General ultrasound in the critically ill describes a bedside tool destined for use by the intensivist and any physician involved in emergencies. It specifically deals with findings of immediate clinical relevance throughout the body. New emergency applications of ultrasound in the abdomen, the vessels, the head and the heart are considered. The major topic, the lung, is extensively discussed. Interventional ultrasound forms part of nearly every chapter.
Flow charts simplify daily concerns: acute dyspnea, shock, unexplained fever, etc. The strong points and pitfalls of ultrasound are reviewed. Technical notes are mingled with general considerations.
Benefiting from the extensive experience of an intensivist intimately familiar with ultrasound, this book accurately answers most daily problems arising in the critically ill. it offers not only an exhaustive atlas but also a permanent aid to the therapeutic decision. All in all, General ultrasound in the critically ill provides a key for practicing a kind of visual medicine.
Since 1990 Daniel Lichtenstein has been an intensivist in a medical ICU which already occupied a pioneering place in echocardiography. He has from the beginning devoted his efforts to the development of general ultrasound. He regularly publishes studies on lung ultrasound, his main topic, in the international literature.
Intensivists, emergency physicians, anaestheisologists, radiologists, cardiologists, surgeons
- Emergency medicine
- General ultrasound
- Intensive care unit
- Lung ultrasound
Table of contents
Forewords.- Preface.- Acknowledgements.- Generalities.- Basic Notions.- The Ultrasound Equipment.- Specific Notions of Ultrasound in the Critically Ill.- General Ultrasound: Normal Patterns.- Organ by Organ Analysis.- Peritoneum.- Gastrointestinal Tract.- Liver.- Gallbladder.- Urinary System.- The Retroperitonal Space.- Spleen, Adrenals, and Lymph Nodes.- Upper Extremity Central Veins.- Inferior Vena Cava.- Lower Extremity Veins.- Pleural Effusion and Introduction to the Lung Ultrasound Technique.- Pneumothorax and Introduction to Ultrasound Signs in the Lung.- Lung.- Lung Ultrasound Applications.- Mediastinum.- General Ultrasound of the Heart.- Head and Neck.- Soft Tissues.- Clinical Application of Ultrasound.- Ultrasound in the Surgical Intensive Care Unit.- Ultrasound in Trauma.- Emergency Ultrasound Outside the Intensive Care Unit.- Interventional Ultrasound.- Emergency Ultrasound and Antibiotic Therapy.- Analytic Study of Frequent and/or Severe Situations.- Learning and Logistics of Emergency Ultrasound.- Ultrasound, a Tool for Clinical Examination.- Concluding Remarks.- Glossary.- Subject Index.