Author/Editor     Roškar, Zdravko; Umek Bradač, Stanislava; Miksić, Mirjana; Kanič, Zlatka; Pogorevc, Robert; Homšak, Matjaž
Title     Slikovna diagnostika obolenj pljuč in prsnega koša v enoti za intenzivno terapijo otrok
Translated title     Diagnostic imaging procedures for lung and chest diseases in the paediatric intensive care unit
Type     članek
Source     In: Gregorič A, editor. Pediatrična urologija - novosti. Epilepsija pri otrocih in mladostnikih. Slikovna diagnostika pljuč pri otrocih . Zbornik 19. srečanje pediatrov in 6. srečanje medicinskih sester; 2009 apr 3-4; Maribor. Maribor: Univerzitetni klinični center,
Publication year     2009
Volume     str. 117-21
Language     slo
Abstract     In intensive care units rapid and reliable diagnostic work-up is crucial in deteriorating and in acute emergencies. Portable chest radiography, which is most frequently used for critically ill patients, often fails to clearly depict thoracic disease. Ultrasonography has been shown to be effective in diagnosing lung pathology that requires rapid and effective measures, such as pneumothorax, haemothorax, pleural or pericardial effusion, alveolar or interstitial oedema, lung abscesess and consolidation. Recently published studies suggest that ultrasound of the paediatric airway can be used to determine the position of the endotracheal tube after intubation and to detect oesophageal intubation, and to increase safety when performing invasive procedures such as pleural puncture, thoracic drainage or aspiration biopsy. In addition, it can be used for diagnosing diaphragmatic hernias and rib abnormalities. Major advantages include its portability, possibility of repeating the investigation, absence of radiation and low costs.
Summary     V enotah za intenzivno terapijo (EIT) je osnovnega pomena pravočasna in zanesljiva diagnostika bolezni, ki zahtevajo nujne in ustrezne ukrepe. Za diagnostiko pljučnih bolezni se najpogosteje uporablja prenosna rentgenska tehnika, ki pa je v EIT pogosto suboptimalna. Kot učinkovita metoda za diagnosticiranje pljučne patologije, ki potrebuje hitre in učinkovite ukrepe (pnevmotoraks, plevralni izlivi, alveolarni ali intersticijski edem, pljučni abscesi in konsolidacije), se je pokazal ultrazvok. Z UZ lahko ugotavljamo lego endotrahealnega tubusa po intubaciji ter varneje izvajamo invazivne posege, kot so plevralna punkcija, torakalna drenaža ali aspiracijska biopsija. Uporabljamo ga tudi za diagnostiko preponskih kil ali abnormalnosti reber. Prednosti so v njegovi prenosljivosti, ponovljivosti preiskave, odsotnosti ionizirajočega sevanja ter v ceni.
Descriptors     LUNG DISEASES
THORAX
DIAGNOSTIC IMAGING
CHILD
RADIOGRAPHY
INTENSIVE CARE