Application of Focused Assessment with Sonography for Trauma in the Intensive Care Unit

Thiessen, Molly E.W.; Riscinti, Matthew

doi:10.1016/j.ccm.2022.05.004

Cited by 4 publications

(7 citation statements)

References 31 publications

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“…65 The 1999 international consensus that coined the term FAST recommended that it be utilized in hemodynamically unstable patients with those exhibiting positive exams undergoing immediate exploratory laparotomy. 66 The FAST exam has subsequently evolved to the extended-FAST or E-FAST exam that includes additional thoracic images to rule out PTX. The abdominal and pelvic portions of the exam are focused along the right upper quadrant, left upper quadrant, and pelvis.…”

Section: Cardiac Pocusmentioning

confidence: 99%

“…68 Because it is less sensitive, it's important that the exam is repeated to ensure that an initially negative exam is indeed negative since a negative FAST does not definitively rule out hemoperitoneum. 66 Despite its decreased sensitivity, the specificity of the exam offers lifesaving benefits without hemodynamically unstable patients required to undergo imaging before definitive operative intervention.…”

Section: Cardiac Pocusmentioning

confidence: 99%

“…Rozycki et al recommended the exam in all blunt abdominal trauma patients to assess for intraperitoneal fluid as this exam offered more utility than the invasive diagnostic peritoneal lavage used at the time 65 . The 1999 international consensus that coined the term FAST recommended that it be utilized in hemodynamically unstable patients with those exhibiting positive exams undergoing immediate exploratory laparotomy 66 …”

Section: Point-of-care-ultrasoundmentioning

confidence: 99%

“…Studies have demonstrated that the smallest volume of fluid visualized on FAST was 225 mL, with 85% of sonographers identifying 850 mL of fluid present and fewer than 10% able to detect fluid less than 400 mL 68 . Because it is less sensitive, it’s important that the exam is repeated to ensure that an initially negative exam is indeed negative since a negative FAST does not definitively rule out hemoperitoneum 66 . Despite its decreased sensitivity, the specificity of the exam offers lifesaving benefits without hemodynamically unstable patients required to undergo imaging before definitive operative intervention.…”

Section: Point-of-care-ultrasoundmentioning

confidence: 99%

See 3 more Smart Citations

Regional anesthesia and POCUS in the intensive care unit

Weber,

Rubin,

Baratta

2023

International Anesthesiology Clinics

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Section: Cardiac Pocusmentioning

confidence: 99%

Section: Cardiac Pocusmentioning

confidence: 99%

Section: Point-of-care-ultrasoundmentioning

confidence: 99%

Section: Point-of-care-ultrasoundmentioning

confidence: 99%

See 2 more Smart Citations

Regional anesthesia and POCUS in the intensive care unit

Weber,

Rubin,

Baratta

2023

International Anesthesiology Clinics

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“…The Extended Focused Assessment with Sonography in Trauma (E‐FAST) exam is a common practice in the initial assessment of trauma patients 6 . E‐FAST is a rapid ultrasound examination used to screen for pericardial, abdominal free fluid, and thoracic injuries 2,7–9 . It allows clinicians to diagnose significant trauma at the bedside quickly and without ionizing radiation 7 .…”

Section: Introductionmentioning

confidence: 99%

Automated detection and segmentation of pleural effusion on ultrasound images using an Attention U‐net

Huang,

Lin,

Cao

et al. 2023

J Applied Clin Med Phys

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BackgroundUltrasonic for detecting and evaluating pleural effusion is an essential part of the Extended Focused Assessment with Sonography in Trauma (E‐FAST) in emergencies. Our study aimed to develop an Artificial Intelligence (AI) diagnostic model that automatically identifies and segments pleural effusion areas on ultrasonography.MethodsAn Attention U‐net and a U‐net model were used to detect and segment pleural effusion on ultrasound images of 848 subjects through fully supervised learning. Sensitivity, specificity, precision, accuracy, F1 score, the receiver operating characteristic (ROC) curve, and the area under the curve (AUC) were used to assess the model's effectiveness in classifying the data. The dice coefficient was used to evaluate the segmentation performance of the model.ResultsIn 10 random tests, the Attention U‐net and U‐net ’s average sensitivity of 97% demonstrated that the pleural effusion was well detectable. The Attention U‐net performed better at identifying negative images than the U‐net, which had an average specificity of 91% compared to 86% for the U‐net. Additionally, the Attention U‐net was more accurate in predicting the pleural effusion region because its average dice coefficient was 0.86 as opposed to the U‐net's average dice coefficient of 0.82.ConclusionsThe Attention U‐net showed excellent performance in detecting and segmenting pleural effusion on ultrasonic images, which is expected to enhance the operation and application of E‐FAST in clinical work.

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Traumatic segmental renal infarction due to renal apical artery thrombosis by minor blunt abdominal trauma: the role of CEUS

Comune,

Grassi,

Tamburrini

et al. 2023

J Ultrasound

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Post-traumatic segmental renal infarction is an extremely rare event, especially in case of minor blunt abdominal trauma. While major trauma guidelines are well established, several problems account for the adequate management of minor trauma. Herein, we report a case of minor blunt abdominal trauma determining traumatic thrombosis of the apical renal artery and segmental renal infarction, firstly diagnosed by CEUS in emergency care setting.

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Application of Focused Assessment with Sonography for Trauma in the Intensive Care Unit

Cited by 4 publications

References 31 publications

Regional anesthesia and POCUS in the intensive care unit

Regional anesthesia and POCUS in the intensive care unit

Automated detection and segmentation of pleural effusion on ultrasound images using an Attention U‐net

Traumatic segmental renal infarction due to renal apical artery thrombosis by minor blunt abdominal trauma: the role of CEUS

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