Debunking a mythology: Atelectasis is not a cause of postoperative fever

IF 1.8 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Clinical Imaging Pub Date : 2024-11-17 DOI:10.1016/j.clinimag.2024.110358
Hadassah Stein , John Denning , Huma Ahmed , Michael A. Bruno , Marc Gosselin , Jinel Scott , Stephen Waite
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Abstract

Most physicians appreciate that practicing medicine is a commitment to continuous learning. However, “learning” can be mistakenly understood as simply the acquisition of facts and new knowledge. But learning also necessitates the constant re-examination and challenging of one's existing body of knowledge, as misinformation persists when one's beliefs are not challenged or questioned in the light of new information. One example is the pervasive belief that postoperative atelectasis causes fever despite ample evidence to the contrary. Herein we examine the imaging characteristics of atelectasis, and the means of differentiation of atelectasis from consolidation. We also explore the history of this persistent myth and review the existing literature on the actual causes of postoperative fever.
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揭穿神话:气胸不是术后发烧的原因。
大多数医生都明白,行医就是不断学习的承诺。然而,"学习 "可能被错误地理解为仅仅是获取事实和新知识。但是,学习也需要不断重新审视和挑战自己现有的知识体系,因为如果不根据新信息对自己的信念提出挑战或质疑,错误信息就会持续存在。其中一个例子是,尽管有大量证据表明术后气胸会导致发热,但人们普遍认为气胸会导致发热。在此,我们研究了肺不张的影像学特征,以及区分肺不张和肺凝固的方法。我们还探讨了这一顽固说法的历史,并回顾了有关术后发热实际原因的现有文献。
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来源期刊
Clinical Imaging
Clinical Imaging 医学-核医学
CiteScore
4.60
自引率
0.00%
发文量
265
审稿时长
35 days
期刊介绍: The mission of Clinical Imaging is to publish, in a timely manner, the very best radiology research from the United States and around the world with special attention to the impact of medical imaging on patient care. The journal''s publications cover all imaging modalities, radiology issues related to patients, policy and practice improvements, and clinically-oriented imaging physics and informatics. The journal is a valuable resource for practicing radiologists, radiologists-in-training and other clinicians with an interest in imaging. Papers are carefully peer-reviewed and selected by our experienced subject editors who are leading experts spanning the range of imaging sub-specialties, which include: -Body Imaging- Breast Imaging- Cardiothoracic Imaging- Imaging Physics and Informatics- Molecular Imaging and Nuclear Medicine- Musculoskeletal and Emergency Imaging- Neuroradiology- Practice, Policy & Education- Pediatric Imaging- Vascular and Interventional Radiology
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