[Real-time sonography in intensive care internal medicine]. 1989

W Habscheid
Medizinische Universitätsklinik, Würzburg.

Ultrasound screening of the abdomen, the basal segments of the pleural cavities and the deep leg veins was performed in 637 patients in a medical intensive care unit. The findings were classified into significance groups (SG) depending on their clinical relevance (SG 1: crucial; SG 2: of immediate relevance; SG 3: of future relevance; SG 4: of no significance). The investigation was indicated in 172 patients (27%-Group 1), in the other 465 patients (73% - Group II) it was performed despite the absence of indications. Abnormal findings were discovered in 156 patients of Group 1 (90.7%) and were classified under SG 1 in 29.7% of them. SG 2 in 43%, SG 3 in 14.5% and SG 4 in 3.5%. In Group II, abnormalities were noted in 70.1% of the patients, and were assigned to SG 1 in 4.3%, SG 2 in 5.4%, SG 3 in 32.5% and SG 4 in 27.9%. The most frequent significant finding in Group II was deep leg vein thrombosis. In both groups the organ most frequently showing abnormal findings was the liver (41%), followed by the gall bladder (27%) and the kidneys (20.5%), though most of them were insignificant findings of no relevance to the situation at the time and were classified under SG 3 and 4 (34%, 25% and 20% of the subjects examined). After excluding the findings in the pleural cavities (14.1%), aorta (3.4%) and biliary tract (1.2%), most of the findings noted in other organs or regions of the body (leg veins 11.1%, intestine 8.8%, spleen 8.3%, peritoneal cavity 7.2%, pancreas 1.7%) were assigned to SG 1 or SG 2. These results show that, despite the numerous irrelevant findings which it throws up, ultrasonography is of great diagnostic value and should be extensively employed.

UI MeSH Term Description Entries
D007362 Intensive Care Units Hospital units providing continuous surveillance and care to acutely ill patients. ICU Intensive Care Units,Intensive Care Unit,Unit, Intensive Care
D007422 Intestines The section of the alimentary canal from the STOMACH to the ANAL CANAL. It includes the LARGE INTESTINE and SMALL INTESTINE. Intestine
D008099 Liver A large lobed glandular organ in the abdomen of vertebrates that is responsible for detoxification, metabolism, synthesis and storage of various substances. Livers
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010179 Pancreas A nodular organ in the ABDOMEN that contains a mixture of ENDOCRINE GLANDS and EXOCRINE GLANDS. The small endocrine portion consists of the ISLETS OF LANGERHANS secreting a number of hormones into the blood stream. The large exocrine portion (EXOCRINE PANCREAS) is a compound acinar gland that secretes several digestive enzymes into the pancreatic ductal system that empties into the DUODENUM.
D010994 Pleura The thin serous membrane enveloping the lungs (LUNG) and lining the THORACIC CAVITY. Pleura consist of two layers, the inner visceral pleura lying next to the pulmonary parenchyma and the outer parietal pleura. Between the two layers is the PLEURAL CAVITY which contains a thin film of liquid. Parietal Pleura,Visceral Pleura,Pleura, Parietal,Pleura, Visceral
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000005 Abdomen That portion of the body that lies between the THORAX and the PELVIS. Abdomens

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