The Role of Chest Ultrasonography In Respiratory Intensive Care Unit
Shehata Hamed Shehata Issa;
Abstract
Ultrasonography is an easily learned procedure that not only enhances the physical examination but also has the distinct advantages of being a portable tool that can provide real-time evaluation of the lung and pleural space. Its use has been associated with an improved yield and reduced complication rate for diagnosis and management of chest diseases, also it is quickly becoming the standard for procedural guidance. asIntensivest physicians, we need to embrace ultrasounds broad clinical applications in chest diseases especially in R.I.C.U, with advantages of ultrasonography over plain chest radiography and CT that include the absence of radiation and the ability to perform dynamic evaluations(Elbarbary M,et al.,2010).
The aim of this study is to determine the role of chest ultrasonography in Respiratory Intensive Care Unit in some chest diseases as pleural effusion, lung consolidation and pneumothorax and interventions in RICU.
Finally ultrasonography has also been found to be more sensitive than chest radiography (CXR) in diagnosis of pleural effusion(Loculated and Free), Lung consolidation ,and pneumothorax also it is a portable tool that can be carried at any time, any place especially patients in RICU even mechanically ventilated and in comparison to C.T there is no radiation and it is able to perform dynamic evaluations.
On the other hand Central venous access is an essential part of the care of patients in modern medicine. The landmark technique is a time-honored method that is highly successful when it is performed by an experienced operator on an average patient. Nevertheless, the rate of complications remains high, with minor complications causing significant patient discomfort and serious ones leading to considerable morbidity.
US guidance has emerged as an adjunct tool that can achieve successful placement of CVCs with fewer attempts and fewer complications. This methodology is now supported by a large body of evidence and will likely gain more acceptance among physicians as they acquire the necessary skills and realize its potential. Further research is necessary to weigh the effect of this technology on a patient’s quality of life and mortality and to discover the circumstances where the benefit from its use is maximal.
The aim of this study is to determine the role of chest ultrasonography in Respiratory Intensive Care Unit in some chest diseases as pleural effusion, lung consolidation and pneumothorax and interventions in RICU.
Finally ultrasonography has also been found to be more sensitive than chest radiography (CXR) in diagnosis of pleural effusion(Loculated and Free), Lung consolidation ,and pneumothorax also it is a portable tool that can be carried at any time, any place especially patients in RICU even mechanically ventilated and in comparison to C.T there is no radiation and it is able to perform dynamic evaluations.
On the other hand Central venous access is an essential part of the care of patients in modern medicine. The landmark technique is a time-honored method that is highly successful when it is performed by an experienced operator on an average patient. Nevertheless, the rate of complications remains high, with minor complications causing significant patient discomfort and serious ones leading to considerable morbidity.
US guidance has emerged as an adjunct tool that can achieve successful placement of CVCs with fewer attempts and fewer complications. This methodology is now supported by a large body of evidence and will likely gain more acceptance among physicians as they acquire the necessary skills and realize its potential. Further research is necessary to weigh the effect of this technology on a patient’s quality of life and mortality and to discover the circumstances where the benefit from its use is maximal.
Other data
| Title | The Role of Chest Ultrasonography In Respiratory Intensive Care Unit | Other Titles | دور التصوير بالموجات الفوق صوتية للصدر فى وحدة العناية المركزة بالجهاز التنفسى | Authors | Shehata Hamed Shehata Issa | Issue Date | 2017 |
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