El documento proporciona una guía para interpretar radiografías de tórax en pacientes en unidades de cuidados intensivos. Explica los tipos de vistas de rayos X, la anatomía pulmonar visible, y los pasos para ver una radiografía, incluyendo identificar artefactos, tejidos, y patrones anormales. También describe aparatos invasivos comunes como CVC, tubos de tórax y su confirmación posicional.
31. Criterio Mayor ARDS EAP Cardiomegalia inusual presente Lineas B de Kerley inusual presente Efusion pleural grande inusual presente Opacidad parche/periferico perihiliar/difuso Criterio Menor Broncograma aereo a menudo presente Hilios incrementados infrecuente presente cuffing peribronquial inusual presente Bone. Pulmonary and Critical Care Medicine. 1998 Diferencias Rx entre EAP y ARDS
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Notas del editor
MRI not widely used but can show malignancy especially We will look at actual films in the tutorials/practicals
Up to 40% off all radiological investigations are chest x-rays 60% are carried out in the ICU, Sensitivity; 50% of critically ill patients in Icu will have abnormal chest x-ray A systematic review is vital when interpretating x-rays however what order is not critical and you will come across varying orders
A chest x-ray forms a piece in the pulmonary examination, should refer to previous x-rays if available and if possible put in context of the other pulmonary findings
PA Standard investigation carried out in the x-ray dept Cassette anterior to chest, x-rays shot post-ant from 2 metres away, shoulders abducted to remove scapula Carried out in standing therefore better inspiration
Transverse fissure – 6 th rib laterally Does not estend beyond pulm artery medially Visible in 50%
AP Cassette placed behind the patient, portable machine Patient could be sitting in a chair, semi erect in bed, supine in bed. NOTE the patient position will affect the CXR Marked AP on film Heart enlarged often poorer expansion
How to view Check patient and x-ray details Left or right, markers placed on by radiographer, stomach on left. Heart not always on left
How to view Check patient and x-ray details Left or right, markers placed on by radiographer, stomach on left. Heart not always on left
How to view Check patient and x-ray details Left or right, markers placed on by radiographer, stomach on left. Heart not always on left
![Monitoreo Respiratorio Radiologico Dr. Jorge CABRERA VALENTIN Medicina Intensiva UCI Hospital Alberto Sabogal [email_address]](https://image.slidesharecdn.com/rxtoraxuci-100720135509-phpapp01/85/Rx-torax-uci-1-320.jpg)
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