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Der Radiologe

, Volume 57, Issue 10, pp 853–868 | Cite as

Bildgebende Verfahren der modernen Schockraumdiagnostik

  • T. J. VoglEmail author
  • K. Eichler
  • I. Marzi
  • S. Wutzler
  • K. Zacharowski
  • C. Frellessen
CME
  • 583 Downloads

Zusammenfassung

Das moderne Schockraummanagement setzt die interdisziplinäre Zusammenarbeit sowie die horizontale Kommunikation eines Kernteams aus Anästhesisten, Chirurgen und Radiologen voraus. Da die Verweildauer im Schockraum die Behandlungsergebnisse und die Morbidität/Letalität eines Schwerverletzten beeinflusst, stellt die Zeitoptimierung eines der Hauptziele dar. Mithilfe der direkten Einbindung moderner bildgebender Verfahren sollen die Traumaschäden binnen kürzester Zeit erkannt werden, um ein prioritätenorientiertes Vorgehen bezüglich der Therapie zu ermöglichen. Die Radiologie nimmt Einfluss auf die Struktur- und Prozessqualität, das Management und die Weiterentwicklung der Schockraumalgorithmen im Hinblick auf den Einsatz bildgebender Verfahren. Im Einzelfall wird dies durch interventionelle Therapieverfahren ergänzt. Basierend auf der gegenwärtigen Datenlage und den Frankfurter Erfahrungen werden die aktuellen diagnostischen Konzepte in der Schockraumdiagnostik vorgestellt.

Schlüsselwörter

Trauma Sonographie Radiographie Multidetektor-Computertomographie Interventionelle Radiologie 

Imaging techniques in modern trauma diagnostics

Abstract

Modern trauma room management requires interdisciplinary teamwork and synchronous communication between a team of anaesthesists, surgeons and radiologists. As the length of stay in the trauma room influences morbidity and mortality of a severely injured person, optimizing time is one of the main targets. With the direct involvement of modern imaging techniques the injuries caused by trauma should be detected within a very short period of time in order to enable a priority-orientated treatment. Radiology influences structure and process quality, management and development of trauma room algorithms regarding the use of imaging techniques. For the individual case interventional therapy methods can be added. Based on current data and on the Frankfurt experience the current diagnostic concepts of trauma diagnostics are presented.

Keywords

Trauma Ultrasonography Radiography Multidetektor-Computertomographie Interventional radiology 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

T.J. Vogl, K. Eichler, I. Marzi, S. Wutzler, K. Zacharowski und C. Frellessen geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Copyright information

© Springer Medizin Verlag GmbH 2017

Authors and Affiliations

  • T. J. Vogl
    • 1
    Email author
  • K. Eichler
    • 1
  • I. Marzi
    • 2
  • S. Wutzler
    • 2
  • K. Zacharowski
    • 3
  • C. Frellessen
    • 1
  1. 1.Institut für Diagnostische und Interventionelle RadiologieUniversitätsklinikum Frankfurt, Johann Wolfgang Goethe-UniversitätFrankfurtDeutschland
  2. 2.Zentrum der Chirurgie, Klinik für Unfall-, Hand- und WiederherstellungschirurgieUniversitätsklinikum Frankfurt, Johann Wolfgang Goethe-UniversitätFrankfurtDeutschland
  3. 3.Klinik für Anästhesiologie, Intensivmedizin und SchmerztherapieUniversitätsklinikum Frankfurt, Johann Wolfgang Goethe-UniversitätFrankfurtDeutschland

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