Primäre bildgebende Diagnostik von polytraumatisierten Patienten mittels Spiralcomputertomographie

Siegmann, S.

doi:10.1007/s100390000340

Cited by 4 publications

(5 citation statements)

References 70 publications

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“…Computed tomography has been shown to be a reliable method in diagnosing intraabdominal injuries (20,21). Sensitivity and specificity of MSCT are reported with 95,1% and 99,9% respectively (22). Comparing ultrasound and CT in patients with abdominal trauma showed that computed tomography revealed additional relevant information in 43% of cases (23).…”

Section: Abdominal Lesionsmentioning

confidence: 96%

“…WILLMANN et al reported that 16/22 patients with active bleeding on MSCT images underwent immediate surgical or angiographic intervention (24). Other authors, however, pointed out that the additional information, gained by the CT examination had not always a clinical relevance for what concerned the further management (conservative vs. operative) (22). Also, the value of CT based injury-grading systems for predicting the outcome of conservative treatment remains unproven (19,25).…”

Section: Abdominal Lesionsmentioning

confidence: 96%

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The Benefit of Multislice CT in the Emergency Room Management of Polytraumatized Patients

Hessmann

Hofmann

Kreitner

et al. 2006

Acta Chirurgica Belgica

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The early treatment of polytraumatized patients needs an effective and standardized approach. Reducing time requirements for the primary diagnostic evaluation is a major concern in the early phase of polytrauma management. Multislice-CT (MSCT) is a quick and reliable method for the initial diagnostic evaluation. Computed tomography provides more detailed and more consistent information than conventional radiography. It has the great advantage of allowing rapid examination of the head, vertebral column, chest, abdomen and pelvis during one single examination. The CT-suite needs to be adequately equipped for resuscitation and reanimation, which is done parallel to the radiological investigations. Since polytrauma management is based on a multidisciplinary approach characterized by a coordinated interaction between trauma surgeons, anaesthesiologists and radiologists, members of all involved disciplines need adequate teaching. Guidelines and algorithms contribute to optimize the early management.

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Section: Abdominal Lesionsmentioning

confidence: 96%

Section: Abdominal Lesionsmentioning

confidence: 96%

The Benefit of Multislice CT in the Emergency Room Management of Polytraumatized Patients

Hessmann

Hofmann

Kreitner

et al. 2006

Acta Chirurgica Belgica

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“…In 41% of cases, the additional CT findings did affect the treatment strategy ( Figure 3). Siegmann et al [22] replaced CR of the thorax by MSCT for the primary radiologic survey of polytrauma patients. 159 pathologic findings were detected in 120 patients.…”

Section: Thoracic Injuriesmentioning

confidence: 99%

“…Sensitivity and specificity of MSCT are reported to be 95.1% and 99.9%, respectively [22]. Comparing US and CT in patients with abdominal trauma showed that CT revealed additional relevant information in 43% of cases [23].…”

Section: Abdominal Lesionsmentioning

confidence: 99%

“…Willmann active bleeding on MSCT images underwent immediate surgical or angiographic intervention [24]. Other authors, however, pointed out that the additional information gained by the CT examination did not always have clinical relevance concerning the further management (conservative vs. operative) [22]. Also, the value of CT-based injury-grading systems for predicting the outcome of conservative treatment remains unproven [19,25].…”

Section: Abdominal Lesionsmentioning

confidence: 99%

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The Benefit of Multislice Computed Tomography in the Emergency Room Management of Polytraumatized Patients

et al. 2005

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European Journal of Trauma Ab stractReducing time requirements for the primary diagnostic evaluation is a major concern in the early phase of polytrauma management. Multislice computed tomography (MSCT) is a quick and reliable method for the initial diagnostic evaluation. CT provides more detailed and more consistent information than conventional radiography and it has the great advantage of allowing rapid examination of the head, vertebral column, chest, abdomen, and pelvis during one single examination. The CT suite needs to be adequately equipped for resuscitation and reanimation, which is done parallel to the radiologic investigations.Since polytrauma management is based on a multidisciplinary approach that is characterized by a coordinated interaction between trauma surgeons, anesthesiologists and radiologists, members of all involved disciplines need adequate teaching. Guidelines and algorithms contribute to optimize the early management.

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Notfalldiagnostik und Notfallversorgung im Rettungswesen / Primary Diagnostic and Therapy in Emergency Care Medicine

Seifert

Laun

2001

Deutsche Gesellschaft Für Chirurgie

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Primäre bildgebende Diagnostik von polytraumatisierten Patienten mittels Spiralcomputertomographie

Cited by 4 publications

References 70 publications

The Benefit of Multislice CT in the Emergency Room Management of Polytraumatized Patients

The Benefit of Multislice CT in the Emergency Room Management of Polytraumatized Patients

The Benefit of Multislice Computed Tomography in the Emergency Room Management of Polytraumatized Patients

Notfalldiagnostik und Notfallversorgung im Rettungswesen / Primary Diagnostic and Therapy in Emergency Care Medicine

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