0000000000186619
AUTHOR
Dorothea Hempel
Management of Pneumothoraces Detected on Chest Computed Tomography: Can Anatomical Location Identify Patients Who Can Be Managed Expectantly?
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…
Klinische Integration der fokussierten Notfallsonographie: neue Möglichkeiten?
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.
Echocardiographic and lung ultrasound characteristics in ambulatory patients with dyspnea or prior heart failure.
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…