The Role of Surgeon-Performed Ultrasound in Patients with Possible Cardiac Wounds

Rozycki, Grace S.; Feliciano, David V.; Schmidt, Judith A.; Cushman, James G.; Sisley, Amy C.; Ingram, Walter L.; Ansley, Joseph D.

doi:10.1097/00000658-199606000-00012

Cited by 147 publications

(55 citation statements)

References 30 publications

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“…Thoracic ultrasound examination is valid when CT scan is not necessary, in comparison with chest X-ray it shows equivalent sensitivity and specificity for diagnosis of pneumothorax (13)(14)(15). Ultrasonography in the emergency room is also a reliable method to exclude pleural/pericardial effusion (16,17).…”

Section: Emergency Room Trauma Life Supportmentioning

confidence: 99%

Management of chest trauma

Ludwig¹,

Koryllos²

2017

J. Thorac. Dis.

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Trauma is the leading cause of death worldwide. Approximately 2/3 of the patients have a chest trauma with varying severity from a simple rib fracture to penetrating injury of the heart or tracheobronchial disruption. Blunt chest trauma is most common with 90% incidence, of which less than 10% require surgical intervention of any kind. Mortality is second highest after head injury, which underlines the importance of initial management. Many of these deaths can be prevented by prompt diagnosis and treatment. What is the role of the thoracic surgeon in the management of chest trauma in severely injured patients? When should the thoracic surgeon be involved? Is there a place for minimal invasive surgery in the management of severely injured patients? With two case reports we would like to demonstrate how the very specific knowledge of thoracic surgeons could help in the care of trauma patients.

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Section: Emergency Room Trauma Life Supportmentioning

confidence: 99%

Management of chest trauma

Ludwig¹,

Koryllos²

2017

J. Thorac. Dis.

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“…6 From this standpoint, echocardiography is the most useful tool for diagnosing cardiac tamponade. 9 The emergency room at our hospital is equipped with echocardiography equipment, and diagnosis of the cardiac tamponade can be obtained within a few seconds.…”

Section: Discussionmentioning

confidence: 99%

Pericardial drainage prior to operation contributes to surgical repair of traumatic cardiac injury

Sugimoto

Yamashita

Baba

et al. 1999

Jpn J Thorac Caridovasc Surg

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We report on two cases of successful surgical repair of cardiac injury: one involving a left ventricular stab injury and the other a blunt rupture of the right atrium. Each patient underwent emergency surgical repair, the former via left anterolateral thoracotomy and the latter via median sternotomy, following pericardial drainage tube insertion from the subxiphoid area. The operative approach was chosen according to the color of drained blood, i.e., arterial bleeding indicated left anterolateral thoracotomy, while venous bleeding indicated median sternotomy. We conclude that pericardial drainage via the subxiphoid approach prior to induction of anesthesia is an easy and useful technique to perform, not only to release cardiac tamponade but to determine the operative approach in patients suffering from cardiac tamponade following cardiac injury.

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“…A 1996 study from Emory University achieved 100% sensitivity and specificity. In this study, surgeons performed pericardial ultrasound examinations in 247 hemodynamically stable patients with penetrating truncal wounds but no immediate indication for operative intervention [27]. Patients were followed during their admission, through discharge and as outpatients in clinic, and there here were no false negative or false positive studies.…”

Section: Ultrasound For Penetrating Cardiac Injurymentioning

confidence: 99%

Ultrasound in the evaluation of penetrating thoraco-abdominal trauma: a review of the literature

et al. 2015

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The use of ultrasound in the evaluation of blunt thoraco-abdominal trauma is well described. Evidence for the use of ultrasound in the evaluation of penetrating cardio-thoracic and abdominal trauma, however, is more limited and varied. Current literature demonstrates that ultrasound is an excellent screening tool for penetrating thoracic and cardiac injuries with a high sensitivity for detecting injury requiring acute intervention. For abdominal injuries, however, the sensitivity for detection of injury is low and thus the utility of ultrasound as a screening tool is limited. This review summarizes the existing literature addressing the clinical utility of ultrasound for penetrating trauma to the pericardium, thorax and abdomen.

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The Role of Surgeon-Performed Ultrasound in Patients with Possible Cardiac Wounds

Cited by 147 publications

References 30 publications

Management of chest trauma

Management of chest trauma

Pericardial drainage prior to operation contributes to surgical repair of traumatic cardiac injury

Ultrasound in the evaluation of penetrating thoraco-abdominal trauma: a review of the literature

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