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Related Experiment Videos

Radiology in the intensive-care unit.

S J Swensen1, S G Peters, A J LeRoy

  • 1Department of Diagnostic Radiology, Mayo Clinic, Rochester, MN 55905.

Mayo Clinic Proceedings
|April 1, 1991
PubMed
Summary

Portable chest radiography is vital in intensive care units (ICUs) for detecting unexpected cardiopulmonary issues and device complications. This essential imaging tool provides crucial clinical information despite technical limitations.

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Area of Science:

  • Radiology
  • Critical Care Medicine
  • Pulmonary Medicine

Background:

  • Portable chest radiography is a cornerstone of patient management in the intensive-care unit (ICU).
  • Routine imaging frequently reveals unexpected cardiopulmonary abnormalities and malpositions or complications of various medical devices.
  • Assessment of pulmonary parenchyma for conditions like acute lung injury and edema is critical.

Purpose of the Study:

  • To review the utility of portable chest radiography in the ICU.
  • To discuss the detection of abnormalities and complications using this imaging modality.
  • To highlight the role of other imaging techniques and interventional procedures.

Main Methods:

  • Review of portable chest radiography findings in ICU patients.

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  • Discussion of common abnormalities detected, including device malpositions and pulmonary parenchymal changes.
  • Consideration of technical limitations and the value of bedside imaging.

    • Main Results:

    • Portable chest radiography frequently detects unexpected cardiopulmonary abnormalities.
    • Malposition or complications of intravascular and endotracheal tubes are commonly identified.
    • Subtle intrathoracic air collections, indicative of barotrauma in ventilated patients, can be visualized.

    Conclusions:

    • Portable chest radiography provides essential clinical information in the ICU despite technical limitations.
    • It is crucial for identifying a wide range of cardiopulmonary abnormalities and device-related issues.
    • The review encompasses findings, computed tomography, ultrasonography, and interventional procedures relevant to ICU care.