Bedside ultrasound in decision making for emergency surgery: Its role in medical intensive care patients

Lerch, Markus M.; Riehl, J; Buechsel, Reinhard; Kierdorf, Horst; Winkeltau, G.; Matern, Siegfried

doi:10.1016/0735-6757(92)90122-e

Cited by 21 publications

(15 citation statements)

References 21 publications

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“…The superiority of ultrasonography examination was evident in the strangulation group, a finding also reported by others (2,12,18,19).…”

Section: Discussionsupporting

confidence: 84%

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Conventional Radiography and Ultrasonography in the Diagnosis of Small Bowel Obstruction and Strangulation

Czechowski

1996

Acta Radiol

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Ninety-six patients, 45 men and 51 women (mean age 39 years, range 13- 90 years), with clinically acute abdomen were examined by conventional abdominal radiography and ultrasonography during a period of one year. Ultrasonography was performed with a linear transducer, which permitted study of morphology and motility of small bowel loops: distention, paralysis, intramural thickening, and extraluminal fluid. Nineteen cases of mechanical obstruction (9 simple and 10 of strangulation type) were observed. In the strangulation group ultrasonographic findings were positive in 91% whereas conventional radiography solely was positive in 30%. In the simple obstruction, 89% and 78%, respectively, were correctly diagnosed by the 2 techniques. Ultrasonography is recommended as a routine examination beside conventional abdominal films in acute abdomen.

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“…The superiority of ultrasonography examination was evident in the strangulation group, a finding also reported by others (2,12,18,19).…”

Section: Discussionsupporting

confidence: 84%

“…Clinical signs and symptoms of the disturbances are not characteristic enough to make the diagnosis of strangulation in an early stage. Laboratory tests (9) are used in differentiating necrotic from viable bowel, but the practical usefulness of these has been questioned (12,16).…”

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confidence: 99%

Conventional Radiography and Ultrasonography in the Diagnosis of Small Bowel Obstruction and Strangulation

Czechowski

1996

Acta Radiol

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“…[9,10] Studies in adult population showed diagnostic accuracy of ultrasound to be between 25-34.7%. [1][2][3] This higher diagnostic yield in pediatric population is attributed to their thinner abdominal wall and use of higher frequency probes (>5 MHz). In our study ultrasonographic examination was misleading in two patients.…”

Section: Discussionmentioning

confidence: 99%

“…It can be done as a bedside investigation. [2][3][4][5] The purpose of this study was to evaluate the role of sonography in the diagnostic work-up of children with acute abdomen in the emergency set-up and also its role in making decision regarding surgery.…”

Section: Introductionmentioning

confidence: 99%

Role of ultrasonography in the evaluation of children with acute abdomen in the emergency set-up

Aviral¹,

Chana²,

Ahmad³

2005

J Indian Assoc Pediatr Surg

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Role of ultrasonography in the evaluation of children with acute abdomen Role of ultrasonography in the evaluation of children with acute abdomen Role of ultrasonography in the evaluation of children with acute abdomen Role of ultrasonography in the evaluation of children with acute abdomen Role of ultrasonography in the evaluation of children with acute abdomen in the emergency set-up in the emergency set-up in the emergency set-up in the emergency set-up in the emergency set-up Results: The accuracy of correct diagnosis was 60%, 66.6%, 64%, 98.7% with clinical examination alone, USG alone, clinical examination combined with conventional radiography, and clinical evaluation combined with conventional radiography and USG respectively. USG helped to prevent unnecessary laparotomy in 16.3% of patients. Conclusions: USG is good investigative modality in the management of acute abdomen in children.

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“…Validity of different imaging modalities has been assessed for cystic (Lee et al, 2015;Maimone et al, 2010) and solid lesions (Tummala, Junaidi, & Agarwal, 2011;Vukobrat-Bijedic et al, 2014) of the pancreas but there is still a lack of studies comparing the morphology and size of the anatomic segments of the pancreas, particularly for US. Due to advances in US technology and improved imaging quality this technique becomes more relevant for diagnostic and therapeutic strategies (Engjom et al, 2017;Lerch et al, 1992;Poza-Cordon & Ripolles-Gonzalez, 2014;Sun et al, 2017). Therefore, a comparison with high resolution imaging methods such as CT or MRI with US is justified.…”

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confidence: 99%

Comparability of size measurements of the pancreas in magnetic resonance imaging and transabdominal ultrasound

et al. 2020

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Introduction Transabdominal ultrasound (US) and magnetic resonance imaging (MRI) are commonly used for the examination of the pancreas in clinical routine. We therefore were interested in the concordance of these two imaging methods for the size measurement of the pancreas and how age, gender, and body mass index (BMI) affect the organ size. Methods A total of 342 participants from the Study of Health in Pomerania underwent whole‐body MRI and transabdominal US on the same day, and the diameter of the pancreatic head, body, and tail were measured. The agreement between US and MRI measurements was assessed by Bland and Altman plots. Intraclass correlation coefficients were used to compare observers. A multivariable regression model was applied using the independent variables age, gender, and body mass index. Results Compared to MRI, abdominal US returned smaller values for each segment of the pancreas, with a high level of inconsistency between these two methods. The mean difference was 0.39, 0.18, and 0.54 cm for the head, body, and tail, respectively. A high interobserver variability was detected for US. Multivariable analysis showed that pancreatic size in all three segments increased with BMI in both genders whereas pancreatic head and tail size decreased with age, an effect more marked in women. Conclusions Agreement of pancreatic size measurements is poor between US and MRI. These limitations should be considered when evaluating morphologic features for pathologic conditions or setting limits of normal size. Adjustments for BMI, gender, and age may also be warranted.

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Bedside ultrasound in decision making for emergency surgery: Its role in medical intensive care patients

Cited by 21 publications

References 21 publications

Conventional Radiography and Ultrasonography in the Diagnosis of Small Bowel Obstruction and Strangulation

Conventional Radiography and Ultrasonography in the Diagnosis of Small Bowel Obstruction and Strangulation

Role of ultrasonography in the evaluation of children with acute abdomen in the emergency set-up

Comparability of size measurements of the pancreas in magnetic resonance imaging and transabdominal ultrasound

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