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Is Routine Ultrasound Examination of the Gallbladder Justified in Critical Care Patients?
Joint Authors
Karakitsos, Dimitrios
Gavala, Alexandra
Baltopoulos, George
Petrocheilou, Glykeria
Vlachou, Ioanna
Myrianthefs, Pavlos
Pappa, Maria
Evodia, Efimia
Source
Critical Care Research and Practice
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-05-09
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-481239