Critical Care Ultrasonography

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Author :
Publisher : McGraw Hill Professional
ISBN 13 : 0071714413
Total Pages : 399 pages
Book Rating : 4.0/5 (717 download)

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Book Synopsis Critical Care Ultrasonography by : Alexander Levitov

Download or read book Critical Care Ultrasonography written by Alexander Levitov and published by McGraw Hill Professional. This book was released on 2009-09-04 with total page 399 pages. Available in PDF, EPUB and Kindle. Book excerpt: A complete, hands-on guide to successful image acquisition and interpretation at the bedside Written by top practitioners in the field, this comprehensive book is filled with practical guidance that helps you master clinical ultrasonography in a critical care environment. Here, you’ll learn exactly how to utilize diagnostic ultrasound as part of the physical exam, as the book examines current evidence supporting its use in the critically ill adult and child. Organized by body system, Critical Care Ultrasonography features self-contained chapters that can be used as individual reference guides for a range of interventions, from transthoracic echocardiography to echocardiagraphic evaluation of cardiac trauma. Through this in-depth coverage, you’ll get a sense of how this essential technology supports the cross-disciplinary nature of critical care. The book’s authoritative content is reinforced throughout by a full-color presentation and hundreds of concept-clarifying illustrations, figures, and images. Features Comprehensive coverage of the fundamentals of ultrasound use in critical care Guidance on ultrasound procedures enables practitioners to use ultrasound for vascular and axial procedures, improving safety and ensuring that nationally recognized compliance standards are upheld Cardiac ultrasound chapters help you assess and monitor the patient’s cardiopulmonary status non-invasively Chapter on Neck and Upper Respiratory Ultrasound offers an overview of little-known techniques that have not been comprehensively described in any other source Full-color presentation, with 495 illustrations that emphasize the basic skills required to visualize anatomic structures and interpret findings

Ultrasound in the Intensive Care Unit

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Author :
Publisher : Springer
ISBN 13 : 1493917234
Total Pages : 390 pages
Book Rating : 4.4/5 (939 download)

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Book Synopsis Ultrasound in the Intensive Care Unit by : Matthew Jankowich

Download or read book Ultrasound in the Intensive Care Unit written by Matthew Jankowich and published by Springer. This book was released on 2014-10-16 with total page 390 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ultrasound in the Intensive Care Unit explores the current state of evidence supporting use of bedside ultrasound for procedural guidance and for the critical care-focused assessment of a variety of organ systems. This text covers standard practice areas, such as ultrasound guidance for vascular access in the ICU, as well as novel, less well-known applications such as the use of ultrasound for assessment of diaphragm function in patients with respiratory failure. As current ultrasound education is often dependent on widely varying local expertise, this book serves as a standard reference in what is at present a fragmented and challenging field of study for busy clinicians. By providing a comprehensive overview of the current state of critical care ultrasonography, with content contributed by experts in the field, this text will serve as a valuable resource that will allow education in critical care ultrasound to keep pace with the rapid technological growth that has driven this vital area of critical care medicine. Ultrasound in the Intensive Care Unit is essential reading for pulmonologists, practitioners in internal, hospitalist, and critical care medicine; educators and instructors in critical care ultrasound; and medical students, residents, and critical care trainees.

Whole Body Ultrasonography in the Critically Ill

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 3642053289
Total Pages : 328 pages
Book Rating : 4.6/5 (42 download)

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Book Synopsis Whole Body Ultrasonography in the Critically Ill by : Daniel A. Lichtenstein

Download or read book Whole Body Ultrasonography in the Critically Ill written by Daniel A. Lichtenstein and published by Springer Science & Business Media. This book was released on 2010-07-03 with total page 328 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the past two decades it has been increasingly recognized that whole-body ultrasound is an invaluable tool in the critically ill. In addition to offering rapid whole-body assessment, it has the advantage of being a bedside approach that is available at all times and can be repeated at will. Accordingly, it permits the immediate institution of appropriate therapeutic management. Whole-Body Ultrasound in the Critically Ill is the sequel to the author’s previous books on the subject, which were first published in French in 1992 and 2002 and in English in 2004. This new volume reflects the latest state of knowledge by including a variety of improvements, revised definitions, and updated algorithms. Findings in respect of individual organs are clearly presented, and a particular feature is the in-depth coverage of the lungs, traditionally regarded as an area unsuitable for ultrasound. Throughout, the emphasis is on the practical therapeutic impact of the technique. Its value in a variety of settings, including unexplained shock, management of hemodynamic instability, acute respiratory failure (the BLUE protocol), and the critically ill neonate, is carefully explained. Interventional ultrasound and less widely recognized applications, such as mesenteric infarction, pneumoperitoneum, and intracranial hypertension, are also described. Pitfalls of the technique receive due attention. Today, whole-body ultrasound touches upon every area of critical care. This book, from the chief pioneer in the field, shows that the technique enables critical care physicians to detect therapeutically relevant signs easily and quickly. It will serve as an invaluable guide to the practice of a form of visual medicine.

Manual of Emergency and Critical Care Ultrasound

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Author :
Publisher : Cambridge University Press
ISBN 13 : 1139495933
Total Pages : 359 pages
Book Rating : 4.1/5 (394 download)

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Book Synopsis Manual of Emergency and Critical Care Ultrasound by : Vicki E. Noble

Download or read book Manual of Emergency and Critical Care Ultrasound written by Vicki E. Noble and published by Cambridge University Press. This book was released on 2011-06-16 with total page 359 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ultrasound has revolutionized a physician's ability to make urgent and emergent diagnoses at the bedside, and has changed the management of many acute injuries and conditions. This is a practical, concise introduction to what is rapidly becoming an essential tool for all critical care physicians: bedside emergency ultrasound. The Manual covers the full spectrum of conditions diagnosed using ultrasound and gives practical guidance in how to use ultrasound for common invasive procedures. Major applications are introduced using focused diagnostic questions and reviewing the image-acquisition skills needed to answer them. Images of positive and negative findings are presented, and scanning tips for improving image quality. The second edition has been substantially revised and expanded, with new images, updated literature reviews, new applications and clinical algorithms. New chapters cover additional procedures, musculoskeletal and pediatric applications, and the use of ultrasound in resuscitation. This text is invaluable for emergency physicians at all levels.

Critical Care Ultrasound Manual - Enhanced

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0729580938
Total Pages : 209 pages
Book Rating : 4.7/5 (295 download)

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Book Synopsis Critical Care Ultrasound Manual - Enhanced by : Anthony McLean

Download or read book Critical Care Ultrasound Manual - Enhanced written by Anthony McLean and published by Elsevier Health Sciences. This book was released on 2013-07-16 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: Critical Care Ultrasound Manual is a concise step-by-step guide on the assessment of ultrasounds. It trains critical care physicians in applying Rapid Assessment by Cardiac Echo (RACE) and Focused Assessment with Sonography in Trauma (FAST) to sonography principles. Animated video clips of procedures assist the reader in comprehending the content covered in the manual. Focus on helping readers obtain rapid practical information to assist management decisions. User-friendly layout. Explanatory diagrams, ultrasound images enhance the learning experience. DVD showing video clips of procedures cross-referenced in the book. Practical tips and cautions are highlighted in Boxes. MCQs on each chapter allow readers to analyse what they’ve learnt. The Appendices provide a checklist to assist interpretation of transthoracic echocardiogram in a systematic way, and a chapter on Doppler principles for those who wish to prepare the way for Doppler measurements.

Ultrasonography in the ICU

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Author :
Publisher : Springer
ISBN 13 : 3319118765
Total Pages : 146 pages
Book Rating : 4.3/5 (191 download)

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Book Synopsis Ultrasonography in the ICU by : Paula Ferrada

Download or read book Ultrasonography in the ICU written by Paula Ferrada and published by Springer. This book was released on 2015-05-18 with total page 146 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text presents a basic guide of the principles and applications of ultrasound in the critical care setting. The text also addresses the basic and clinical uses of ultrasound, including clinical cases at the end of each of the 7 sections of the clinical subdivisions. The final chapters focus on the issues of training, certification, credentialing and billing. These discussions make the text unique, as literature regarding monetary and training issues for ultrasound in the ICU is sparse. Each chapter is written by experts in the field, and supplemented with illustrations and links to videos of actual ultrasound examinations in patients. Ultrasonography in the ICU: Practical Applications will be of great utility to critical care specialists in the disciplines of surgery, medicine, anesthesiology and emergency medicine. In addition this book can be used as a teaching tool for critical care fellows and residents interested in further training in ultrasound for the critically ill patient.

Handbook of Critical Care and Emergency Ultrasound

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Author :
Publisher : McGraw Hill Professional
ISBN 13 : 0071604901
Total Pages : 351 pages
Book Rating : 4.0/5 (716 download)

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Book Synopsis Handbook of Critical Care and Emergency Ultrasound by : Kristin A. Carmody

Download or read book Handbook of Critical Care and Emergency Ultrasound written by Kristin A. Carmody and published by McGraw Hill Professional. This book was released on 2011-09-05 with total page 351 pages. Available in PDF, EPUB and Kindle. Book excerpt: A quick-access practical handbook for the use of ultrasound in critical care and emergency department settings Point-of-care ultrasound offers a readily available, noninvasive, reproducible modality that can expedite and improve care in the critical care and the emergency setting. This handy guide clarifies basic concepts and provides the hands-on guidance necessary for clinicians to arrive at better therapeutic decisions and perform safer procedures with the use of ultrasound. Handbook of Critical Care and Emergency Ultrasound opens with important chapters on ultrasound basics, ultrasound orientation, and probe selection, machine controls, and equipment. 22 additional chapters cover organ or system-specific procedural applications and approaches to the trauma patient. You will also find algorithms for the patient with undifferentiated chest pain, dyspnea, hypotension, and abdominal pain. 259 drawings and photographs support the text, illustrating patient positioning, basic views, anatomy, and common pathology. Handbook of Critical Care and Emergency Ultrasound is the perfect resource for critical care and emergency providers who wish to deepen their knowledge of sonography and broaden their use of ultrasound in the care of their patient.

Pediatric Emergency Critical Care and Ultrasound

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Author :
Publisher : Cambridge University Press
ISBN 13 : 1107433622
Total Pages : 371 pages
Book Rating : 4.1/5 (74 download)

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Book Synopsis Pediatric Emergency Critical Care and Ultrasound by : Stephanie J. Doniger

Download or read book Pediatric Emergency Critical Care and Ultrasound written by Stephanie J. Doniger and published by Cambridge University Press. This book was released on 2014-04-24 with total page 371 pages. Available in PDF, EPUB and Kindle. Book excerpt: Emergency bedside ultrasound assessment is well established for adult patients, but has only recently been introduced into everyday clinical practice for the care of pediatric patients. Pediatric Emergency Critical Care and Ultrasound is a concise, practical text which explains the principles of ultrasound, its diagnostic application in all organ systems and its use as a procedural adjunct. Both well-established and innovative applications are described, assisting the practitioner in incorporating ultrasound into daily practice, facilitating patient care and decreasing radiation exposure. Case studies and abundant illustrations enable the reader to study the appropriate techniques in detail and learn from real examples from the pediatric emergency department and intensive care unit. Pediatric Emergency Critical Care and Ultrasound is the first comprehensive bedside ultrasonography resource focusing on pediatric patients and is essential reading not only for pediatric emergency medicine subspecialists but for all emergency physicians, intensivists/critical care physicians and pediatricians.

Basic Transesophageal and Critical Care Ultrasound

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Author :
Publisher : CRC Press
ISBN 13 : 148223713X
Total Pages : 412 pages
Book Rating : 4.4/5 (822 download)

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Book Synopsis Basic Transesophageal and Critical Care Ultrasound by : André Denault

Download or read book Basic Transesophageal and Critical Care Ultrasound written by André Denault and published by CRC Press. This book was released on 2017-08-03 with total page 412 pages. Available in PDF, EPUB and Kindle. Book excerpt: Basic Transesophageal and Critical Care Ultrasound provides an overview of transesophageal ultrasound of the heart, lung, and upper abdomen as well as basic ultrasound of the brain, lung, heart, abdomen, and vascular system. Ultrasound-guided procedures commonly used in critically ill patients are also covered. With more than 400 clinical images, this well-illustrated text and its accompanying videos demonstrate new developments and challenges for those interested in mastering basic transesophageal echocardiography (TEE) and bedside surface ultrasound. Each chapter is presented in an easy-to-read format that includes color diagrams and ultrasound images which optimize interactive learning for both novice and experienced clinicians. The book is divided into two parts. The first is dedicated to basic TEE while the second provides focused coverage of bedside ultrasound. The book also includes chapters on extra-cardiac TEE and ultrasound of the brain—unconventional areas that will become more important in the future as clinicians evaluate not only the etiology of hemodynamic instability but also the impact on multiple organs and systems such as the kidney, liver, splanchnic perfusion, and brain. This text is an invaluable resource to those preparing for the National Board of Echocardiography’s Examination of Special Competence in Basic Perioperative Transesophageal Echocardiography (PTEeXAM) and its equivalents outside the USA and Canada. In addition, it prepares physicians for the American College of Chest Physician’s critical care ultrasound certification. The contents follow the syllabus of the TEE basic echo exam to ensure complete coverage of a trainee's requirements. It also includes sample questions and two helpful mock exams. Written by a multidisciplinary team of experts in TEE, the book is a must-have for those in training and in practice.

Critical Care Ultrasound

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323278175
Total Pages : 448 pages
Book Rating : 4.3/5 (232 download)

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Book Synopsis Critical Care Ultrasound by : Philip Lumb

Download or read book Critical Care Ultrasound written by Philip Lumb and published by Elsevier Health Sciences. This book was released on 2014-02-03 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt: For physicians and nurses in critical care medicine, the increased demand and use of ultrasound necessitates further training. Critical Care Ultrasound helps meet that need. A straightforward, practical approach, an abundance of detailed ultrasound images and online video demonstrations provide step-by-step guidance on the principles and effective use of this important imaging modality in both diagnosis and assistance with specific procedures. Coverage includes the latest applications of ultrasound for neurologic critical care; vascular problems; chest; hemodynamic monitoring; and abdominal and emergency uses, as well as assistance in a variety of specific procedures in critical care medicine. "...the book aims to and succeeds in fulfilling the appetite of different levels of expert in the use of ultrasound – fromthe beginner to the advanced practitioner." Reviewed by British Journal of Anaesthesia, June 2015 "This book is a tremendous resource of practical knowledge and reference material. It will be of great help to trainees, critical care specialists, ICU nursing, allied health professionals, and anyone practicing acute medicine. Editors Philip Lumb and Dimitrios Karakitsos and the contributors are to be congratulated. " Foreword by: Professor Teik E. Oh, AM , University of Western Australia, May 2015 Incorporate a holistic approach. Visualize all or any parts of the body, tissues, organs and systems in their live, anatomically and functionally interconnected state and in the context of the whole patient’s clinical circumstances. See exactly how it’s done. Numerous ultrasound images and access to dozens of videos demonstrate the use of ultrasound in critical care. Rely on the guidance of more than 80 different experts from Australia, China, Middle East, Europe, USA, and Canada regarding the current and future use of CCU. Adapt the use of emergency ultrasound in specialized out-of-hospital (i.e., war zones, animals) and in-hospital (i.e., pediatric units) settings. Additionally, issues regarding CCU logistics, training, and education are analyzed for the first time.

Critical Care Echocardiography Review

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Author :
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1975144171
Total Pages : 2086 pages
Book Rating : 4.9/5 (751 download)

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Book Synopsis Critical Care Echocardiography Review by : Marvin G Chang

Download or read book Critical Care Echocardiography Review written by Marvin G Chang and published by Lippincott Williams & Wilkins. This book was released on 2021-10-06 with total page 2086 pages. Available in PDF, EPUB and Kindle. Book excerpt: Prepare for success on the Examination of Special Competence in Critical Care Echocardiography (CCEeXAM)! Critical Care Echocardiography Review is a first-of-its-kind, review textbook containing over 1,200 questions and answers. Helmed by Drs. Marvin G. Chang, Abraham Sonny, David Dudzinski, Christopher R. Tainter, Ryan J. Horvath, Sheri M. Berg, Edward A. Bittner as well as a team of associated editors and authors from institutions across the nation , this highly visual resource covers every aspect of the use of ultrasound for clinical diagnosis and management in the critical care setting, providing a thorough, effective review and helping you identify areas of mastery and those needing further study.

Point of Care Ultrasound E-book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323544711
Total Pages : 793 pages
Book Rating : 4.3/5 (235 download)

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Book Synopsis Point of Care Ultrasound E-book by : Nilam J Soni

Download or read book Point of Care Ultrasound E-book written by Nilam J Soni and published by Elsevier Health Sciences. This book was released on 2019-04-26 with total page 793 pages. Available in PDF, EPUB and Kindle. Book excerpt: Compact, hand-carried ultrasound devices are revolutionizing how healthcare providers practice medicine in nearly every specialty. The 2nd Edition of this BMA-award-winning text features all-new chapters, a greatly expanded video library, and new review questions to keep you fully up to date with the latest technology and its applications. Helps you interpret findings with a peer-reviewed, online video library with more than 1,000 ultrasound videos of normal and pathologic findings. These videos are complemented by anatomical illustrations and text descriptions to maximize learning. Offers new online resources, including over 60 clinical cases and review questions in every chapter. Features fully updated content throughout, plus all-new chapters on hemodynamics, transesophageal echocardiography, transcranial Doppler ultrasound, pediatrics, neonatology, and 2nd/3rd trimester pregnancy. Shares the knowledge and expertise of expert contributors who are internationally recognized faculty from more than 60 institutions. Recipient of British Medical Association’s President's Choice Award and Highly Commended in Internal Medicine at the BMA Medical Book Awards 2015 (first edition).

Emergency Point-of-Care Ultrasound

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 047065757X
Total Pages : 502 pages
Book Rating : 4.4/5 (76 download)

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Book Synopsis Emergency Point-of-Care Ultrasound by : James A. Connolly

Download or read book Emergency Point-of-Care Ultrasound written by James A. Connolly and published by John Wiley & Sons. This book was released on 2017-10-23 with total page 502 pages. Available in PDF, EPUB and Kindle. Book excerpt: Featuring contributions from internationally recognized experts in point-of-care sonography, Emergency Point-of-Care Ultrasound, Second Edition combines a wealth of images with clear, succinct text to help beginners, as well as experienced sonographers, develop and refine their sonography skills. The book contains chapters devoted to scanning the chest, abdomen, head and neck, and extremities, as well as paediatric evaluations, ultrasound-guided vascular access, and more. An entire section is devoted to the syndromic approach for an array of symptoms and patient populations, including chest and abdominal pain, respiratory distress, HIV and TB coinfected patients, and pregnant patients. Also included is expert guidance on administering ultrasound in a variety of challenging environments, such as communities and regions with underdeveloped healthcare systems, hostile environments, and cyberspace. Each chapter begins with an introduction to the focused scan under discussion and a detailed description of methods for obtaining useful images. This is followed by examples of normal and abnormal scans, along with discussions of potential pitfalls of the technique, valuable insights from experienced users, and summaries of the most up-to-date evidence. Emergency Point-of-Care Ultrasound, Second Edition is a valuable working resource for emergency medicine residents and trainees, practitioners who are just bringing ultrasound scanning into their practices, and clinicians with many years of sonographic experience.

Irwin & Rippe’s Ultrasonography for Management of the Critically Ill

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Author :
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 197514497X
Total Pages : 814 pages
Book Rating : 4.9/5 (751 download)

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Book Synopsis Irwin & Rippe’s Ultrasonography for Management of the Critically Ill by : Craig M. Lilly

Download or read book Irwin & Rippe’s Ultrasonography for Management of the Critically Ill written by Craig M. Lilly and published by Lippincott Williams & Wilkins. This book was released on 2020-09-02 with total page 814 pages. Available in PDF, EPUB and Kindle. Book excerpt: Enhancing and adding to ultrasonographic text and video content in Irwin & Rippe’s Intensive Care Medicine, Eighth Edition, this easy-to-follow volume provides expert guidance on the optimal use of ultrasound in the critical care environment. Irwin & Rippe’s Ultrasonography for Management of the Critically Ill covers a wide variety of critical care procedures, explaining how to perform them and how ultrasound can be used to support evaluation and management services to patients with life-threatening illnesses or injuries.

Critical Care Ultrasonography, 2nd edition

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Author :
Publisher : McGraw Hill Professional
ISBN 13 : 0071798706
Total Pages : 400 pages
Book Rating : 4.0/5 (717 download)

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Book Synopsis Critical Care Ultrasonography, 2nd edition by : Alexander Levitov

Download or read book Critical Care Ultrasonography, 2nd edition written by Alexander Levitov and published by McGraw Hill Professional. This book was released on 2014-05-06 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt: The premier training guide for the use of ultrasound in the intensive care unit Includes online access to interactive cases and more than 180 videos " . . . the authors have succeeded in providing a reference standard to support bedside critical care providers to understand the context for their personal sonographically guided decision-making processes." -- Critical Care Medicine reviewing previous edition Critical Care Ultrasonography is a complete, hands-on guide to successful image acquisition and interpretation at the bedside. It delivers an all-inclusive, yet concise review of the optimal use and interpretation of ultrasonographic images in everyday practice. With this how-to guide, you'll learn how to systematically apply diagnostic ultrasound as part of an augmented physical examination in an array of therapeutic areas, from emergency medicine to the inpatient ward and intensive care unit. The book begins with a high-yield overview of the basic principles and physics of ultrasound, while subsequent chapters cover its use in evaluating the organs of the head and neck; the chest, abdomen, and pelvis; and the limbs and musculoskeletal system. A final section considers the use and application of ultrasound to improve the safety and performance of common, invasive procedures. Features: A pioneering, top-to-bottom examination of all the major technical concepts that physicians must know to use ultrasound in everyday clinical practice Valuable coverage of clinical algorithms and how to incorporate them into the clinical decision-making process, the formulation of differential diagnosis, and therapeutic recommendations Includes online access to more than 180 videos that illustrate the ultrasonographic appearance of normal and abnormal anatomic structures and function Color illustrations that depict the use of color in ultrasound images An A-to-Z glossary of technical and clinical terms in ultrasonography

Ultrasound in the Critically Ill

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Author :
Publisher : Springer Nature
ISBN 13 : 3030717429
Total Pages : 327 pages
Book Rating : 4.0/5 (37 download)

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Book Synopsis Ultrasound in the Critically Ill by : Andrew Walden

Download or read book Ultrasound in the Critically Ill written by Andrew Walden and published by Springer Nature. This book was released on 2022-01-10 with total page 327 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a practically applicable guide to the use of ultrasound in the care of acutely and critically ill patients. It is laid out in two sections. The first section attempts to take a comprehensive approach to specific systems of examination taking an organ focused approach covering techniques including Focussed Assessment with Sonography for Trauma (FAST) scanning and venous sonography. The second section presents a range of specific cases enabling the reader to develop an understanding of how to apply these methodologies effectively into their day-to-day clinical practice. Ultrasound in the Critically Ill: A Practical Guide describes how to use ultrasound technologies in day-to-day clinical practice. Therefore, it is an ideal resource for all trainee and practicing physicians who utilize these technologies on a day-to-day basis.

General ultrasound in the critically ill

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 3540268162
Total Pages : 205 pages
Book Rating : 4.5/5 (42 download)

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Book Synopsis General ultrasound in the critically ill by : Daniel A. Lichtenstein

Download or read book General ultrasound in the critically ill written by Daniel A. Lichtenstein and published by Springer Science & Business Media. This book was released on 2005-12-05 with total page 205 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by an intensivist familiar with ultrasound, this book describes a new clinical tool: ultrasound for the intensive care and emergency physician. It specifically details findings of immediate clinical relevance throughout its pages. This volume is not only an exhaustive atlas dealing with the most variable aspects of the critically ill patient, but it is above all a guide, a permanent aid in the therapeutic decision.