Portable computed tomography performed on the intensive care unit.
OBJECTIVE
We report on the use of portable computed tomography (CT) in an ICU setting. The additional diagnostic gain and therapeutic consequences were assessed.


METHODS
Ten ICU patients underwent 14 portable chest CT examinations. In 64% maximum intensive care was required, according to TISS28 (>40), and 42% were at a risk of mortality higher than 25% (MODS) on the day of portable CT examination. In three portable CT examinations the patients were considered not transportable and were examined directly in the patient room. All other examinations were performed in a special interventional suite directly on the ICU.


RESULTS
Of 14 examinations 8 (57%) resulted in a change in patient management within 48 h. All patients profited from portable CT and no hazards occurred related to CT.


CONCLUSIONS
To perform portable CT in the interventional suite on the ICU allows immediate minimally invasive therapeutic interventions and provides full ICU monitoring.
Teichgräber
Ulf K M
UK
Department of Radiology, Charité Campus, Virchow Klinikum, Humboldt University, Augustenburgerplatz 1, 13353 Berlin, Germany. ulf.teichgraeber@charitie.de
Pinkernelle
Jens
J
Jürgensen
Jan-Steffen
JS
Ricke
Jens
J
Kaisers
Udo
U
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004867:Equipment Design; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D019095:Point-of-Care Systems; D013902:Radiography, Thoracic; D014057:Tomography, X-Ray Computed / Q000295:instrumentation*