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Is Routine Ultrasound Examination of the Gallbladder Justified in Critical Care Patients?
المؤلفون المشاركون
Karakitsos, Dimitrios
Gavala, Alexandra
Baltopoulos, George
Petrocheilou, Glykeria
Vlachou, Ioanna
Myrianthefs, Pavlos
Pappa, Maria
Evodia, Efimia
المصدر
Critical Care Research and Practice
العدد
المجلد 2012، العدد 2012 (31 ديسمبر/كانون الأول 2012)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2012-05-09
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Objective.
We evaluated whether routine ultrasound examination may illustrate gallbladder abnormalities, including acute acalculous cholecystitis (AAC) in the intensive care unit (ICU).
Patients and Methods.
Ultrasound monitoring of the GB was performed by two blinded radiologists in mechanically ventilated patients irrespective of clinical and laboratory findings.
We evaluated major (gallbladder wall thickening and edema, sonographic Murphy’s sign, pericholecystic fluid) and minor (gallbladder distention and sludge) ultrasound criteria.
Measurements and Results.
We included 53 patients (42 males; mean age 57.6±2.8 years; APACHE II score 21.3±0.9; mean ICU stay 35.9±4.8 days).
Twenty-five patients (47.2%) exhibited at least one abnormal imaging finding, while only six out of them had hepatic dysfunction.
No correlation existed between liver biochemistry and ultrasound results in the total population.
Three male patients (5.7%), on the grounds of unexplained sepsis, were diagnosed with AAC as incited by ultrasound, and surgical intervention was lifesaving.
Patients who exhibited ≥2 ultrasound findings (30.2%) were managed successfully under the guidance of evolving ultrasound, clinical, and laboratory findings.
Conclusions.
Ultrasound gallbladder monitoring guided lifesaving surgical treatment in 3 cases of AAC; however, its routine application is questionable and still entails high levels of clinical suspicion.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Myrianthefs, Pavlos& Evodia, Efimia& Vlachou, Ioanna& Petrocheilou, Glykeria& Gavala, Alexandra& Pappa, Maria…[et al.]. 2012. Is Routine Ultrasound Examination of the Gallbladder Justified in Critical Care Patients?. Critical Care Research and Practice،Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-481239
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Myrianthefs, Pavlos…[et al.]. Is Routine Ultrasound Examination of the Gallbladder Justified in Critical Care Patients?. Critical Care Research and Practice No. 2012 (2012), pp.1-5.
https://search.emarefa.net/detail/BIM-481239
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Myrianthefs, Pavlos& Evodia, Efimia& Vlachou, Ioanna& Petrocheilou, Glykeria& Gavala, Alexandra& Pappa, Maria…[et al.]. Is Routine Ultrasound Examination of the Gallbladder Justified in Critical Care Patients?. Critical Care Research and Practice. 2012. Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-481239
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-481239
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر
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