Routine Preoperative “One-Shot” Intravenous Pyelography Is Not Indicated in All Patients With Penetrating Abdominal Trauma

Nagy, Kimberly; Brenneman, Frederick D.; Krosner, Seth M.; Fildes, John; Roberts, Richard M.; Joseph, Kimberly; Smith, Robert F.; Barrett, John

doi:10.1016/s1072-7515(97)00111-7

Cited by 15 publications

(1 citation statement)

References 14 publications

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“…42 Although it is not a sensitive test for urologic injury, 43 an intraoperative one -shot IVP (2 mL/kg IV bolus of contrast with a single image obtained 10-15 minutes later) may be used to confirm that a contralateral functioning kidney is present in rare cases where the patient is taken to the operating room without preliminary CT scan if surgeons are considering renal exploration or nephrectomy. 44 …”

Section: Guideline Statementsmentioning

confidence: 99%

Urotrauma: AUA Guideline

et al. 2014

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Purpose The authors of this guideline reviewed the urologic trauma literature to guide clinicians in the appropriate methods of evaluation and management of genitourinary injuries. Methods A systematic review of the literature using the MEDLINE® and EMBASE databases (search dates 1/1/90-9/19/12) was conducted to identify peer-reviewed publications relevant to urotrauma. The review yielded an evidence base of 372 studies after application of inclusion/exclusion criteria. These publications were used to inform the statements presented in the guideline as Standards, Recommendations or Options. When sufficient evidence existed, the body of evidence for a particular treatment was assigned a strength rating of A (high), B (moderate) or C (low). In the absence of sufficient evidence, additional information is provided as Clinical Principles and Expert Opinions.

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Section: Guideline Statementsmentioning

confidence: 99%