The efficacy of ultrasonography in hemodynamically stable children with blunt abdominal trauma: a prospective comparison with computed tomography

Taş, Fikret; Ceran, Candemir; Atalar, Mehmet Haydar; Bulut, Sema; Selbeş, Bilge; Isik, Abdulkadir

doi:10.1016/s0720-048x(03)00145-1

Cited by 33 publications

(8 citation statements)

References 21 publications

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“…Ultrasound may be used in children, although CT is preferred. 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%

Urotrauma: AUA Guideline

et al. 2014

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“…9 Specific guidelines surrounding the use of diagnostic radiation in trauma settings are lacking, despite trends of increasing use of ultrasound in these patient populations. 10,11 In fact, although the use of CT is decreasing, there remains extreme variation in CT use among tertiary care hospitals. 12 We describe the use of CT for renal trauma patients at 2 large trauma centers.…”

Section: Gcs ¼ Glasgow Coma Scalementioning

confidence: 99%

Missed Opportunities to Decrease Radiation Exposure in Children with Renal Trauma

et al. 2018

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“…It has been shown that a renal injury detected by ultrasound is more likely to be of a higher grade (grade II or greater). [23,24] The use of focused abdominal sonogram for trauma (FAST) evaluation of children with blunt abdominal trauma has been demonstrated to have a relatively high specificity of 95% but with low and varied sensitivity (33-89%) as well as a low negative predictive value (50%) [25][26][27][28]. Therefore, abdominal ultrasound and/or FAST should probably not be used as the sole method of screening hemodynamically stable pediatric patients with blunt abdominal trauma.…”

Section: Imagingmentioning

confidence: 99%

Review of the evidence on the management of blunt renal trauma in pediatric patients

et al. 2009

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Due to the size and location within the pediatric patient, the kidneys are susceptible to injury from blunt trauma. While it is clear that the goal of management of blunt renal trauma in children is renal preservation, the methods of achieving this goal have not been well established in the current literature. Therefore, we have set out to summarize and clarify the current published information on the management strategies for blunt renal trauma in children. While there is extensive literature available, it consists mostly of retrospective series documenting widely varied management styles. The purpose of this review is to display the current information available and delineate the role for future studies that may allow us to develop consistent management strategies of pediatric patients, who have sustained blunt renal trauma, in a safe and cost-effective manner.

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The efficacy of ultrasonography in hemodynamically stable children with blunt abdominal trauma: a prospective comparison with computed tomography

Cited by 33 publications

References 21 publications

Urotrauma: AUA Guideline

Urotrauma: AUA Guideline

Missed Opportunities to Decrease Radiation Exposure in Children with Renal Trauma

Review of the evidence on the management of blunt renal trauma in pediatric patients

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