Full Description
The purpose of this series of volumes is to present a comprehensive view of the complications that result from the use of acceptable diagnostic and therapeutic proce dures. Individual volumes will deal with iatrogenic complications involving (I) the alimentary system, (2) the urinary system, (3) the respiratory and cardiac systems, (4) the skeletal system and (5) the pediatric patient. The term iatrogenic, derived from two Greek words, means physician-induced. Originally, it applied only to psychiatric disorders generated in the patient by autosug gestion, based on misinterpretation of the doctor's attitude and comments. As clinically used, it now pertains to the inadvertent side-effects and complications created in the course of diagnosis and treatment. The classic categories of disease have included: (1) congenital and developmental, (2) traumatic, (3) infectious and inflammatory, (4) metabolic, (5) neoplastic, and (6) degenerative. To these must be added, however, iatrogenic disorders-a major, although generally unacknowledged, source of illness. While great advances in medical care in both diagnosis and therapy have been accom few decades, many are at times associated with certain side-effects plished in the past and risks which may result in distress equal to or greater than the basic condition. Iatrogenic complications, which may be referred to as "diseases of medical progress," have become a new dimension in the causation of human disease.
Contents
1. Iatrogenic Thoracic Complications Induced by Drugs.- Pathogenesis.- Clinical Pathologic Patterns.- Radiologic Patterns.- Acknowledgments.- References.- 2. Nosocomial and Iatrogenic Infections of the Thorax.- Incidence and Significance.- Source.- Routes and Radiology.- Complications of Specific Procedures.- 3. Pneumonia in the Immunocompromised Host.- Risk Factors.- Etiology.- Differential Diagnosis based upon Radiographic Patterns.- References.- 4. Traumatic Complications of Endotracheal Intubation and Cardiopulmonary Resuscitation.- Endotracheal Intubation.- Tracheostomy.- Cardiopulmonary Resuscitation.- Conclusion.- General References.- Cited References.- 5. Thoracic Complications of Respiratory Intensive Care.- Technical Considerations of Portable Radiography.- Cardiovascular Catheters.- Flow-Directed Pulmonary Artery Catheters.- Cardiac Pacemakers.- Intraaortic Counterpulsation Balloon.- Cardiopulmonary Resuscitation.- Cardiopulmonary Disorders.- 6. Barotrauma.- Interstitial Pulmonary Emphysema (IPE).- Air-Leak Phenoma.- Hemodynamic Effects.- Changes in Pulmonary Function.- Secondary Infection.- IPE-Induced Changes in Pulmonary Morphology.- Acknowledgment.- References.- 7. Radiographic Features of Thoracic Complications Occurring in Infants in the Intensive Care Nursery.- Endotracheal Intubation.- Ventilator Therapy and Pulmonary Air Leaks.- Thoracostomy Tubes.- Feeding and Suction Catheters.- Vascular Catheters.- Miscellaneous.- Conclusion.- Acknowledgment.- References.- 8. Thoracic Radiotherapy Changes.- Lung.- Heart.- Esophagus.- Bony Thorax.- References.- 9. Iatrogenic Disorders of the Esophagus.- Anatomy/Relationships.- Clinical Approach.- Endoscopy.- Surgery.- Dilatation.- Tubes.- Drugs.- Miscellaneous Complications.- Summary.- References.- 10. Complications of Angiography in the Thorax.- Incidence of Major Complications.- Types of Complications and Predisposing Factors.- Causes of Complications.- Contrast Material.- Conclusions.- References.- 11. The Radiologic Manifestations of the Complications of Cardiac Pacing.- Normal Roentgenographic Findings.- Pacemaker Complications Related to Pacemaker Malfunction.- Complications Related to Pacemaker Insertion or Presence Within the Body.- Summary.- References.- 12. The Radiology of Prosthetic Cardiac Valves.- Selection of the Patient for Cardiac Valve Replacement.- Radiologic Examination Following Valve Implantation.- Radiographic Identification of Prosthetic Valves.- Fluoroscopic Evaluation Following Valve Implantation.- Ultrasonic Evaluation of Prosthetic Valves.- Complications of Prosthetic Valves.- Summary.- References.
