Detección sonográfica de líquido libre abdominal: residentes de urgencias vs. residentes de radiología
Sonographic Detection of Abdominal Free Fluid: Emergency Residents vs Radiology Residents.
Shojaee M, Faridaalaee G, Sabzghabaei A, Safari S, Mansoorifar H, Arhamidolatabadi A, Keyghobadi F.
Trauma Mon. 2013 Winter;17(4):377-9. doi: 10.5812/traumamon.5476. Epub 2013 Jan 15.
Abstract
BACKGROUND: Focused assessment with sonography for trauma (FAST) has become a part of initial examinations in trauma care at emergency departments (ED). OBJECTIVES: The goal of the present study was to evaluate the accuracy of FASTs performed by emergency residents (ER) in detection of abdominal free fluid following blunt trauma. MATERIALS AND METHODS: In this study, the reports of ERs performing FASTs on 286 admitted patients following blunt trauma were compared with those of radiology residents (RR) in relation to presence of abdominal free fluid. In addition, the reports of the two resident groups were compared with the final abdominal outcome, based on the results of abdominal computed tomography (CT) and clinical follow up. RESULTS: The ERs had reported abdominal free fluid in 20 (6.9%) patients while RRs performing FAST had positive results in 22 (7.6%) patients. The reports of FASTs revealed significant correlation between the two resident groups (P < 0.001). ERs performing FASTs had 90% sensitivity and 98.5% specificity in comparison to RRs sonography reports. Furthermore, ER-performed FASTs had 96.5% accuracy in relation to final outcome. CONCLUSIONS: Following training, ED residents can perform FAST with high accuracy and specificity, similar to RR residents, in patients with blunt abdominal trauma.
KEYWORDS: Abdominal Injuries, Trauma, Emergencies, Ultrasonography
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3860662/pdf/traumamon-17-377.pdf
Ultrasonido mejorado con medio de contraste en trauma abdominal cerrado
Contrast enhanced ultrasound (CEUS) in blunt abdominal trauma.
Cagini L, Gravante S, Malaspina CM, Cesarano E, Giganti M, Rebonato A, Fonio P, Scialpi M.
Crit Ultrasound J. 2013 Jul 15;5 Suppl 1:S9. doi: 10.1186/2036-7902-5-S1-S9. Epub 2013 Jul 15.
Abstract
In the assessment of polytrauma patient, an accurate diagnostic study protocol with high sensitivity and specificity is necessary. Computed Tomography (CT) is the standard reference in the emergency for evaluating the patients with abdominal trauma. Ultrasonography (US) has a high sensitivity in detecting free fluid in the peritoneum, but it does not show as much sensitivity for traumatic parenchymal lesions. The use of Contrast-Enhanced Ultrasound (CEUS) improves the accuracy of the method in the diagnosis and assessment of the extent of parenchymal lesions. Although the CEUS is not feasible as a method of first level in the diagnosis and management of the polytrauma patient, it can be used in the follow-up of traumatic injuries of abdominal parenchymal organs (liver, spleen and kidneys), especially in young people or children.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3711741/pdf/2036-7902-5-S1-S9.pdf
Revista gratis Critical Ultrasound Journal
Critical ultrasound Journal
http://www.criticalultrasoundjournal.com/content
Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org
Sonographic Detection of Abdominal Free Fluid: Emergency Residents vs Radiology Residents.
Shojaee M, Faridaalaee G, Sabzghabaei A, Safari S, Mansoorifar H, Arhamidolatabadi A, Keyghobadi F.
Trauma Mon. 2013 Winter;17(4):377-9. doi: 10.5812/traumamon.5476. Epub 2013 Jan 15.
Abstract
BACKGROUND: Focused assessment with sonography for trauma (FAST) has become a part of initial examinations in trauma care at emergency departments (ED). OBJECTIVES: The goal of the present study was to evaluate the accuracy of FASTs performed by emergency residents (ER) in detection of abdominal free fluid following blunt trauma. MATERIALS AND METHODS: In this study, the reports of ERs performing FASTs on 286 admitted patients following blunt trauma were compared with those of radiology residents (RR) in relation to presence of abdominal free fluid. In addition, the reports of the two resident groups were compared with the final abdominal outcome, based on the results of abdominal computed tomography (CT) and clinical follow up. RESULTS: The ERs had reported abdominal free fluid in 20 (6.9%) patients while RRs performing FAST had positive results in 22 (7.6%) patients. The reports of FASTs revealed significant correlation between the two resident groups (P < 0.001). ERs performing FASTs had 90% sensitivity and 98.5% specificity in comparison to RRs sonography reports. Furthermore, ER-performed FASTs had 96.5% accuracy in relation to final outcome. CONCLUSIONS: Following training, ED residents can perform FAST with high accuracy and specificity, similar to RR residents, in patients with blunt abdominal trauma.
KEYWORDS: Abdominal Injuries, Trauma, Emergencies, Ultrasonography
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3860662/pdf/traumamon-17-377.pdf
Ultrasonido mejorado con medio de contraste en trauma abdominal cerrado
Contrast enhanced ultrasound (CEUS) in blunt abdominal trauma.
Cagini L, Gravante S, Malaspina CM, Cesarano E, Giganti M, Rebonato A, Fonio P, Scialpi M.
Crit Ultrasound J. 2013 Jul 15;5 Suppl 1:S9. doi: 10.1186/2036-7902-5-S1-S9. Epub 2013 Jul 15.
Abstract
In the assessment of polytrauma patient, an accurate diagnostic study protocol with high sensitivity and specificity is necessary. Computed Tomography (CT) is the standard reference in the emergency for evaluating the patients with abdominal trauma. Ultrasonography (US) has a high sensitivity in detecting free fluid in the peritoneum, but it does not show as much sensitivity for traumatic parenchymal lesions. The use of Contrast-Enhanced Ultrasound (CEUS) improves the accuracy of the method in the diagnosis and assessment of the extent of parenchymal lesions. Although the CEUS is not feasible as a method of first level in the diagnosis and management of the polytrauma patient, it can be used in the follow-up of traumatic injuries of abdominal parenchymal organs (liver, spleen and kidneys), especially in young people or children.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3711741/pdf/2036-7902-5-S1-S9.pdf
Revista gratis Critical Ultrasound Journal
Critical ultrasound Journal
http://www.criticalultrasoundjournal.com/content
Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org
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