General ultrasound In the critically ill - part 4 ppsx
General ultrasound In the critically ill - part 4 ppsx
... collapsed. In the longitudi-
nal approach, the borders of the vein are never per-
fectly parallel (although in the artery they are).
Dynamic changes in the vein are often vast, where-
as the artery ... splenomegaly. The probe
must be applied rather posteriorly at the last inter-
costal
spaces.
In a supine patient, the distal part of
the probe should in prac...
General ultrasound In the critically ill - part 5 ppsx
... confuse the young operator.
• FiUing the venous lumen when the vein seems
empty:
- Using fluid therapy.
- Lowering the feet using the balance pedal of
the bed.
- Manually compressing the common ... method
at the internal jugular vein: make a skin landmark
at the area of the vein, switch off the ultrasound
Fig.
12.16.
The operator's hand holdin...
General ultrasound In the critically ill - part 2 pdf
... Conducting an Ultrasound Examination
15
probability the first to study assessing the useful- Conducting an Ultrasound Examination
ness of general ultrasound, handled by the inten-
sivist
...
will be made in abdominal ultrasonography.
A supine patient offers wide access to the
abdomen, the
lungs,
the majority of the deep veins,
the maxillary sinuses, etc. The...
General ultrasound In the critically ill - part 3 pptx
...
Murphy's ultrasound sign
4. 6 mm (3. 0-6 .2)
103 mm (6 5-1 50)
40 mm (2 9-5 5)
90%
12%
8%
4. 5 mm (3. 0-7 )
105 mm (8 4- 1 60)
37 mm (2 3-5 6)
66%
0
10%
Extreme
values
are in parentheses.
44 Chapter? ... Two-dimensional ultra-
sound, in well-trained hands, gives a three-dimen-
sional image of an area. It accurately steers the
material through the in...
General ultrasound In the critically ill - part 6 pot
... will therefore be in contact with
the bed in a supine patient. This zone will not be
easy to approach. Rotating the patient in the later-
al decubitus will not be entirely satisfactory, since ... volume on inspiration.
Therefore, a lung sign will appear at the boundary
area, at the precise line where the lung reaches the
wall,
since the lung surface in contact wit...
General ultrasound In the critically ill - part 7 pptx
... 142 :77 3-7 77
25.
Costanso WE, Fein SA (1988) The role of the chest
X-ray in the evaluation of chronic severe heart fai-
lure:
things are not always as they appear. Clin Car-
diol 11 :48 6 -4 88 ... A
bedside ultrasound
sign ruling out pneumothorax in the critically ill:
lung sliding. Chest 108:1 34 5-1 348
14.
Rantanen NW (1986) Diseases of the thorax. Ve...
General ultrasound In the critically ill - part 8 pptx
... the sinusogram, a self-explanatory term
(Fig.
21.1).
Maxillary sinusitis gives a two-step sign. At the
first
level,
there can be a sinusogram, according to
an all-or-nothing rule. At the ... that the
amount of information lost in hemodynamic
terms is regained in terms of
diagnosis.
For exam-
ple,
fine analysis of the Doppler signal of the pul-
monary veins in a...
General ultrasound In the critically ill - part 9 pot
... device as in the 25 previous chap-
ters.
The operator must invest, however, in under-
standing the position of objects in space. The
needle must follow the sole plane of the
probe.
The
needle ... some or a major-
ity of
cases?
This could make the Doppler informa-
tion redundant in first-line analysis in these cases.
Another application of a two-dimensional sca...
General ultrasound In the critically ill - part 10 docx
...
137,139, 144 , 149 ,1 54, 1 64, 166,172,173,178,181,188
in acute acalculous cholecystitis 52
in acute dyspnea 178
basics 10,89,188
brain 1 54
false aneurysm 137,173
heart 139, 144 , 149
hepatic veins 44
inferior ... suitable ultrasound unit, suitable training and
suitable checking of standards could then be com-
bined.
The Ultrasound Unit
from the beginning, basic steps...
CATHETER-RELATED INFECTIONS IN THE CRITICALLY ILL - PART 4 ppt
... and placed
in a sterile container with 1 ml of phosphate buffered saline (PBS). The
46
Catheter-Related Infections in the Critically Ill
Catheter Staining
Because the results of the catheter cultures ... (33).
Figure 4. The endoluminal brush. (From van Heerden, et al.
32
with permission).
62
Catheter-Related Infections in the Critically Ill
Semi-quantitative Cath...
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