I.C.U. Chest Radiology: Principles and Case Studies

Description

For critically ill patients in a hospital's I.C.U., a portablechest radiograph is the most helpful, and most commonly used, x-rayexamination. Cardiopulmonary complications and the malposition oflines, tubes, and catheters are often initially detected on aportable chest film. It is essential for hospital personnel to knowhow to approach and read these films, and yet little attention hasbeen paid to teaching the accurate evaluation of this crucialdiagnostic tool. The first book in more than a decade to specifically addressthis topic, I.C.U. Chest Radiology is an authoritative andconcise guide to interpreting portable chest film; identifying andcorrecting any abnormal positions in the various devices insertedinto the vascular and respiratory systems; and diagnosingabnormalities of the cardiopulmonary system. Radiology expert Dr.Harold Moskowitz outlines his approach and philosophy toward x-rayinterpretation of the I.C.U. patient—one that can be useddaily and in any I.C.U. setting. Divided into ten straightforward chapters, the book begins witha discussion of the physics necessary to obtain a proper film andmoves on to the more clinical problems encountered each day in theI.C.U.—such as airspace disease, barotrauma, pneumonia,congestive failure, and malalignment of tubes and lines.Throughout, Moskowitz points out specific findings that can oftenmake a difference in a patient's management. Supporting thesedetailed chapters is a CD featuring real-life case studies andradiographic images that simulate common problems in the I.C.U.This is a unique way for readers to prepare to handle theall-too-common scenario: the 2:00 a.m. call from an I.C.U. nursethat a patient has "crashed" and needs attention. Using knowledgegleaned from the chapters, the reader is encouraged to study theradiograph in each case, identify the various problems, determinethe clinical condition that caused deterioration in the patient,and plan a course of action. Readers can test themselves with thecases and then listen as Moskowitz discusses the pertinent findingson the film. I.C.U. Chest Radiology is essential reading for those whowork in or are associated with I.C.U.s—radiologists,intensivists, hospitalists, emergency room physicians, residents,medical students, physician assistants, respiratory therapists, andnurses. It will also be a valuable guide for personnel who work instep down units and emergency rooms. COVER TITLE COPYRIGHT FOREWORD PREFACE SECTION I: PRINCIPLES CHAPTER 1: INTRODUCTION CHAPTER 2: PORTABLE CHEST TECHNIQUE IN THE ICU CHAPTER 3: APPROACH TO READING A PORTABLE CHEST RADIOGRAPH SYSTEMATIC REVIEW CHAPTER 4: TUBES, LINES AND CATHETERS ENDOTRACHEAL TUBE TRACHEOSTOMY TUBES CENTRAL VENOUS CATHETERS THORACOTOMY TUBES (CHEST TUBES) NASOGASTRIC TUBES SWAN-GANZ CATHETERS SENGTAKEN-BLAKEMORE TUBES INTRA-AORTIC BALLOON PUMPS PACERS AND DEFIBRILLATORS CHAPTER 5: BAROTRAUMA PNEUMOTHORAX PNEUMOMEDIASTINUM TENSION PNEUMOTHORAX INTERSTITIAL EMPHYSEMA SUBCUTANEOUS EMPHYSEMA CHAPTER 6: PNEUMONIA NODULAR IN FILTRATES CHAPTER 7: PULMONARY EDEMA CHAPTER 8: ACUTE RESPIRATORY DISTRESS SYNDROME CHAPTER 9: PULMONARY EMBOLUS PULMONARY HEMORRHAGE CHAPTER 10: ATELECTASIS AND COLLAPSE BIBLIOGRAPHY SECTION II: CASE STUDIES TUBES, LINES, AND CATHETERS CASE 1 CASE 2 CASE 3 CASE 4 CASE 5 CASE 6 CASE 7 CASE 8 CASE 9 CASE 10 CASE 11 CASE 12 BAROTRAUMA CASE 13 CASE 14 CASE 15 CASE 16 CASE 17 CASE 18 PNEUMONIA CASE 19 CASE 20 CASE 21 CASE 22 CASE 23 CASE 24 CASE 25 CASE 26 CASE 27 NODULAR PNEUMONIA CASE 28 PULMONARY EDEMA CASE 29 CASE 30 CASE 31 CASE 32 CASE 33 CASE 34 ARDS CASE 35 CASE 36 CASE 37 CASE 38 CASE 39 CASE 40 CASE 41 PULMONARY EMBOLUS CASE 42 ATELECTASIS AND COLLAPSE CASE 43 CASE 44 CASE 45 CASE 46 CASE 47 CASE 48 CASE 49 CASE 50 CASE 51 INDEX