General ultrasound in the critically ill

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Springer Science & Business Media, Dec 5, 2005 - Medical - 202 pages
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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.

 

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Contents

Basic Notions
3
The Ultrasound Equipment
9
Specific Notions of Ultrasound in the Critically Ill
13
Normal Patterns
19
Organ by Organ Analysis 25
24
Peritoneum
27
Gastrointestinal Tract
33
Liver
41
Lung Ultrasound Applications
129
Mediastinum
134
General Ultrasound ofthe Heart
139
Head and Neck
150
Soft Tissues
157
Clinical Applications of Ultrasound 161
160
Ultrasound in the Surgical Intensive Care Unit
163
Ultrasound in Trauma
165

Gallbladder
46
Urinary Tract
55
The Retroperitonal Space
62
SpleenAdrenalsand Lymph Nodes
66
Upper Extremity Central Veins
70
Inferior Vena Cava
82
Lower Extremity Veins
87
Pleural Effusion and Introduction to the Lung Ultrasound Technique
96
Pneumothorax and Introduction to Ultrasound Signs in the Lung
105
Lung
116
Emergency Ultrasound Outside the Intensive Care Unit
168
Interventional Ultrasound
170
Emergency Ultrasound and Antibiotic Therapy
175
Analytic Study ofFrequent andor Severe Situations
177
Learning and Logistics ofEmergency Ultrasound
184
Ultrasounda Tool for Clinical Examination
186
Concluding Remarks
188
Glossary
190
Subject Index 195
194
Copyright

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About the author (2005)

Michael R. Pinsky, MD is a professor of Critical Care medicine, Bioengineering and Anaesthesiology at the University of Pittsburgh and Dr hc from the University of Paris (La Sorbonne). He is considered an expert in hemodynamic monitoring, cardiovascular and pulmonary physiology and the treatments of cardio-respiratory diseases, including septic shock, ARDS and transplantation.

Didier Payen, MD is a professor and chairman of Anaesthesiology and Critical Care Medicine at Laribosiere Hospital, Paris and the president of the European Society of Intensive care Medicine. He is considered an expert in hemodynamic monitoring, organ transplantation, nitric oxide metabolism and treatment and cardiovascular physiology.

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