Utilização do FAST-Estendido (EFAST-Extended Focused Assessment with Sonography for Trauma) em terapia intensiva

Flato, Uri Adrian Prync; Guimarães, Hélio Penna; Lópes, Renato D.; Valiatti, Jorge Luís dos Santos; Flato, Elias Marcos Silva; Lorenzo, Ricardo Gonçalves

doi:10.1590/s0103-507x2010000300012

Cited by 15 publications

(11 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…T rauma is the main cause of mortality and morbidity in Brazil and worldwide, predominantly affecting the population aged <45 years [1][2][3] . Due to its high incidence and years of potential life lost, it constitutes a public health problem, at national and international levels 1,3 .…”

Section: Introductionmentioning

confidence: 99%

“…Physical examination in multiple trauma patients may be made difficult by the presence of several lesions, as well as the possibility of low level of consciousness level, shock of unknown etiology, central nervous system lesions and other clinical manifestations that make diagnosis difficult at the clinical examination only 1 . FAST consists of a non-invasive ultrasound examination that can be quickly performed by the patient's bedside, aiming to clarify specific clinical issues, regardless of the trauma mechanism that affected the patient 1,3,4,7,8 . Regarding FAST accuracy in the assessment of abdominal trauma, the sensitivity is 62% to 94% and the specificity is greater 1 -Universidade Estadual do Oeste do Paraná, Serviço de Cirurgia Geral, Cascavel, PR, Brasil.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Basic ultrasound training assessment in the initial abdominal trauma screening

Oliveira

Tagliari

Becker

et al. 2018

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Basic ultrasound training assessment in the initial abdominal trauma screening

Oliveira

Tagliari

Becker

et al. 2018

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

show abstract

“…st Century" as it is expected to be used by many specialties for wide range of purposes (4). Sri Lankan National Health Service has started launching specially designed emergency departments whose main purpose is to care for trauma victims.…”

Section: Introductionmentioning

confidence: 99%

Study on value of Extended-Focused Abdominal Scan For Trauma (e-FAST) performed by non-radiologist emergency care doctors in Management of Trauma at Emergency Trauma Centre, Teaching Hospital, Karapitiya,Galle, Sri Lanka

Seneviratne

Kumara

Kumarasinghe

et al. 2015

Anuradhapura Med. J.

View full text Add to dashboard Cite

BackgroundThis study was designed to evaluate the accuracy and usefulness of ultrasound in the hands of emergency physicians and medical officers who are non-radiologistsin assessing Trauma patients at Emergency Trauma Centre(ETC) at Teaching Hospital, Karapitiya, Galle, Sri Lanka Methodology We performed an observational study on Trauma patients admitted to Emergency Department at Teaching Hospital, Karapitiya from 1.12.2014 to 31.12.2014 who fulfilled indications for e-FAST using a specially designed performa. Accuracy of eFAST was tested by comparing the original with subsequent imaging, clinical decision by surgeons, findings at surgery or more than one of the above. Results 69 patients fulfilled the entry criteria.Nineteen of the scans were performed by consultants while rest was done by senior medical officers. All of them were trained in eFAST.Of the 20 scans which were positive there were four pneumothoraxes and one haemothorax. 15 scans which were positive for intraperitoneal free fluid were later. Out of 49 Patients who had negative scans 47 did not require surgery or any interventions. Other two required laparotomy later. Sensitivity and specificity of eFast was 90.4% and 97.9% respectively. Positive predictive value was 95.0% while Negative predictive value was at 95.9% . Conclusions eFAST is a rapid and reliable alternative in detecting free intra-abdominal fluid as well as pneumotorax and haemothorax. It is a safe decision making tool which can be used with confidence and accuracy after brief training and experience by non radiologists which will reduce morbidity and mortality in trauma patients of Sri Lanka.

show abstract

“…Com o objetivo de melhorar a avaliação do paciente, foi desenvolvida uma extensão do protocolo FAST, denominada EFAST ou FAST-Estendido, que ampliou a avaliação antes reservada à parede abdominal e cardíaca para a cavidade torácica, possibilitando a detecção de pneumotórax e hemotórax. Segundo Flato et al (2010), as indicações de EFAST incluem:…”

unclassified

“…Esse ponto geralmente se encontra entre o terceiro e o quinto espaço intercostal na linha hemiclavicular. As estruturas que devem ser identificadas durante o exame são: linha pleural (composta pela pleura visceral e parietal), arcos costais e parênquima pulmonar (FLATO et al, 2010).…”

unclassified

Efast na Sala de Emergência no Diagnóstico de Pneumotórax: Relato de Caso

Shehadeh¹,

Bogdan

Fernandes³

et al. 2016

Iniciac cient Cesumar

View full text Add to dashboard Cite

A presença de ar livre no espaço pleural pode ocorrer de maneira espontânea ou adquirida e é uma condição clínica frequente no cotidiano de um pronto socorro. Vítimas de traumas torácicos podem desenvolver pneumotórax e complicações à vida. Uso de EFAST (Extended Focused Assessment with Sonography for Trauma) permitiu avanço no diagnóstico dessas lesões ameaçadoras à vida. Este relato mostra o precoce diagnóstico de pneumotórax, usando EFAST, em paciente vítima de trauma torácico fechado. Paciente masculino, 65 anos, admitido em sala de emergência de um hospital universitário, após colisão automobilística há dois dias. Apresentava dor torácica ventilatório-dependente, principalmente à esquerda, e dispneia aos grandes esforços. O murmúrio vesicular estava presente no hemitórax direito, mas abolido no terço inferior do hemitórax esquerdo. Submetido à EFAST, que mostrou pneumotórax à esquerda. A toracostomia com drenagem pleural à esquerda foi realizada sem intercorrências e o pneumotórax foi resolvido. Recebeu alta após quatro dias de internação, com melhora clínica satisfatória e reexpansibilidade pulmonar adequada. O exame ultrassonográfico do tórax em vítimas de trauma tem a vantagem de ser não invasivo, de imediata avaliação e fácil portabilidade. Tem se mostrado superior ao exame de raios-X de tórax, em termos de sensibilidade, e à tomografia computadorizada do tórax, quanto ao tempo de execução e exposição do paciente à radiação. Seu uso deve ser estendido e aplicado na avaliação primária de todo paciente politraumatizado atendido em sala de emergência.

show abstract

Utilização do FAST-Estendido (EFAST-Extended Focused Assessment with Sonography for Trauma) em terapia intensiva

Cited by 15 publications

References 36 publications

Basic ultrasound training assessment in the initial abdominal trauma screening

Basic ultrasound training assessment in the initial abdominal trauma screening

Study on value of Extended-Focused Abdominal Scan For Trauma (e-FAST) performed by non-radiologist emergency care doctors in Management of Trauma at Emergency Trauma Centre, Teaching Hospital, Karapitiya,Galle, Sri Lanka

Efast na Sala de Emergência no Diagnóstico de Pneumotórax: Relato de Caso

Contact Info

Product

Resources

About