Additional Information
Book Details
Abstract
Dr. Wu has established an expert panel of authors covering the latest in Ultrasound technologies and their use in the ICU. Topics discussed include ocular ultrasound, basic procedures, resuscitation, cardiology, EFAST, and more!
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Ultrasound: Part 1\r | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| Contents | v | ||
| Critical Care Clinics\r | vii | ||
| Preface | ix | ||
| Ultrasound Physics | 1 | ||
| Key points | 1 | ||
| Introduction | 1 | ||
| Basic sound | 1 | ||
| Sound source | 2 | ||
| Waves | 2 | ||
| Acoustic parameter and variables | 2 | ||
| Period and frequency | 4 | ||
| Wavelength | 4 | ||
| Parameters of magnitude | 5 | ||
| Role of intensity | 6 | ||
| Propagation speed | 6 | ||
| Attenuation | 6 | ||
| Effect of tissue | 8 | ||
| Reflection | 8 | ||
| Scatter | 10 | ||
| Absorption | 11 | ||
| Pulsed sound | 11 | ||
| Instrumentation | 12 | ||
| Transducer | 12 | ||
| Master synchronizer | 14 | ||
| Pulser | 14 | ||
| Receiver | 15 | ||
| Anatomy of a sound beam | 16 | ||
| Resolution | 16 | ||
| Display modes | 18 | ||
| Artifacts | 19 | ||
| Doppler | 21 | ||
| Bioeffects | 24 | ||
| Summary | 24 | ||
| References | 24 | ||
| An Introduction to Ultrasound Equipment and Knobology | 25 | ||
| Key points | 25 | ||
| Introduction | 25 | ||
| US machines | 25 | ||
| US probes | 26 | ||
| Image production and system controls | 36 | ||
| Obtaining calculations on bedside US | 40 | ||
| Adjusting the depth of the scan | 42 | ||
| Summary | 44 | ||
| References | 44 | ||
| Cardiac Echocardiography | 47 | ||
| Key points | 47 | ||
| Introduction | 47 | ||
| Goals of focused bedside ultrasonography | 48 | ||
| Performance of the echocardiography examination | 48 | ||
| Selection of Ultrasound Probe | 48 | ||
| Imaging Modalities | 48 | ||
| Frame rate | 48 | ||
| B-mode ultrasonography | 48 | ||
| M-mode ultrasonography | 50 | ||
| Doppler ultrasonography | 50 | ||
| Color-flow Doppler | 50 | ||
| Pulsed-wave Doppler | 51 | ||
| Continuous-wave Doppler | 51 | ||
| Probe Versus Ultrasound-Machine Marker Configuration | 51 | ||
| Standard Echocardiography Windows | 52 | ||
| The Parasternal Long-Axis View | 52 | ||
| Patient position | 52 | ||
| Probe position | 52 | ||
| Anatomic and sonographic correlation | 53 | ||
| Imaging tips and tricks | 54 | ||
| Parasternal Short-Axis View | 55 | ||
| Probe position | 55 | ||
| Anatomic and sonographic correlation | 55 | ||
| Imaging tips and tricks | 56 | ||
| Aortic Valve and Pulmonic Outflow Tract View | 56 | ||
| Patient position | 56 | ||
| Probe position | 56 | ||
| Anatomic and sonographic correlation | 56 | ||
| Subxiphoid Window | 57 | ||
| Patient position | 57 | ||
| Thoracic Ultrasonography | 93 | ||
| Key points | 93 | ||
| Introduction: thoracic ultrasonography - its history and evolution | 93 | ||
| Case presentation | 94 | ||
| Benefits of thoracic US | 94 | ||
| US probe selection for thoracic applications | 95 | ||
| Normal lung US anatomy | 95 | ||
| Imaging for pneumothorax (PTX) | 96 | ||
| Basic US Technique for PTX Detection: Probe Selection and Placement | 98 | ||
| US Findings of PTX | 98 | ||
| The Lung Point Sign | 99 | ||
| M-Mode US for PTX | 101 | ||
| Pitfalls of the PTX US Examination | 101 | ||
| Imaging for pleural effusion | 101 | ||
| Basic US Technique for Pleural Effusion Evaluation: Probe Selection and Placement | 102 | ||
| US Findings of Pleural Effusion | 103 | ||
| US-guided thoracentesis and thoracostomy | 103 | ||
| Basic Technique for Performing US-Guided Thoracentesis | 105 | ||
| US Confirmation of Tube Thoracostomy Placement | 105 | ||
| Literature Supporting US-Guided Thoracentesis | 106 | ||
| Imaging of pulmonary edema/CHF | 106 | ||
| Basic Technique for Pulmonary Edema and Alveolar Fluid Evaluation: Probe Selection and Placement | 108 | ||
| US Findings for Pulmonary Edema and Alveolar Fluid | 108 | ||
| US evaluation of COPD | 109 | ||
| US evaluation of PNA | 109 | ||
| Basic US Technique for PNA Assessment | 109 | ||
| US Findings in PNA | 110 | ||
| Lung masses | 111 | ||
| US evaluation of successful endotracheal intubation | 111 | ||
| Role of thoracic US in resuscitation of the critically dyspneic patient | 113 | ||
| Case discussion follow-up | 113 | ||
| Summary | 113 | ||
| References | 113 | ||
| The FAST and E-FAST in 2013: Trauma Ultrasonography | 119 | ||
| Key points | 119 | ||
| Introduction: trauma “epidemic” | 119 | ||
| FAST: introduction and endorsement | 120 | ||
| Cases | 120 | ||
| Case 1 | 120 | ||
| Case 2 | 121 | ||
| Case 3 | 121 | ||
| Utility of the FAST Examination: Evidence | 121 | ||
| Feasibility | 122 | ||
| Pitfalls of FAST | 123 | ||
| Quantity of Fluid | 123 | ||
| Solid-Organ Injury | 123 | ||
| Delayed Presentation | 123 | ||
| Pelvic Fracture/Pelvic Trauma | 123 | ||
| Retroperitoneal Hemorrhage | 126 | ||
| Positive FAST That May Not Be Due To Hemoperitoneum | 126 | ||
| Negative FAST in an Unstable Patient | 126 | ||
| False-Positive FAST | 126 | ||
| False-Negative FAST | 126 | ||
| Negative FAST: Clinical Judgment and Serial Examinations Remain Paramount | 127 | ||
| Summary Table: FAST Studies | 127 | ||
| Tutorial: FAST | 127 | ||
| Performing the FAST Examination: Technique | 127 | ||
| Cardiac view | 127 | ||
| Right upper quadrant (including Morison's pouch) | 130 | ||
| Left upper quadrant | 130 | ||
| Suprapubic (pelvic) view | 133 | ||
| E-FAST | 136 | ||
| Background | 136 | ||
| Hemothorax | 136 | ||
| Pneumothorax | 136 | ||
| Pitfalls of E-FAST | 137 | ||
| Choice of Gold-Standard Effects Sensitivity | 137 | ||
| Loculated Pneumothorax and Subcutaneous Emphysema | 137 | ||
| False Positives for Pneumothorax | 137 | ||
| Summary Table: E-FAST: Hemothorax and Pneumothorax Studies | 137 | ||
| Tutorial: E-FAST | 137 | ||
| State of FAST, 2013: controversies | 143 | ||
| Future directions | 144 | ||
| Pulseless Traumatic Arrest | 144 | ||
| Contrast-Enhanced Ultrasonography for Solid-Organ Injury | 144 | ||
| Chest-Tube Placement | 144 | ||
| Diagnosis of Pelvic Fracture | 145 | ||
| Hemodynamic Evaluation | 145 | ||
| Prehospital, Mass Casualty, and Practice in Austere Environments | 145 | ||
| Summary | 145 | ||
| References | 146 | ||
| The CORE Scan | 151 | ||
| Key points | 151 | ||
| Introduction | 151 | ||
| Endotracheal tube assessment | 151 | ||
| Bedside pulmonary ultrasonography | 152 | ||
| Bedside cardiac ultrasonography | 159 | ||
| Bedside aorta ultrasonography | 166 | ||
| Bedside IVC ultrasonography | 166 | ||
| Bedside evaluation for intraperitoneal free fluid | 169 | ||
| Bedside vascular ultrasonography | 170 | ||
| Summary | 174 | ||
| References | 174 | ||
| Index | 177 |