核磁共振和重症监护患者:临床,操作和财务挑战
Barbara McLean1, Douglas Thompson2
1Division of Emergency Services and Critical Care, Grady Health System, Atlanta, GA, USA.
Critical care research and practice
|June 16, 2023
概括
接受神经影像检查的重症监护室 (ICU) 患者在运输过程中面临重大风险,大约三分之一的患者经历了不良事件. 这些运输并发症可能会延迟临床护理,增加成本,并对患者的治疗结果产生负面影响.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 关键护理医学 关键护理医学
背景情况:
- 神经成像对于评估和监测重症监护室 (ICU) 中的脑损伤至关重要.
- 患者的病情可能会迅速变化,需要及时成像,但医院内运输存在风险.
研究的目的:
- 审查与ICU中神经成像的医院内运输相关的风险,成本和提供者的经验.
- 突出与运输相关的不良事件对患者结果和ICU停留的影响.
主要方法:
- 关于与用于成像的医院内患者运输相关的风险的当前文献的综述.
- 对不良事件发生率,成本和提供者经验的分析.
主要成果:
- 大约三分之一的ICU患者被运送到成像体验不良事件.
- 副作用可以从轻微的临床失补偿到重大干预,延迟治疗和干扰护理.
- 运输成本,包括工作人员的时间,可以超过200美元,延迟会对患者的结果产生负面影响,可能会增加死亡率或残疾.
结论:
- 用于神经成像的医院内运输对重症患者构成重大风险,导致延误和不良事件.
- 需要新的技术和进步来提高ICU中成像患者运输的安全性和效率.
- 减少运输风险至关重要,以防止长时间的ICU停留,并改善患者的长期预后.
相关概念视频
Imaging Studies for Cardiovascular System IV: CMRI
65
Cardiovascular magnetic resonance imaging, or CMRI, is a non-invasive diagnostic test that employs a magnetic field and radiofrequency waves to create precise images of the heart and arteries. It provides comprehensive information about cardiac anatomy, function, perfusion, and tissue characterization without ionizing radiation.IndicationsCMRI diagnoses various heart conditions, including tissue damage from heart attacks, ischemic heart disease, myocarditis, aortic issues (tears, aneurysms,...
65
Magnetic Resonance Imaging
5.3K
Magnetic resonance imaging (MRI) is a noninvasive medical imaging technique based on a phenomenon of nuclear physics discovered in the 1930s, in which matter exposed to magnetic fields and radio waves was found to emit radio signals. In 1970, a physician and researcher named Raymond Damadian noticed that malignant (cancerous) tissue gave off different signals than normal body tissue. He applied for a patent for the first MRI scanning device in clinical use by the early 1980s. The early MRI...
5.3K
Radiological Investigation II: MRI and Ventilation Perfusion Scan
156
Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
156
Imaging Studies I: CT and MRI
303
Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
303
Imaging Studies IV: Magnetic Resonance Imaging
36
Introduction:Magnetic Resonance Imaging, or MRI, can include a specialized imaging technique of the urinary system known as Magnetic Resonance Urography (MRU). This radiation-free technique uses strong magnetic fields and radio waves to produce detailed images with the help of a computer. MRU is particularly effective for visualizing fluid-filled structures like the kidneys, ureters, and bladder.Applications of MRI in the Genitourinary SystemKidneys and Ureters: MRI detects tumors, cysts,...
36


