General ultrasound In the critically ill - part 7 pptx
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 ... i.e., the ultrasound B line (Fig. 17. 6). This description dis-tinguishes the B line from the Z line (Fig. 17. 7) and the E line (see Fig. 16.11, p 113). The elaborated sign is the ... may indicate a certain diagnostic uncertainty. »Hepatization« is an interesting word in the ultra-sound field, since the lung and the liver have a sim-ilar pattern. The term »alveolar filling«...
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General ultrasound In the critically ill - part 3 pptx
... Hepatic Vein Disorders Ultrasound is an excellent noninvasive method for examining hepatic vein disorders [7] . In the Budd-Chiari syndrome with hepatic veins thrombosis, these veins are filled ... anterior to the portal bifurcation (Fig. 7. 8) or the main duct anterior to the portal vein (Fig. 7. 9). The normal caliper of the main bile duct is said to be 7 mm (up to 12 mm in the case of ... Two-dimensional ultra-sound, in well-trained hands, gives a three-dimen-sional image of an area. It accurately steers the material through the inferior vena cava, then the hepatic veins....
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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 critically ill ... approach into a whole-body framework, including in partic-ular the lung and venous status, will provide basic information. In the emergency situation, this information allows an investigation...
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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 ... including only notions useful in emergency situa-tions. The abdomen is in fact a modest part of gener-al ultrasound examination, and the reader will find the rest of the body (thorax, veins, ... 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 hidden side of the...
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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 ... Vein Thrombosis 71 Fig. 12.3. Normal internal jugular vein (V) in a longitu-dinal scan. In this scan, the vein lies anterior to the artery (A), not a rare finding Fig. 12.4. A catheter ... 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 practice sink into the bed. A normal...
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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 holding the probe ex-poses the vein in its ... operator inserts the fil-ter while another locates the main landmarks using ultrasound. As for the pilot-bombardier relation in a B25, the two operators should be per-fectly trained since the...
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General ultrasound In the critically ill - part 6 pot
... Signs in the Lung face between the soft tissues (rich in water) of the wall and the lung tissue (rich in air). The pleural line is called the lung-wall interface. The pleural line is distinct ... 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 with the wall will increase ... 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...
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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 ... techniques in the criti-cally ill. Springer-Verlag, London, pp 12 7- 1 35 2. Weill FS (1989) Echographie abdominale du post-opere. In: Weill FS (ed) L'ultrasonographie en patho-logie ... 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 scan-ning can be the evaluation...
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General ultrasound In the critically ill - part 10 docx
... neurological examination. Indeed, where is the harm in placing a mechanical probe^ over the tibia in order to explore deep sen-sitivity, thus leaving the cumbersome tuning fork in the attic? In addition, ... suitable ultrasound unit, suitable training and suitable checking of standards could then be com-bined. The Ultrasound Unit from the beginning, basic steps can be acquired one after the other. ... familiarized, the intensivist will go on to another application, and so on for an indeterminate period. To give a rough esti-mate, personalized training including one 30-min session every week will...
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CATHETER-RELATED INFECTIONS IN THE CRITICALLY ILL - PART 7 doc
... removal.124Catheter-Related Infections in the Critically Ill REFERENCESFletcher SJ, Bodenham AR. Catheter-related sepsis-an overview -Part 1. Br J IntensiveCare 1999;9:4 6-5 3.Elliott TSJ. The prevention ... antibiotic lock involves the administration of antibiotics which remain in the internal lumen of the catheter for an extended period of time.Intraluminal therapy has the advantages of directing the antimicrobial ... patients. This includes the considering the use of intravenouscephalosporins such as ceftazidime, the quinolones for exampleciprofloxacin or an aminoglycoside including gentamicin. The choice ofantimicrobial...
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