I.C.U. Chest Radiology: Principles and Case Studies

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9780470450345: I.C.U. Chest Radiology: Principles and Case Studies
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A practical, highly useful guide to the principles of I.C.U.chest radiology, complete with case studies and radiographs onCD

For critically ill patients in a hospital's I.C.U., a portablechest radiograph is the most helpful, and most commonly used, x-rayexamination. Cardiopulmonary complications and the malposition oflines, tubes, and catheters are often initially detected on aportable chest film. It is essential for hospital personnel to knowhow to approach and read these films, and yet little attention hasbeen paid to teaching the accurate evaluation of this crucialdiagnostic tool.

The first book in more than a decade to specifically addressthis topic, I.C.U. Chest Radiology is an authoritative andconcise guide to interpreting portable chest film; identifying andcorrecting any abnormal positions in the various devices insertedinto the vascular and respiratory systems; and diagnosingabnormalities of the cardiopulmonary system. Radiology expert Dr.Harold Moskowitz outlines his approach and philosophy toward x-rayinterpretation of the I.C.U. patient—one that can be useddaily and in any I.C.U. setting.

Divided into ten straightforward chapters, the book begins witha discussion of the physics necessary to obtain a proper film andmoves on to the more clinical problems encountered each day in theI.C.U.—such as airspace disease, barotrauma, pneumonia,congestive failure, and malalignment of tubes and lines.Throughout, Moskowitz points out specific findings that can oftenmake a difference in a patient's management. Supporting thesedetailed chapters is a CD featuring real-life case studies andradiographic images that simulate common problems in the I.C.U.This is a unique way for readers to prepare to handle theall-too-common scenario: the 2:00 a.m. call from an I.C.U. nursethat a patient has "crashed" and needs attention. Using knowledgegleaned from the chapters, the reader is encouraged to study theradiograph in each case, identify the various problems, determinethe clinical condition that caused deterioration in the patient,and plan a course of action. Readers can test themselves with thecases and then listen as Moskowitz discusses the pertinent findingson the film.

I.C.U. Chest Radiology is essential reading for those whowork in or are associated with I.C.U.s—radiologists,intensivists, hospitalists, emergency room physicians, residents,medical students, physician assistants, respiratory therapists, andnurses. It will also be a valuable guide for personnel who work instep down units and emergency rooms.

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About the Author:

Dr. Moskowitz is Clinical Professor of Radiology and Director of Education in the Department of Radiology at the University of Connecticut Health Center. He is the Radiology Residency Program Director and Director of Graduate Medical Education at the Medical School, responsible for all student education originating in the department of radiology. Dr. Moskowitz's primary emphasis and interest is using radiology to teach various subjects such as anatomy, mechanisms of disease, principles of clinical medicine, and problem based learning. He also runs a very successful fourth year radiology elective that approximately three quarters of the fourth year students rotate through. He has been responsible for ICU radiology at the Health Center for eight years. Dr. Moskowitz has published over 35 articles in medical literature.

Review:

"This handsome book of approximately 180 pages is divided into twosections . . . This is a readable collection of pearls for criticalcare providers." (Doody's, 16 September 2011)

 

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