| CT digital radiography: alternative technique for airway evaluation in physically disabled patients. | |
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MedLine Citation:
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PMID: 3684366 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Evaluation of the airway for the presence of granulation tissue prior to removal of a tracheostomy is essential to prevent sudden respiratory decompensation secondary to obstruction. Airway examination in a brain and/or spinal cord injured patient is especially difficult under fluoroscopy. The patient's lack of mobility results in poor visualization of the trachea, secondary to the overlying dense osseous components of the shoulders and thoracic cage. A CT localization view (digital view), which allows manipulation and magnification of the digital data in order to see the hidden airway and detect associated obstructing lesions, is proffered as an alternative technique to high KV, magnification technique. Thirteen examinations were performed satisfactorily in eleven patients examined by this technique with little expenditure of time, physical exertion, and irradiation. The sensitivity, specificity and accuracy of digital airway examination were 100%, 67% and 92% respectively with bronchoscopy used as the standard. |
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Authors:
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G A Mandell; H T Harcke; R Padman; G Brunson; R Delengowski |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Pediatric radiology Volume: 17 ISSN: 0301-0449 ISO Abbreviation: Pediatr Radiol Publication Date: 1987 |
Date Detail:
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Created Date: 1988-01-13 Completed Date: 1988-01-13 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0365332 Medline TA: Pediatr Radiol Country: GERMANY, WEST |
Other Details:
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Languages: eng Pagination: 505-8 Citation Subset: IM |
Affiliation:
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Department of Medical Imaging, Alfred I. duPont Institute, Wilmington, Delaware. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Bronchoscopy Child Craniocerebral Trauma / complications Granulation Tissue / radiography* Humans Neuromuscular Diseases / therapy* Radiographic Image Enhancement* Spinal Cord Injuries / complications Tomography, X-Ray Computed* Tracheal Stenosis / radiography* Tracheostomy* |
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