0000000000186619

AUTHOR

Dorothea Hempel

showing 3 related works from this author

Management of Pneumothoraces Detected on Chest Computed Tomography: Can Anatomical Location Identify Patients Who Can Be Managed Expectantly?

2014

Abstract Background Pneumothorax (PTX) can be readily detected by computed tomography (CT) or ultrasound. However, management of PTX in hemodynamically stable patients remains controversial. Study Objectives We sought to investigate whether a distinct anatomical distribution of PTX along prespecified chest zones as detected by CT can be described in patients with or without subsequent chest tube thoracotomy (CTT), thus potentially allowing the extended focused assessment with sonography for trauma (EFAST) ultrasound examination to guide PTX management. Methods We performed a retrospective review of chest CT scans performed in the emergency department (ED) of a Level I trauma center. CT scan…

AdultMalemedicine.medical_specialtymedicine.medical_treatmentYoung AdultInterquartile rangeHumansMedicineFocused assessment with sonography for traumaThoracotomyWatchful WaitingRetrospective StudiesMechanical ventilationbusiness.industryTrauma centerPneumothoraxEmergency departmentLength of StayMiddle Agedmedicine.diseaseChest tubePneumothoraxChest TubesEmergency MedicineDrainageFemaleRadiologyEmergency Service HospitalTomography X-Ray ComputedbusinessThe Journal of Emergency Medicine
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Klinische Integration der fokussierten Notfallsonographie: neue Möglichkeiten?

2013

Dieses Kapitel soll neue konzeptionelle Moglichkeiten der Point-of-care-Sonographie fur Notfalle aufzeigen. Die Autoren greifen hier aktuelle Ergebnisse der Wissenschaft und Technologie auf und wollen darauf hinweisen, dass in diesem Beitrag Innovationen aufgezeigt werden, die noch nicht uberall etabliert sind. Die Beschreibung der Verfahren und Prozessveranderungen jedoch kann jeder Fachabteilung von hohem Nutzen sein.

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Echocardiographic and lung ultrasound characteristics in ambulatory patients with dyspnea or prior heart failure.

2013

Purpose Lung ultrasound (LUS) represents a novel, noninvasive method in the assessment of extravascular lung water. We investigated the utility of LUS in ambulatory subjects with dyspnea or prior heart failure (HF). Methods We studied 81 ambulatory subjects with HF history or dyspnea who underwent transthoracic echocardiography (TTE) with LUS of 8 zones. Subjects with heart transplantation or pulmonary conditions known to interfere with LUS were excluded. A reviewer blinded to the clinical data performed echocardiographic measurements and quantified B-lines (reverberation artifacts arising from the pleural line). Results Of 81 subjects, 74 (91%) (median age 66 years, 39% men, median left ve…

Malemedicine.medical_specialtymedicine.medical_treatmentBlood PressureRisk AssessmentSensitivity and SpecificityNuclear Medicine and ImagingInternal medicinemedicine.arterymedicineAmbulatory CareHumansRadiology Nuclear Medicine and imagingSingle-Blind MethodLungDyspnea; Echocardiography; Heart failure; Lung ultrasound; Aged; Ambulatory Care; Blood Pressure; Dyspnea; Echocardiography; Extravascular Lung Water; Female; Heart Failure; Humans; Lung; Male; Middle Aged; Prognosis; Reproducibility of Results; Risk Assessment; Sensitivity and Specificity; Single-Blind Method; Stroke Volume; Cardiology and Cardiovascular Medicine; Radiology Nuclear Medicine and ImagingAgedHeart transplantationHeart FailureLung ultrasoundEjection fractionbusiness.industryReproducibility of ResultsStroke VolumeStroke volumeMiddle Agedmedicine.diseasePrognosisBlood pressureDyspneaEchocardiographyHeart failureAmbulatoryPulmonary arteryExtravascular Lung WaterCardiologyVentricular pressureFemaleRadiologyCardiology and Cardiovascular MedicinebusinessEchocardiography (Mount Kisco, N.Y.)
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