nach oben

Medizinische Klinik - Intensivmedizin und Notfallmedizin

Erschienen in:

10.01.2022 | Notfallmedizin | Leitlinien und Empfehlungen

Standardisierte Kontrastmittelsonographie (CEUS) in der klinischen Akut- und Notfallmedizin sowie Intensivmedizin (CEUS Akut)

Konsensuspapier der DGIIN, DIVI, DGINA, DGAI, DGK, ÖGUM, SGUM und DEGUM

verfasst von: Prof. Dr. med. Guido Michels, Rudolf Horn, Andreas Helfen, Andreas Hagendorff, Christian Jung, Beatrice Hoffmann, Natalie Jaspers, Horst Kinkel, Clemens-Alexander Greim, Fabian Knebel, Johann Bauersachs, Hans-Jörg Busch, Daniel Kiefl, Alexander O. Spiel, Gernot Marx, Prof. Dr. med. Christoph F. Dietrich

Erschienen in: Medizinische Klinik - Intensivmedizin und Notfallmedizin | Sonderheft 1/2022

Einloggen, um Zugang zu erhalten

Zusammenfassung

Das hier vorgestellte Dokument beschreibt die Anwendungsmöglichkeiten des Kontrastmittelultraschalls („contrast enhanced ultrasound“, CEUS) bei notfallmäßig indizierten Untersuchungen. Leitlinien zur Kontrastmittelsonographie in der klinischen Akut- und Notfallmedizin sowie Intensivmedizin wurden bisher nicht veröffentlicht. Auf die evidenzbasierten Empfehlungen und Leitlinien der European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) und World Federation for Ultrasound in Medicine and Biology (WFUMB) wird verwiesen. Die hier vorgestellten Empfehlungen beschreiben die Anwendungsmöglichkeiten und Protokolle von CEUS in der Akutmedizin.

Sidhu PS, Cantisani V, Dietrich CF, Gilja OH, Saftoiu A, Bartels E, Bertolotto M et al (2018) The EFSUMB guidelines and recommendations for the clinical practice of contrast-enhanced ultrasound (CEUS) in non-hepatic applications: update 2017 (long version). Ultraschall Med 39:e2–e44PubMed

Dietrich CF, Averkiou M, Nielsen MB, Barr RG, Burns PN, Calliada F, Cantisani V et al (2018) How to perform contrast-enhanced ultrasound (CEUS). Ultrasound Int Open 4:E2–E15PubMedPubMedCentral

Dietrich CF, Nolsoe CP, Barr RG, Berzigotti A, Burns PN, Cantisani V, Chammas MC et al (2020) Guidelines and good clinical practice recommendations for contrast-enhanced ultrasound (CEUS) in the liver-update 2020 WFUMB in cooperation with EFSUMB, AFSUMB, AIUM, and FLAUS. Ultrasound Med Biol 46:2579–2604PubMed

Dietrich CF, Nolsoe CP, Barr RG, Berzigotti A, Burns PN, Cantisani V, Chammas MC et al (2020) Guidelines and good clinical practice recommendations for contrast enhanced ultrasound (CEUS) in the liver—update 2020—WFUMB in cooperation with EFSUMB, AFSUMB, AIUM, and FLAUS. Ultraschall Med 41:562–585PubMed

Claudon M, Dietrich CF, Choi BI, Cosgrove DO, Kudo M, Nolsoe CP, Piscaglia F et al (2013) Guidelines and good clinical practice recommendations for contrast enhanced ultrasound (CEUS) in the liver—update 2012: a WFUMB-EFSUMB initiative in cooperation with representatives of AFSUMB, AIUM, ASUM, FLAUS and ICUS. Ultrasound Med Biol 39:187–210PubMed

Dietrich CF, Greis C (2016) How to perform contrast enhanced ultrasound. Dtsch Med Wochenschr 141:1019–1024PubMed

Dietrich CF, Ignee A, Greis C, Cui XW, Schreiber-Dietrich DG, Hocke M (2014) Artifacts and pitfalls in contrast-enhanced ultrasound of the liver. Ultraschall Med 35:108–125 (quiz 126–107)PubMed

10.

Dietrich CF, Averkiou MA, Correas JM, Lassau N, Leen E, Piscaglia F (2012) An EFSUMB introduction into dynamic contrast-enhanced ultrasound (DCE-US) for quantification of tumour perfusion. Ultraschall Med 33:344–351PubMed

11.

Dietrich CF, Ignee A, Hocke M, Schreiber-Dietrich D, Greis C (2011) Pitfalls and artefacts using contrast enhanced ultrasound. Z Gastroenterol 49:350–356PubMed

12.

Senior R, Becher H, Monaghan M, Agati L, Zamorano J, Vanoverschelde JL, Nihoyannopoulos P et al (2017) Clinical practice of contrast echocardiography: recommendation by the European association of cardiovascular imaging (EACVI) 2017. Eur Heart J Cardiovasc Imaging 18:1205–1205afPubMed

13.

Sidhu PS, Cantisani V, Deganello A, Dietrich CF, Duran C, Franke D, Harkanyi Z et al (2017) Role of contrast-enhanced ultrasound (CEUS) in paediatric practice: an EFSUMB position statement. Ultraschall Med 38:33–43PubMed

14.

Fulop T, Nemes R, Meszaros T, Urbanics R, Kok RJ, Jackman JA, Cho NJ et al (2018) Complement activation in vitro and reactogenicity of low-molecular weight dextran-coated SPIONs in the pig CARPA model: correlation with physicochemical features and clinical information. J Control Release 270:268–274PubMed

15.

Szebeni J, Storm G (2015) Complement activation as a bioequivalence issue relevant to the development of generic liposomes and other nanoparticulate drugs. Biochem Biophys Res Commun 468:490–497PubMed

16.

Szebeni J (2014) Complement activation-related pseudoallergy: a stress reaction in blood triggered by nanomedicines and biologicals. Mol Immunol 61:163–173PubMed

17.

Szebeni J, Muggia F, Gabizon A, Barenholz Y (2011) Activation of complement by therapeutic liposomes and other lipid excipient-based therapeutic products: prediction and prevention. Adv Drug Deliv Rev 63:1020–1030PubMed

18.

Piscaglia F, Bolondi L, Italian Society for Ultrasound in Medicine and Biology, Study Group on Ultrasound Contrast Agents (2006) The safety of Sonovue in abdominal applications: retrospective analysis of 23188 investigations. Ultrasound Med Biol 32:1369–1375PubMed

19.

Dietrich CF, Mathis G, Cui XW, Ignee A, Hocke M, Hirche TO (2015) Ultrasound of the pleurae and lungs. Ultrasound Med Biol 41:351–365PubMed

20.

Mathis G, Blank W, Reissig A, Lechleitner P, Reuss J, Schuler A, Beckh S (2005) Thoracic ultrasound for diagnosing pulmonary embolism: a prospective multicenter study of 352 patients. Chest 128:1531–1538PubMed

21.

Hempel D, Pfister R, Michels G (2017) Structured bedside-ultrasound in intensive care medicine. Med Klin Intensivmed Notfmed 112:741–758PubMed

22.

Horn R, Krahenbuhl G (2014) Emergency ultrasound diagnosis of the thorax for internal medicine and traumatology patients. Praxis (Bern 1994) 103:689–695

23.

Michels G, Breitkreutz R, Pfister R (2014) Value of lung ultrasound in emergency and intensive care medicine. Dtsch Med Wochenschr 139:2301–2307PubMed

24.

Wastl D, Helwig K, Dietrich CF (2015) Examination concepts and procedures in emergency ultrasonography. Med Klin Intensivmed Notfmed 110:231–239 (quiz 240–231)PubMed

25.

Bartelt S, Trenker C, Gorg C, Neesse A (2016) Contrast-enhanced ultrasound of embolic consolidations in patients with pulmonary embolism: a pilot study. J Clin Ultrasound 44:129–135PubMed

26.

Trenker C, Apitzsch JC, Pastor S, Bartelt S, Neesse A, Goerg C (2017) Detection of peripheral embolic consolidations using contrast-enhanced ultrasonography in patients with no evidence of pulmonary embolism on computed tomography: a pilot study. J Clin Ultrasound 45:575–579PubMed

27.

Trenker C, Dietrich CF, Holland A, Schulte F, Michel C, Gorg C (2021) Mediastinal masses in contrast-enhanced ultrasound—retrospective analysis of 58 cases. J Ultrasound Med 40(5):1023–1030. https://doi.org/10.1002/jum.15479CrossRefPubMed

28.

Linde HN, Holland A, Greene BH, Gorg C (2012) Contrast-enhancend sonography (CEUS) in pneumonia: typical patterns and clinical value—a retrospective study on n = 50 patients. Ultraschall Med 33:146–151PubMed

29.

Ewig S, Hoffken G, Kern WV, Rohde G, Flick H, Krause R, Ott S et al (2016) Management of adult community-acquired pneumonia and prevention—update 2016. Pneumologie 70:151–200PubMed

30.

Porter TR, Mulvagh SL, Abdelmoneim SS, Becher H, Belcik JT, Bierig M, Choy J et al (2018) Clinical applications of ultrasonic enhancing agents in echocardiography: 2018 American society of echocardiography guidelines update. J Am Soc Echocardiogr 31:241–274PubMed

31.

Jeon DS, Luo H, Iwami T, Miyamoto T, Brasch AV, Mirocha J, Naqvi TZ et al (2002) The usefulness of a 10 % air-10 % blood-80 % saline mixture for contrast echocardiography: Doppler measurement of pulmonary artery systolic pressure. J Am Coll Cardiol 39:124–129PubMed

32.

Saric M, Armour AC, Arnaout MS, Chaudhry FA, Grimm RA, Kronzon I, Landeck BF et al (2016) Guidelines for the use of echocardiography in the evaluation of a cardiac source of embolism. J Am Soc Echocardiogr 29:1–42PubMed

33.

Hagen PT, Scholz DG, Edwards WD (1984) Incidence and size of patent foramen ovale during the first 10 decades of life: an autopsy study of 965 normal hearts. Mayo Clin Proc 59:17–20PubMed

34.

Soliman OI, Geleijnse ML, Meijboom FJ, Nemes A, Kamp O, Nihoyannopoulos P, Masani N et al (2007) The use of contrast echocardiography for the detection of cardiac shunts. Eur J Echocardiogr 8:S2–12PubMed

35.

Greim CA, Trautner H, Kramer K, Zimmermann P, Apfel CC, Roewer N (2001) The detection of interatrial flow patency in awake and anesthetized patients: a comparative study using transnasal transesophageal echocardiography. Anesth Analg 92:1111–1116PubMed

36.

Koroneos A, Politis P, Malachias S, Manolis AS, Vassilakopoulos T (2007) End-inspiratory occlusion maneuver during transesophageal echocardiography for patent foramen ovale detection in intensive care unit patients. Intensive Care Med 33:1458–1462PubMed

37.

Vayre F, Lardoux H, Pezzano M, Bourdarias JP, Dubourg O (2000) Subxiphoid pericardiocentesis guided by contrast two-dimensional echocardiography in cardiac tamponade: experience of 110 consecutive patients. Eur J Echocardiogr 1:66–71PubMed

38.

Bleakley C, Smith R, Garfield B, Jackson T, Remmington C, Patel BV, Price S (2020) Contrast echocardiography in VV-ECMO-dependent patients with COVID-19. J Am Soc Echocardiogr 33(11):1419–1420PubMedPubMedCentral

39.

Jenssen C, Brkljacic B, Hocke M, Ignee A, Piscaglia F, Radzina M, Sidhu PS et al (2016) EFSUMB guidelines on interventional ultrasound (INVUS), part VI—ultrasound-guided vascular interventions. Ultraschall Med 37:473–476PubMed

40.

Catalano O, Lobianco R, Cusati B, Siani A (2005) Contrast-enhanced sonography for diagnosis of ruptured abdominal aortic aneurysm. AJR Am J Roentgenol 184:423–427PubMed

41.

Rafailidis V, Huang DY, Yusuf GT, Sidhu PS (2020) General principles and overview of vascular contrast-enhanced ultrasonography. Ultrasonography 39:22–42PubMed

42.

Rafailidis V, Partovi S, Dikkes A, Nakamoto DA, Azar N, Staub D (2018) Evolving clinical applications of contrast-enhanced ultrasound (CEUS) in the abdominal aorta. Cardiovasc Diagn Ther 8:S118–S130PubMedPubMedCentral

43.

Clevert DA, Horng A, Clevert DA, Jung EM, Sommer WH, Reiser M (2009) Contrast-enhanced ultrasound versus conventional ultrasound and MS-CT in the diagnosis of abdominal aortic dissection. Clin Hemorheol Microcirc 43:129–139PubMed

44.

Negrao de Figueiredo G, Muller-Peltzer K, Schwarze V, Rubenthaler J, Clevert DA (2019) Ultrasound and contrast enhanced ultrasound imaging in the diagnosis of acute aortic pathologies. Vasa 48:17–22PubMed

45.

Partovi S, Imfeld S, Aschwanden M, Bilecen D, Jaeger KA, Staub D (2013) The use of contrast-enhanced ultrasound (CEUS) in chronic periaortitis. Ultraschall Med 34:2–3PubMed

46.

Rafailidis V, Chryssogonidis I, Tegos T, Partovi S, Charitanti-Kouridou A, Staub D (2019) Role of multi-parametric ultrasound in transient perivascular inflammation of the carotid artery syndrome. Ultrasound 27:77–84PubMedPubMedCentral

47.

Napoli V, Bargellini I, Sardella SG, Petruzzi P, Cioni R, Vignali C, Ferrari M et al (2004) Abdominal aortic aneurysm: contrast-enhanced US for missed endoleaks after endoluminal repair. Radiology 233:217–225PubMed

48.

Rossi S, Rosa L, Ravetta V, Cascina A, Quaretti P, Azzaretti A, Scagnelli P et al (2006) Contrast-enhanced versus conventional and color Doppler sonography for the detection of thrombosis of the portal and hepatic venous systems. AJR Am J Roentgenol 186:763–773PubMed

49.

Jacobsen N, Nolsoe CP, Konge L, Graumann O, Dietrich CF, Sidhu PS, Piscaglia F et al (2020) Contrast-enhanced ultrasound: development of syllabus for core theoretical and practical competencies. Ultrasound Med Biol 46:2287–2292PubMed

50.

Dietrich CF, Dong Y, Kono Y, Caraiani C, Sirlin CB, Cui XW, Tang A (2020) LI-RADS ancillary features on contrast-enhanced ultrasonography. Ultrasonography 39:221–228PubMedPubMedCentral

51.

Dong Y, Wang WP, Mao F, Zhang Q, Yang D, Tannapfel A, Meloni MF et al (2021) Imaging features of fibrolamellar hepatocellular carcinoma with contrast-enhanced ultrasound. Ultraschall Med 42(3):306–313. https://doi.org/10.1055/a-1110-7124CrossRefPubMed

52.

Wang JY, Feng SY, Xu JW, Li J, Chu L, Cui XW, Dietrich CF (2020) Usefulness of the contrast-enhanced ultrasound liver imaging reporting and data system in diagnosing focal liver lesions by inexperienced radiologists. J Ultrasound Med 39(8):1537–1546. https://doi.org/10.1002/jum.15242CrossRefPubMed

53.

Durkin N, Deganello A, Sellars ME, Sidhu PS, Davenport M, Makin E (2016) Post-traumatic liver and splenic pseudoaneurysms in children: diagnosis, management, and follow-up screening using contrast enhanced ultrasound (CEUS). J Pediatr Surg 51:289–292PubMed

54.

Clevert DA, Kubisch C, Meimarakis G, Zengel P, Reiser M (2010) Improved visualization of carotid-jugular arteriovenous fistula by contrast-enhanced ultrasound. Ultraschall Med 31:610–612PubMed

55.

Droste DW, Jurgens R, Weber S, Tietje R, Ringelstein EB (2000) Benefit of echocontrast-enhanced transcranial color-coded duplex ultrasound in the assessment of intracranial collateral pathways. Stroke 31:920–923PubMed

56.

Clevert DA, Sommer WH, Zengel P, Helck A, Reiser M (2011) Imaging of carotid arterial diseases with contrast-enhanced ultrasound (CEUS). Eur J Radiol 80:68–76PubMed

57.

Li ZJ, Luo XH, Du LF (2015) Identification of carotid artery dissection by contrast enhanced ultrasonograph. A case report. Med Ultrason 17:564–565PubMed

58.

Ritter MA, Theismann K, Schmiedel M, Ringelstein EB, Dittrich R (2013) Vascularization of carotid plaque in recently symptomatic patients is associated with the occurrence of transcranial microembolic signals. Eur J Neurol 20:1218–1221PubMed

59.

Granata A, Zanoli L, Insalaco M, Valentino M, Pavlica P, Di Nicolo PP, Scuderi M et al (2015) Contrast-enhanced ultrasound (CEUS) in nephrology: has the time come for its widespread use? Clin Exp Nephrol 19:606–615PubMed

60.

Mohaupt MG, Arampatzis S, Atkinson N, Yi D, Cui XW, Ignee A, Dietrich CF (2016) Comments and extensions to EFSUMB guidelines on renal interventional ultrasound (INVUS). Med Ultrason 18:351–361PubMed

61.

Ignee A, Straub B, Brix D, Schuessler G, Ott M, Dietrich CF (2010) The value of contrast enhanced ultrasound (CEUS) in the characterisation of patients with renal masses. Clin Hemorheol Microcirc 46:275–290PubMed

62.

Ignee A, Straub B, Schuessler G, Dietrich CF (2010) Contrast enhanced ultrasound of renal masses. World J Radiol 2:15–31PubMedPubMedCentral

63.

Mitterberger M, Pinggera GM, Colleselli D, Bartsch G, Strasser H, Steppan I, Pallwein L et al (2008) Acute pyelonephritis: comparison of diagnosis with computed tomography and contrast-enhanced ultrasonography. BJU Int 101:341–344PubMed

64.

Amarteifio E, Weber MA, Wormsbecher S, Demirel S, Krakowski-Roosen H, Jores A, Braun S et al (2011) Dynamic contrast-enhanced ultrasound for assessment of skeletal muscle microcirculation in peripheral arterial disease. Invest Radiol 46:504–508PubMed

65.

Sun K, Zhu W, Luo Y, Li Y, Zhou X (2018) Transient segmental enhancement of pyogenic liver abscess: a comparison between contrast-enhanced ultrasound and computed tomography. J Comput Assist Tomogr 42:133–138PubMed

66.

Ignee A, Jenssen C, Cui XW, Schuessler G, Dietrich CF (2016) Intracavitary contrast-enhanced ultrasound in abscess drainage—feasibility and clinical value. Scand J Gastroenterol 51:41–47PubMed

67.

Dietrich CF, Lorentzen T, Appelbaum L, Buscarini E, Cantisani V, Correas JM, Cui XW et al (2016) EFSUMB guidelines on interventional ultrasound (INVUS), part III—abdominal treatment procedures (short version). Ultraschall Med 37:27–45PubMed

68.

69.

Kunze G, Staritz M, Kohler M (2015) Contrast-enhanced ultrasound in different stages of pyogenic liver abscess. Ultrasound Med Biol 41:952–959PubMed

70.

Ripolles T, Martinez MJ, Lopez E, Castello I, Delgado F (2010) Contrast-enhanced ultrasound in the staging of acute pancreatitis. Eur Radiol 20:2518–2523PubMed

71.

Fei Y, Li WQ (2017) Effectiveness of contrast-enhanced ultrasound for the diagnosis of acute pancreatitis: a systematic review and meta-analysis. Dig Liver Dis 49:623–629PubMed

72.

Sidhu PS, Brabrand K, Cantisani V, Correas JM, Cui XW, D’Onofrio M, Essig M et al (2015) EFSUMB guidelines on Interventional ultrasound (INVUS), part II. Diagnostic ultrasound-guided Interventional procedures (long version). Ultraschall Med 36:E15–35PubMed

73.

Sidhu PS, Brabrand K, Cantisani V, Correas JM, Cui XW, D’Onofrio M, Essig M et al (2015) EFSUMB guidelines on interventional ultrasound (INVUS), part II. Diagnostic ultrasound-guided Interventional procedures (short version). Ultraschall Med 36:566–580PubMed

74.

Cui XW, Ignee A, Maros T, Straub B, Wen JG, Dietrich CF (2016) Feasibility and usefulness of intra-cavitary contrast-enhanced ultrasound in percutaneous nephrostomy. Ultrasound Med Biol 42(9):2180–2188. https://doi.org/10.1016/j.ultrasmedbio.2016.04.015CrossRefPubMed

75.

Ignee A, Baum U, Schuessler G, Dietrich CF (2009) Contrast-enhanced ultrasound-guided percutaneous cholangiography and cholangiodrainage (CEUS-PTCD). Endoscopy 41:725–726PubMed

76.

Jaspers N, Holzapfel B, Kasper P (2019) Abdominal ultrasound in emergency and critical care medicine. Med Klin Intensivmed Notfmed 114:509–518PubMed

77.

Lorentzen T, Nolsoe CP, Ewertsen C, Nielsen MB, Leen E, Havre RF, Gritzmann N et al (2015) EFSUMB guidelines on interventional ultrasound (INVUS), part I. General aspects (long version). Ultraschall Med 36:E1–14PubMed

78.

Lorentzen T, Nolsoe CP, Ewertsen C, Nielsen MB, Leen E, Havre RF, Gritzmann N et al (2015) EFSUMB guidelines on interventional ultrasound (INVUS), part I. General aspects (short version). Ultraschall Med 36:464–472PubMed

79.

Dietrich CF (2015on) EFSUMB guidelines 2015 on interventional ultrasound. Med Ultrason 17:521–527PubMed

80.

von Herbay A, Barreiros AP, Ignee A, Westendorff J, Gregor M, Galle PR, Dietrich C (2009) Contrast-enhanced ultrasonography with SonoVue: differentiation between benign and malignant lesions of the spleen. J Ultrasound Med 28:421–434

81.

Piscaglia F, Nolsoe C, Dietrich CF, Cosgrove DO, Gilja OH, Bachmann NM, Albrecht T et al (2012) The EFSUMB guidelines and recommendations on the clinical practice of contrast enhanced ultrasound (CEUS): update 2011 on non-hepatic applications. Ultraschall Med 33:33–59PubMed

82.

Dietrich CF, Sahai A, D’Onofrio M, Will U, Arciadacono P, Petrone MC, Hocke M et al (2016) Differential diagnosis of small solid pancreatic lesions. Gastrointest Endosc. https://doi.org/10.1016/j.gie.2016.04.034CrossRefPubMedPubMedCentral

83.

Faccioli N, Dietrich CF, Foti G, Santi E, Comai A, D’Onofrio M (2019) Activity-based cost analysis of including contrast-enhanced ultrasound (CEUS) in the diagnostic pathway of focal pancreatic lesions detected by abdominal ultrasound. Ultraschall Med 40:618–624PubMed

84.

85.

Hollerweger A, Maconi G, Ripolles T, Nylund K, Higginson A, Serra C, Dietrich CF et al (2020) Gastrointestinal ultrasound (GIUS) in intestinal emergencies—an EFSUMB position paper. Ultraschall Med 41(06):646–657PubMed

86.

Dietrich CF, Hollerweger A, Dirks K, Higginson A, Serra C, Calabrese E, Dong Y et al (2019) EFSUMB gastrointestinal ultrasound (GIUS) task force group: celiac sprue and other rare gastrointestinal diseases ultrasound features. Med Ultrason 21:299–315PubMed

87.

Dirks K, Calabrese E, Dietrich CF, Gilja OH, Hausken T, Higginson A, Hollerweger A et al (2019) EFSUMB position paper: recommendations for gastrointestinal ultrasound (GIUS) in acute appendicitis and diverticulitis. Ultraschall Med 40:163–175PubMed

88.

Maconi G, Nylund K, Ripolles T, Calabrese E, Dirks K, Dietrich CF, Hollerweger A et al (2018) EFSUMB recommendations and clinical guidelines for intestinal ultrasound (GIUS) in inflammatory bowel diseases. Ultraschall Med 39:304–317PubMed

89.

Atkinson NS, Bryant RV, Dong Y, Maaser C, Kucharzik T, Maconi G, Asthana AK et al (2016) WFUMB position paper. Learning gastrointestinal ultrasound: theory and practice. Ultrasound Med Biol 42:2732–2742PubMed

Titel: Standardisierte Kontrastmittelsonographie (CEUS) in der klinischen Akut- und Notfallmedizin sowie Intensivmedizin (CEUS Akut)
Konsensuspapier der DGIIN, DIVI, DGINA, DGAI, DGK, ÖGUM, SGUM und DEGUM
verfasst von: Prof. Dr. med. Guido Michels
Rudolf Horn
Andreas Helfen
Andreas Hagendorff
Christian Jung
Beatrice Hoffmann
Natalie Jaspers
Horst Kinkel
Clemens-Alexander Greim
Fabian Knebel
Johann Bauersachs
Hans-Jörg Busch
Daniel Kiefl
Alexander O. Spiel
Gernot Marx
Prof. Dr. med. Christoph F. Dietrich
Publikationsdatum: 10.01.2022
Verlag: Springer Medizin
Schlagwörter: Notfallmedizin
Ultraschall
Pflege
Ultraschall
Erschienen in: Medizinische Klinik - Intensivmedizin und Notfallmedizin / Ausgabe Sonderheft 1/2022
Print ISSN: 2193-6218
Elektronische ISSN: 2193-6226
DOI: https://doi.org/10.1007/s00063-021-00891-4

Neu im Fachgebiet AINS

18.04.2024 | Wirbelsäulenmetastase | Nachrichten

Update AINS

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

hier abonnieren

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Standardisierte Kontrastmittelsonographie (CEUS) in der klinischen Akut- und Notfallmedizin sowie Intensivmedizin (CEUS Akut)

Konsensuspapier der DGIIN, DIVI, DGINA, DGAI, DGK, ÖGUM, SGUM und DEGUM

Zusammenfassung

Neu im Fachgebiet AINS

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

Hochrisiko-Eingriffe für postoperative Übelkeit

Diclofenac-Gel versus Ibuprofen bei akuten Rückenschmerzen

Update AINS

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Zusammenfassung

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Neu im Fachgebiet AINS

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

Hochrisiko-Eingriffe für postoperative Übelkeit

Diclofenac-Gel versus Ibuprofen bei akuten Rückenschmerzen

Update AINS