Document Detail


CT digital radiography: alternative technique for airway evaluation in physically disabled patients.
MedLine Citation:
PMID:  3684366     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
G A Mandell; H T Harcke; R Padman; G Brunson; R Delengowski
Related Documents :
8525826 - Laryngotracheal anatomy and physiology.
17436396 - Interventional pulmonology techniques for immediate desobstruction of malignant central...
9893546 - All that wheezes is not asthma. paradoxical vocal cord movement presenting as severe ac...
20191776 - Airway management for infants with severe micrognathia having mandibular distraction os...
23700096 - Management options for women with uterine prolapse interested in uterine preservation.
18715796 - Management of asymptomatic patients with severe non-ischaemic mitral regurgitation. are...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatric radiology     Volume:  17     ISSN:  0301-0449     ISO Abbreviation:  Pediatr Radiol     Publication Date:  1987  
Date Detail:
Created Date:  1988-01-13     Completed Date:  1988-01-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0365332     Medline TA:  Pediatr Radiol     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  505-8     Citation Subset:  IM    
Affiliation:
Department of Medical Imaging, Alfred I. duPont Institute, Wilmington, Delaware.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
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*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Magnetic resonance imaging of children with Duchenne muscular dystrophy.
Next Document:  Redistribution of regional blood flow and oxygen delivery in experimental cyanotic heart disease in ...