AJR. American journal of roentgenology
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Nosocomial (i.e., originating or taking place in a hospital) pneumonia is the leading cause of death from acquired nosocomial infections. The estimated prevalence of nosocomial pneumonia in intensive care units ranges from 10% to 65%, with fatality rates of 13-55%. ⋯ Recent investigations have provided new insights into the pathogenesis of VAP, and improved techniques have been developed for its diagnosis. Most important, emerging clinical data now suggest that new management strategies for VAP, including more specific indications for antimicrobial use, may significantly improve patients' outcomes.
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AJR Am J Roentgenol · Nov 1994
Rotational injury of cervical facets: CT analysis of fracture patterns with implications for management and neurologic outcome.
Imaging studies of patients with rotational facet injuries of the cervical spine were retrospectively reviewed to determine the prevalence and pattern of associated fractures, to correlate injury pattern with recommended surgical stabilization, and to assess neurologic outcome. ⋯ Cervical rotational facet injuries are often accompanied by facet fractures and bilateral damage of the rotated vertebra. These injuries contribute to rotational instability and require specific internal fixation based on a precise delineation of all injuries. Facet dislocations without fractures have a significantly higher association with cord syndromes than do rotational facet injuries with fractures. CT, particularly with parasagittal reformations, is valuable in identifying all injuries of the rotated and subjacent vertebrae.