Moderne CT-Diagnostik des akuten Thorax- und Abdominaltraumas

Abstract

Whole body multislice-CT used as primary diagnostic tool in the management of polytraumatized patients allows for a fast, accurate and comprehensive diagnostic work-up.

Delays in diagnosis in early trauma care: evaluation of diagnostic efficiency and circumstances of delay

“…Improvement in computed tomography (CT) technology has led to the introduction of multislice CT in early trauma diagnostics [9][10][11][12][13]. Despite the implementation of trauma centers and trauma management concepts in the 1980s and 1990s, delays in diagnosis in early trauma care with underestimations of injury severity and consecutive delays in surgery still occur [14][15][16][17][18][19][20][21][22].…”

Whole-body CT in polytrauma patients: effect of arm positioning on thoracic and abdominal image quality

“…This can be explained by recent technical improvements in CT scanner hard-and software delivering high-quality images of various body parts within a short time [6][7][8][9][10]. While several studies so far have demonstrated the technical feasibility of whole-body CT introducing various protocols and contrast media application techniques [2,11,12], the exact role and clinical value of a whole-body CT in terms of patient outcome as compared to a CT of dedicated body regions is still a matter of debate.…”

Schockraumversorgung von schwer verletzten Patienten

“…Zeitverzögerungen bei der Anlage des Katheters durch unerwartet schwierige Verhältnisse in der täg-lichen Praxis werden regelhaft beobachtet [7]. Demgegenüber liegen zahlreiche Arbeiten vor, die den Nutzen einer möglichst zeitnahen MSCT-Diagnostik im Rahmen der Schockraumversorgung belegen [1,4,9,14,15,18,20,28] …”