Radiologische Verfahren im Rahmen der intensivmedizinischen Versorgung

Die bildgebende Diagnostik spielt bei der Behandlung intensivmedizinisch betreuter Patienten eine entscheidende Rolle. Denn einerseits ist bei den Patienten nur eine eingeschränkte klinische Beurteilung möglich, andererseits sind deren Krankheitsbilder mitunter zeitkritischen Veränderungen unterworfen, auf die unmittelbar reagiert werden muss. Radiologische Verfahren sind somit aus dem intensivmedizinischen Alltag nicht wegzudenken.

Schlüsselwörter

Bildgebung - Bedside-Radiology - intensivmedizinische Diagnostik - Röntgen - Ultraschall

• Literatur

• 1 Tolsma M, Rijpstra TA, Schultz MJ. et al. Significant changes in the practice of chest radiography in Dutch intensive care units: a web-based survey. Ann Intensive Care 2014; 4: 10
• 2 Al Shahrani A, Al-Surimi K. Daily routine versus on-demand chest radiograph policy and practice in adult ICU patients-clinicians’ perspective. BMC Med Imag 2018; 18: 4
• 3 Böttger P, Buerke M. Bildgebung auf der Intensivstation. Med Klin Intensivmed Notfallmed 2020; 115: 557-565
• 4 Eisenhuber E, Schaefer-Prokop CM, Prosch H. et al. Bedside chest radiography. Respir Care 2012; 57: 427-443
• 5 A randomized trial of diagnostic techniques for ventilator-associated pneumonia. N Engl J Med [Anonym]. 2006; 355: 2619-2630
• 6 Lutterman AC, Moreno CC, Mittal PK. et al. Cumulative radiation exposure estimates of hospitalized patients from radiological imaging. J Am Coll Radiol 2014; 11: 169-175
• 7 Moloney F, Fama D, Twomey M. et al. Cumulative radiation exposure from diagnostic imaging in intensive care unit patients. World J Radiol 2016; 8: 419-427
• 8 Schegerer A, Loose R, Heuser LJ. et al. Diagnostic Reference Levels for Diagnostic and Interventional X-Ray Procedures in Germany: Update and handling. RöFo 2019; 191: 739-751
• 9 Lichtenstein DA, Malbrain M. Lung ultrasound in the critically ill (LUCI): A translational discipline. Anaesthesiol Intensive Ther 2017; 49: 430-436
• 10 Dietrich CF, Braden B, Wagner TO. Thorax- und Lungensonographie. Dtsch Arztebl Ausg A 2001; 98: A103-110
• 11 Balik M, Plasil P, Waldauf P. et al. Ultrasound estimation of volume of pleural fluid in mechanically ventilated patients. Intensive Care Med 2006; 32: 318
• 12 O’Brien J, Buckley AR, Browne R. Comprehensive ultrasound assessment of complications post-liver transplantation. Eur J Radiol 2010; 74: 206-213
• 13 Karhu JM, Ala-Kokko TI, Ahvenjärvi LK. et al. Early chest computed tomography in adult acute severe community-acquired pneumonia patients treated in the intensive care unit. Acta Anaesthesiol Scand 2016; 60: 1102-1110
• 14 Rashid AH, Brieva JL, Stokes B. Incidence of contrast-induced nephropathy in intensive care patients undergoing computerised tomography and prevalence of risk factors. Anaesth Intensive Care 2009; 37: 968-975
• 15 Ehrmann S, Quartin A, Hobbs BP. et al. Contrast-associated acute kidney injury in the critically ill: systematic review and Bayesian meta-analysis. Intensive Care Med 2017; 43: 785-794
• 16 Galle J, Floege J. Klug-entscheiden-Empfehlungen in der Nephrologie. Internist 2017; 58: 568-574
• 17 McDonald JS, McDonald RJ, Williamson EE. et al. Post-contrast acute kidney injury in intensive care unit patients: a propensity score-adjusted study. Intensive Care Med 2017; 43: 774-784
• 18 European Society of Urogential Radiology. ESUR Guideline on Contrast Agents. Version 10.0. 2018 Accessed January 19, 2022 at: https://www.esur.org/fileadmin/content/2019/ESUR_Guidelines_10.0_Final_Version.pdf
• 19 van der Molen AJ, Reimer P, Dekkers IA. et al. Post-contrast acute kidney injury – Part 1: Definition, clinical features, incidence, role of contrast medium and risk factors : Recommendations for updated ESUR Contrast Medium Safety Committee guidelines. Eur Radiol 2018; 28: 2845-2855
• 20 Weisbord SD, Gallagher M, Jneid H. et al. Outcomes after Angiography with Sodium Bicarbonate and Acetylcysteine. N Engl J Med 2018; 378: 603-614
• 21 Kiss T, Bölke A, Spieth PM. Interhospital transfer of critically ill patients. Minerva Anestesiol 2017; 83: 1101-1108
• 22 Spalding MC, Cripps MW, Minshall CT. Ventilator-associated pneumonia: new definitions. Crit Care Clin 2017; 33: 277-292
• 23 Hahn U, Pereira P, Heininger A. et al. Stellenwert der CT bei der Diagnose der Ventilator-assoziierten Pneumonie. RöFo 1999; 170: 150-155
• 24 Chiumello D, Froio S, Bouhemad B. et al. Clinical review: Lung imaging in acute respiratory distress syndrome patients--an update. Crit Care 2013; 17: 243
• 25 Zompatori M, Ciccarese F, Fasano L. Overview of current lung imaging in acute respiratory distress syndrome. Eur Respirat Rev 2014; 23: 519-530
• 26 Sheard S, Rao P, Devaraj A. Imaging of acute respiratory distress syndrome. Respirat Care 2012; 57: 607-612
• 27 Alrajab S, Youssef AM, Akkus NI. et al. Pleural ultrasonography versus chest radiography for the diagnosis of pneumothorax: review of the literature and meta-analysis. Crit Care 2013; 17: R208
• 28 Smally AJ, Suozzi JC. Images in emergency medicine. Deep sulcus sign. Ann Emerg Med 2007; 49: 717-725
• 29 Sugi MD, Albadawi H, Knuttinen G. et al. Transplant artery thrombosis and outcomes. Cardiovasc Diagn Ther 2017; 7 (Suppl. 03) S219-S227
• 30 Granata A, Clementi S, Londrino F. et al. Renal transplant vascular complications: the role of Doppler ultrasound. J Ultrasound 2015; 18: 101-107
• 31 Vandermeer FQ, Manning MA, Frazier AA. et al. Imaging of whole-organ pancreas transplants. Radiographics 2012; 32: 411-435
• 32 Konstantinides SV, Meyer G, Becattini C. et al. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS). Eur Heart J 2020; 41: 543-603