General Ultrasound in the Critically Ill - Daniel A. Lichtenstein, medicalheaven radiology
[ Pobierz całość w formacie PDF ]
D. Lichtenstein
General ultrasound in the critically ill
Daniel Lichtenstein
General ultrasound
in the critically ill
Forewords by Michael R. Pinsky and François Jardin
With 247 Figures
3
Daniel Lichtenstein, MD
Hopital Ambroise Paré
Service de Réanimation Médicale
avenue Charles de Gaulle 9
92104 Boulogne (Paris-Ouest)
France
e-mail:
dlicht@free.fr
Translation from the French language edition:
L’échographie générale en réanimation
by Daniel Lichtenstein
Copyright © 2002 Springer-Verlag France
Springer is a part of Springer Science+Business Media
All Rights Reserved
Library of Congress Controll Number: 2004105722
ISBN 3-540-20822-4 Springer Berlin Heidelberg New York
This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned,
specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on
microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is per-
mitted only under the provision of the German Copyright Law of September 9, 1965, in its current version, and
permission for use must always be obtained from Springer-Verlag. Violations are liable for prosecution under the
German Copyright Law.
Springer is a part of Springer Science+Business Media
springeronline.com
© Springer-Verlag Berlin Heidelberg 2005
Printed in Germany
The use of designations, trademarks, etc. in this publication does not imply, even in the absence of a specific state-
ment, that such names are exempt from the relevant protective laws and regulations and therefore free for general
use.
Product liability: The publisher can not guarantee the accuracy of any information about dosage and application
contained in this book. In every individual case the user must check such information by consulting the relevant
literature.
Editor: Dr. Ute Heilmann, Heidelberg, Germany
Desk editor: Hiltrud Wilbertz, Heidelberg, Germany
Production editor: Andreas Gösling, Heidelberg, Germany
Cover-Design: Frido Steinen-Broo, Pau, Spain
Typesetting: Fotosatz-Service Köhler GmbH, Würzburg, Germany
Printed on acid-free paper
21/3150 ag - 5 4 3 2 1 0
Foreword
Diagnostic ultrasonography has come of age in the intensive care setting. It has
become increasingly common to have training programs teach residents these
techniques as part of their fundamental instruction, to have ultrasound equip-
ment available in the ICU and for it to be used by intensivists as an essential tool
in the management of the critically ill patient. Ultrasound machines have many
applications. They can be used to diagnosis fluid collections in various bodily cav-
ities (e.g., intra-abdominal abscess, ascites, pleural or pericardial effusions) and
guide percutaneous catheter insertion. They can be used to diagnose structural
etiologies for cardiovascular and respiratory insufficiency, assess intravascular
volume status and define cardiac contraction performance. An example of the
wide range of structures that can be examined is included in Table 3.2. In fact,
considering the non-invasive nature of this form of investigation and the broad
number of conditions and uses that ultrasound enjoys, it is surprising that it has
taken so much time for this established technique to be embraced by the critical
care community.
In this volume, Daniel Lichtenstein has addressed the wide variety of ultrasonic
approaches in a rigorous yet easy to read fashion. Ultrasound is a learned tech-
nique with numerous specific applications. No volume can be a substitute for
hands-on experience and good bedside training. However, as a companion to this
training, this book collates in a single volume most of the teaching elements used
in ultrasound. The first part of the book addresses in a general fashion the actual
technique of acquiring ultrasonographic images of normal biological structures.
The second part of this volume focuses on diagnostic aspects of specific organs or
bodily compartments. This is the largest section, and nicely separates disease by
organ. The section on lung pathology is especially important because it has no
counterpart in any other volume on ultrasound. The chapter on cardiac ultra-
sound is also good but cannot stand alone as the primary information base for
echocardiography. However, even though echocardiography is an established
sub-specialty of cardiology, this chapter still gives an acceptable overview. The
third and final part of the volume addresses the important clinical applications of
ultrasound. This part can only describe what the reader must experience first
hand, but as a guide, it brings together many important and relevant techniques.
In summary, Daniel Lichtenstein has distilled in one volume a unique and com-
plete description of ultrasound in the critically ill. This singular work by one of
the leaders in the field should define the standard from which students develop
their understanding and abilities in this important and rapidly growing field.
Michael R. Pinsky, MD, Dr hc
University of Pittsburgh
[ Pobierz całość w formacie PDF ]