Ventilation-perfusion imaging in evaluating regional lung function in nonpenetrating injury to the chest

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dc.contributor.authorVan Eden S.F.
dc.contributor.authorKlopper J.F.
dc.contributor.authorAlheit B.
dc.contributor.authorBardin P.G.
dc.date.accessioned2011-05-15T16:16:01Z
dc.date.available2011-05-15T16:16:01Z
dc.date.issued1989
dc.description.abstractThe extent of chest wall and lung injury after nonpenetrating injury to the chest (NIC) determine how aggressive and invasive management modalities should be. We investigated the value of ventilation (133Xe) and perfusion (99mTc) studies as indicators of extent of lung injury in 28 patients with moderate to severe unilateral NIC. The ventilation-perfusion (V̇/Q̇) abnormalities were compared with parameters conventionally used to evaluate NIC. All studies were carried out within 24 h of NIC and repeated 24 h later. Ventilation (p < 0.001) and perfusion (p < 0.01) abnormalities were more extensive soon after NIC than suggested by chest roentgenograms. Chest x-ray film changes lagged behind V̇/Q̇ changes on admission and also after 24 h. The extent of ventilation, perfusion, and chest x-ray film abnormalities on admission were all predictors of increased morbidity. V̇/Q̇ studies may be useful to define the extent as well as the changes in regional lung function following NIC.
dc.description.versionArticle
dc.identifier.citationChest
dc.identifier.citation95
dc.identifier.citation3
dc.identifier.issn00123692
dc.identifier.urihttp://hdl.handle.net/10019.1/13597
dc.subjectradioisotope
dc.subjectadult
dc.subjectclinical article
dc.subjecthuman
dc.subjectlung function
dc.subjectlung ventilation perfusion ratio
dc.subjectpriority journal
dc.subjectthorax injury
dc.subjectAdult
dc.subjectFemale
dc.subjectHuman
dc.subjectIntensive Care Units
dc.subjectLung
dc.subjectMale
dc.subjectMiddle Age
dc.subjectPrognosis
dc.subjectSeverity of Illness Index
dc.subjectSupport, Non-U.S. Gov't
dc.subjectThoracic Injuries
dc.subjectVentilation-Perfusion Ratio
dc.subjectWounds, Nonpenetrating
dc.titleVentilation-perfusion imaging in evaluating regional lung function in nonpenetrating injury to the chest
dc.typeArticle
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