Oxford Clinical Imaging Guides

This is a comprehensive practical guide to the practice of the new subspecialty of critical care echocardiography. The text covers all aspects of clinical practice and describes how to use transthoracic echocardiography to approach and manage common clinical questions. Specific emphasis is placed on the appropriate use of clinical echocardiographic data in the context of the patient’s critical illness; this is illustrated by the frequent use of case studies including both still and moving echocardiographic images. The text covers assessment of, and disorders affecting, the left and right heart, including shock and sepsis. It also looks at how to interpret diastolic information during critical illness and the effect of that illness on valve disease and function. The important subject of fluid responsiveness is explored in detail, as is the influence of organ support and illness on the diagnosis of cardiac tamponade. The information given in the text is summarized using algorithms in a field guide for the critical care echocardiographer, which also provides a rapid guide to assessing time-critical patient presentations.Less

This book is written for clinicians who are new to ultrasound and those who want to progress further from the basics to more advanced-level scanning. Consequently, it covers a broad range of subjects, and its text is divided into five sections. Section 1 is imaging-based. Chapters in Section 1, such as physics, machine setting, and sonoanatomy, provide the foundation that underpins the rest of the book. Section 2 is structure-based. Chapters in Section 2 cover cardiac, lung, abdominal, and vascular anatomy and enable the reader to start scanning in these areas. Section 3 is problem-based. Chapters in Section 3 cover the major differential diagnoses and algorithmic approaches to ultrasound assessment of the most common clinical presentations, including shock, dyspnoea, trauma, cardiac arrest, sepsis, acute respiratory distress syndrome, and many more. Section 4 is procedure-based. Chapters in Section 4, such as thoracocentesis, lumbar puncture, and percutaneous tracheostomy, cover the technical and non-technical aspects of invasive procedures performed in critically ill patients. Section 5 is governance-based and covers how to deliver a safe and effective service.Less

Point-of-Care Ultrasound for Emergency Medicine and Resuscitation (Oxford Clinical Imaging Guides) focuses on the day-to-day utility of point-of-care ultrasound in emergency medicine. The book explains how clinicians can safely and accurately use ultrasound for the diagnosis and management of shock, acute presentations, and phases of key conditions. The book begins with a summary of cardiac ultrasound before continuing through the chest, moving down to the abdomen, and finally considers the major vessels and soft tissues. Paediatric and pre-hospital ultrasound, as well as practical procedures, are also addressed. Each chapter begins at a basic level and moves on to higher-level skills. The book is highly illustrated with annotated diagrams showing structures and explaining how to interpret findings. The text is written in a user-friendly fashion with short paragraphs and headings. Technical terminology is explained throughout. A short section in each chapter outlines ‘core’ and ‘advanced’ applications. Each chapter has a clear ‘how to scan’ summary. The book reflects the content and skills included in current curricula for ultrasound use in national and international emergency medicine.Less

Practical Perioperative Transoesophageal Echocardiography, 3^rd edition, is a concise guide to the use of transoesophageal echocardiography (TOE) for patients undergoing cardiac surgical and interventional cardiological procedures. The text is aimed at anaesthetists and cardiologists, particularly those in training and those preparing for examinations. Three-dimensional imaging is integrated throughout the text. New to the third edition are chapters on mitral valve repair, aortic valve repair, TOE in the interventional catheter laboratory, and TOE assessment of pericardial disease. The first three chapters address the fundamentals of ultrasound imaging: physical principles, artefacts, image optimization, and quantitative echocardiography. Chapters 4 and 5 cover standard views, anatomical variants, and cardiac masses. Chapters 6 and 7 address left ventricular systolic and diastolic function, respectively. The subsequent eight chapters form the core of the book and deal with the cardiac valves and the thoracic aorta. Emphasis is placed on those aspects relevant to cardiac surgery; therefore, the mitral and aortic valves are afforded particular prominence. The role of three-dimensional imaging for the mitral valve is highlighted. Chapter 17 covers the emerging role of TOE for patients undergoing procedures in the catheter laboratory and covers topics such as transcatheter aortic valve replacement and edge-to-edge mitral valve repair. Chapter 18 provides an overview of the common congenital abnormalities encountered in adults. Two chapters address the important subjects of thoracic transplantation and mechanical cardiorespiratory support. Finally, Chapter 21 brings many threads from previous chapters together to describe the role of TOE in assessing haemodynamic instability.Less