benefiting from the extensive experience of an intensivist intimately familiar with ultrasound, this book accurately answers most daily problems arising in the critically ill. it offers not only an exhaustive atlas but also a permanent aid to the therapeutic decision. All in all, General ultrasound in the critically ill provides a key for practicing a kind of visual medicine.

Since 1990 Daniel Lichtenstein has been an intensivist in a medical ICU which already occupied a pioneering place in echocardiography. He has from the beginning devoted his efforts to the development of general ultrasound. He regularly publishes studies on lung ultrasound, his main topic, in the international literature.