Diagnostic performance of trauma US in identifying abdominal or pelvic free fluid and serious abdominal or pelvic injury

Nunes, Linda White; Simmons, Salmi; Hallowell, Michael J.; Kinback, Rita; Trooskin, Stanley Z.; Kozar, Rosemary A.

doi:10.1016/s1076-6332(01)90057-1

Cited by 56 publications

(28 citation statements)

References 25 publications

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“…Furthermore obese patients and patients with excessive bowel gas, as our report suggests, find little advantage in ultrasound examination. Moreover although abdominal ultrasound seems to provide adequate accuracy in detecting intra-abdominal fluid, some reports emphasise the lower sensitivity in visualising organ injuries and also the fact that the presence or the amount of haemoperitoneum does not predict the severity of such injuries [9,21,22,24,25]. More specific spinal and pelvic fractures, diaphragmatic ruptures, pancreatic or adrenal injuries, vascular injuries and finally bowel and mesenteric lacerations may well be under-diagnosed or not even visualised [17].…”

Section: Discussionmentioning

confidence: 99%

Findings and limitations of focused ultrasound as a possible screening test in stable adult patients with blunt abdominal trauma: a Greek study

et al. 2009

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Our objective is to underline the place of FAST (focus assessment by sonography for trauma) ultrasonography (US) in the investigation of blunt abdominal trauma. We retrospectively examined the ultrasound findings in 1,999 haemodynamically stable adult patients. These people were admitted to the emergency room (ER) for possible blunt abdominal trauma. All were stable at admission and a FAST ultrasound examination was made. Initial findings were compared with the clinical course after at least 24 h of observation time and CT results. Among the 1,999 US examinations, abnormalities were found in 109 (5.5%) cases. Among them, 102 had free peritoneal fluid, and in 58 examinations, ruptures, lacerations or haematomas were demonstrated. Despite its limitations, such as in cases involving uncooperative patients, excessive bowel gas, obesity and empty bladder, the FAST technique seems to be an accurate method to evaluate the possibility of abdominal blunt trauma in stable patients. Because of the high negative predictive value of the FAST technique in stable patients with blunt abdominal trauma, we recommend that a stable patient with negative ultrasound results at admission remain under close observation for at least 12 or preferably 24 h before being discharged.

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Section: Discussionmentioning

confidence: 99%

Findings and limitations of focused ultrasound as a possible screening test in stable adult patients with blunt abdominal trauma: a Greek study

et al. 2009

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“…Performing serial examinations, evaluating for solid organ injuries, and incorporating the FAST examination into treatment algorithms all have been suggested as means of increasing its clinical utility. Performing serial examinations has been suggested to increase the sensitivity of the FAST examination (13). Including an evaluation of the solid organs also has been shown to increase the sensitivity of the FAST examination (4,6).…”

Section: Discussionmentioning

confidence: 99%

Clinical Predictors of Injuries Not Identified by Focused Abdominal Sonogram for Trauma (FAST) Examinations

Hoffman

Pierce

Puumala

2009

The Journal of Emergency Medicine

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“…14 It has been suggested that serial FAST examination reduces the incidence of missed injuries with ongoing hemorrhage. 9,12,19,20 Despite this, no accepted protocol has been validated to define indications and frequencies of serial FAST. 9,14,16,19 Traumatic diaphragmatic injury can be a difficult diagnosis, producing confusing radiographic and clinical findings.…”

Section: Discussionmentioning

confidence: 99%

Massive Haemorrhage From Hepatic Laceration With Diaphragmatic Laceration: A Potential Limitation of the FAST Examination: Case Report

Ryan

Stella²

2004

The Journal of Trauma: Injury, Infection, and Critical Care

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This report describes the case of a multitrauma patient who had life-threatening intraabdominal hemorrhage with a diaphragmatic laceration. This hemorrhage remained undetected by serial focus assessment with sonography for trauma (FAST) examination. The potential for intraabdominal blood to move through a diaphragmatic laceration to the pleural space may limit the development of hemoperitoneum, rendering the FAST examination misleading or producing a false-negative result. The use of the FAST examination is discussed along with its advantages and limitations.

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Diagnostic performance of trauma US in identifying abdominal or pelvic free fluid and serious abdominal or pelvic injury

Cited by 56 publications

References 25 publications

Findings and limitations of focused ultrasound as a possible screening test in stable adult patients with blunt abdominal trauma: a Greek study

Findings and limitations of focused ultrasound as a possible screening test in stable adult patients with blunt abdominal trauma: a Greek study

Clinical Predictors of Injuries Not Identified by Focused Abdominal Sonogram for Trauma (FAST) Examinations

Massive Haemorrhage From Hepatic Laceration With Diaphragmatic Laceration: A Potential Limitation of the FAST Examination: Case Report

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