Diagnostic accuracy of pubic symphysis ultrasound in the detection of unstable pelvis in polytrauma patients during e-FAST: the value of FAST–PLUS protocol. A preliminary experience

Ianniello, Stefania; Conte, Paola; Serafino, Marco Di; Miele, Vittorio; Trinci, Margherita; Vallone, Gianfranco; Galluzzo, Michele

doi:10.1007/s40477-020-00483-6

Cited by 11 publications

(13 citation statements)

References 18 publications

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“…The pericardium must not be visualized under physiological conditions, and in the case of any pathological condition, a fluid collection will be observed in the pericardium (Ianniello et al, 2021).…”

Section: • Ultrasound Windows • Pericardial Windowmentioning

confidence: 99%

Focused Evaluation With Ultrasound in Thoracoabdominal Trauma

González¹,

Jácome²,

Crespo³

et al. 2023

JHS

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Introduction:The FAST protocol (Focused Assessment with Sonography for trauma), is called a focused assessment protocol with ultrasound for trauma, it is recommended by the international panel of advanced life support for trauma (ATLS) in the resuscitation of patients with open trauma and/or closed chest or abdomen, the patient's stability is not a limitation of said protocol, and it can be applied to both hemodynamically stable and unstable patients, applicable to thoracoabdominal trauma. Goal: to identify the sonographic criteria in the evaluation focused with ultrasound in thoracoabdominal trauma, through the analysis of scientific articles on evidence-based medicine, for timely care in daily medical practice. Methodology: Descriptive study, based on a systematic bibliographic review, the analysis of scientific articles from various evidencebased medicine journals with a high impact on health (Pubmed, Scopus, Cochrane, Springer, etc.) was carried out; of the last 5 years in progress, and literature of surgery and trauma, with the processing of scientific information in Mendeley. Conclusion: Because the effectiveness of the FAST protocol is operator dependent, it is important that all health personnel in the prehospital and hospital settings, directly related to the emergency service, know and adequately identify the sonographic patterns or criteria in the evaluation focused on ultrasound. for thoracoabdominal trauma, in order to obtain better sensitivity and specificity of the radiological study and make appropriate and early decisions to reduce patient morbidity and mortality.

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Section: • Ultrasound Windows • Pericardial Windowmentioning

confidence: 99%

Focused Evaluation With Ultrasound in Thoracoabdominal Trauma

González¹,

Jácome²,

Crespo³

et al. 2023

JHS

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“…In the case of pelvic trauma, e-FAST has a low sensitivity in the evaluation of possible retroperitoneal hemorrhage [ 30 , 31 ]. However, it helps to determine potential symphyseal diastasis, showing a high correlation with computed tomography (CT) measurements [ 32 , 33 ].…”

Section: Imaging Evaluationmentioning

confidence: 99%

Imaging Review of Pelvic Ring Fractures and Its Complications in High-Energy Trauma

et al. 2022

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Pelvic ring fractures are common in high-energy blunt trauma, especially in traffic accidents. These types of injuries have a high rate of morbidity and mortality, due to the common instability of the fractures, and the associated intrapelvic vascular and visceral complications. Computed tomography (CT) is the gold standard technique in the evaluation of pelvic trauma because it can quickly and accurately identify pelvic ring fractures, intrapelvic active bleeding, and lesions of other body systems. To properly guide the multidisciplinary management of the polytrauma patient, a classification criterion is mandatory. In this review, we decided to focus on the Young and Burgess classification, because it combines the mechanism and the stability of the fractures, helping to accurately identify injuries and related complications.

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“…It consists in putting a load on one limb, while the other one makes simultaneous flexion of the knee and hip joints. Vertical displacement of the pubic bones in relation to each other by 1 cm indicates instability of the juncture, and values above 2 cm indicate an additional component of instability of the sacroiliac joints [ 38 ].…”

Section: Imagingmentioning

confidence: 99%

“…The small thickness of the soft tissues and short distance between the ultrasound head and the symphysis guarantees good image quality and enables precise measurements [ 37 ]. Advantages of these kinds of study include: non-invasiveness, safety, economy, and also the possibility of further control in the clinical setting [ 37 , 38 ]. In complicated cases of symphysis separation, when there is difficulty in diagnosis using conventional diagnostics (X-ray, ultrasound), computed tomography should be used (CT) and/or magnetic resonance imaging (MRI).…”

Section: Imagingmentioning

confidence: 99%

Peripartum Pubic Symphysis Diastasis—Practical Guidelines

Stolarczyk

Stępiński

Sasinowski

et al. 2021

JCM

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Optimal development of a fetus is made possible due to a lot of adaptive changes in the woman’s body. Some of the most important modifications occur in the musculoskeletal system. At the time of childbirth, natural widening of the pubic symphysis and the sacroiliac joints occur. Those changes are often reversible after childbirth. Peripartum pubic symphysis separation is a relatively rare disease and there is no homogeneous approach to treatment. The paper presents the current standards of diagnosis and treatment of pubic diastasis based on orthopedic and gynecological indications.

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Diagnostic accuracy of pubic symphysis ultrasound in the detection of unstable pelvis in polytrauma patients during e-FAST: the value of FAST–PLUS protocol. A preliminary experience

Cited by 11 publications

References 18 publications

Focused Evaluation With Ultrasound in Thoracoabdominal Trauma

Focused Evaluation With Ultrasound in Thoracoabdominal Trauma

Imaging Review of Pelvic Ring Fractures and Its Complications in High-Energy Trauma

Peripartum Pubic Symphysis Diastasis—Practical Guidelines

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