Pulmonary scintigraphy at the bedside in intensive care patients with suspected pulmonary embolism.
Détails
ID Serval
serval:BIB_07C540011695
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Pulmonary scintigraphy at the bedside in intensive care patients with suspected pulmonary embolism.
Périodique
Intensive Care Medicine
ISSN
0342-4642 (Print)
ISSN-L
0342-4642
Statut éditorial
Publié
Date de publication
1995
Peer-reviewed
Oui
Volume
21
Numéro
9
Pages
723-728
Langue
anglais
Notes
Publication types: Journal ArticlePublication Status: ppublish
Résumé
OBJECTIVE: Performance of pulmonary scintigraphy (PS) for suspected pulmonary embolism (PE) in ICU patients normally involves the added risk of transporting unstable patients to the nuclear medicine unit (NMU) and poses technical difficulties in ventilating intubated patients. This retrospective study addresses the feasibility of performing PS as the bedside.
MATERIAL AND METHODS: During a 2-year period, all ICU patients with suspected PE underwent PS at the bedside, performed with a mobile gamma-camera. 99mTc-labelled albumin macroaggregates were used for the perfusion studies. Gasified 99mTc or 81mKr gas was administered by an adapting technique in intubated patients.
RESULTS: 45 patients were studied, 29 (64%) of whom were intubated and 21 (47%) of whom were in shock. PE was confirmed or excluded by PS in 49% of patients. Angiography was performed in 4 patients (8%). In the rest, a combination of low clinical and low or very low PS probabilities rendered PE highly unlikely. There was no evidence of PE in the subsequent follow-up.
CONCLUSIONS: In ICU patients with suspected PE, PS can be performed at the bedside with a mobile gamma-camera. The risk of transporting unstable patients can thus be avoided.
MATERIAL AND METHODS: During a 2-year period, all ICU patients with suspected PE underwent PS at the bedside, performed with a mobile gamma-camera. 99mTc-labelled albumin macroaggregates were used for the perfusion studies. Gasified 99mTc or 81mKr gas was administered by an adapting technique in intubated patients.
RESULTS: 45 patients were studied, 29 (64%) of whom were intubated and 21 (47%) of whom were in shock. PE was confirmed or excluded by PS in 49% of patients. Angiography was performed in 4 patients (8%). In the rest, a combination of low clinical and low or very low PS probabilities rendered PE highly unlikely. There was no evidence of PE in the subsequent follow-up.
CONCLUSIONS: In ICU patients with suspected PE, PS can be performed at the bedside with a mobile gamma-camera. The risk of transporting unstable patients can thus be avoided.
Mots-clé
Adult, Aged, Aged, 80 and over, Feasibility Studies, Female, Gamma Cameras, Humans, Intensive Care Units, Krypton Radioisotopes/diagnostic use, Male, Middle Aged, Patients' Rooms, Pulmonary Embolism/radionuclide imaging, Retrospective Studies, Technetium Tc 99m Aggregated Albumin/diagnostic use
Pubmed
Web of science
Création de la notice
01/07/2013 15:20
Dernière modification de la notice
20/08/2019 13:30