![]() ![]() ![]() Quantitative sensitivity of ultrasound in detecting free intraperitoneal fluid. 2001 6:12.īranney SW, Wolfe RE, Moore EE, Albert NP, Heinig M, Mestek M, et al. (99)90040-2.ĪIUM practice parameter for the performance of the focused assessment with sonography for trauma (FAST) examination - American Institute of Ultrasound in Medicine 2014.Īlex Ng - The FAST examination. Ultrasound for the detection of intraperitoneal fluid: the role of Trendelenburg positioning. KeywordsĪbrams BJ, Sukumvanich P, Seibel R, Moscati R, Jehle D. ![]() Conversely, the detection of pathological findings (i.e., pleural effusion) in a patient with a suspected intra-abdominal disease or complication, could redirect our workup. Although it should not be considered as a replacement for more sensitive imaging studies, the early detection of intra-abdominal fluid must be an alert sign in relation to the severity of the acute abdomen. Therefore, it seems reasonable to use the same technique used in trauma patients, E-FAST, in acute non-traumatic abdominal pain to rule-out or rule-in the presence of free fluid. And whatever its characteristics, when it reaches enough, this fluid can be easily seen by ultrasonography. In this context, one thing that almost all abdominal emergencies have in common is that independent of the cause, as the case gets more “severe,” there is an accumulation of fluid. Considering that the exact etiology is not always immediately obvious, and that overall morbidity and mortality of acute abdomen can be high, the ability to quickly identify the subgroup of patients more at risk of complications or with a more evolved condition is of paramount importance. Acute abdomen is a broad term describing a wide range of pathologies that present with a narrow spectrum of severe symptoms. ![]()
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