2001
DOI: 10.1016/s1076-6332(01)90057-1
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Diagnostic performance of trauma US in identifying abdominal or pelvic free fluid and serious abdominal or pelvic injury

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Cited by 58 publications
(29 citation statements)
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“…Furthermore obese patients and patients with excessive bowel gas, as our report suggests, find little advantage in ultrasound examination. Moreover although abdominal ultrasound seems to provide adequate accuracy in detecting intra-abdominal fluid, some reports emphasise the lower sensitivity in visualising organ injuries and also the fact that the presence or the amount of haemoperitoneum does not predict the severity of such injuries [9,21,22,24,25]. More specific spinal and pelvic fractures, diaphragmatic ruptures, pancreatic or adrenal injuries, vascular injuries and finally bowel and mesenteric lacerations may well be under-diagnosed or not even visualised [17].…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore obese patients and patients with excessive bowel gas, as our report suggests, find little advantage in ultrasound examination. Moreover although abdominal ultrasound seems to provide adequate accuracy in detecting intra-abdominal fluid, some reports emphasise the lower sensitivity in visualising organ injuries and also the fact that the presence or the amount of haemoperitoneum does not predict the severity of such injuries [9,21,22,24,25]. More specific spinal and pelvic fractures, diaphragmatic ruptures, pancreatic or adrenal injuries, vascular injuries and finally bowel and mesenteric lacerations may well be under-diagnosed or not even visualised [17].…”
Section: Discussionmentioning
confidence: 99%
“…Performing serial examinations, evaluating for solid organ injuries, and incorporating the FAST examination into treatment algorithms all have been suggested as means of increasing its clinical utility. Performing serial examinations has been suggested to increase the sensitivity of the FAST examination (13). Including an evaluation of the solid organs also has been shown to increase the sensitivity of the FAST examination (4,6).…”
Section: Discussionmentioning
confidence: 99%
“…14 It has been suggested that serial FAST examination reduces the incidence of missed injuries with ongoing hemorrhage. 9,12,19,20 Despite this, no accepted protocol has been validated to define indications and frequencies of serial FAST. 9,14,16,19 Traumatic diaphragmatic injury can be a difficult diagnosis, producing confusing radiographic and clinical findings.…”
Section: Discussionmentioning
confidence: 99%