The Role of Ultrasound in Patients with Possible Penetrating Cardiac Wounds
| Autor: | M. Gage Ochsner, Grace S. Rozycki, David B. Hoyt, M. Margaret Knudson, David C. Han, David V. Feliciano, J. Duncan Harviel, Vincent M. Figueredo, Judith A. Schmidt, David Hammerman, Frank E. Davis |
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| Rok vydání: | 1999 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Vital signs Wounds Penetrating Hemopericardium Pericardial Effusion Injury Severity Score Trauma Centers Predictive Value of Tests medicine Humans Emergency ultrasound Prospective Studies Child Prospective cohort study Aged Ultrasonography business.industry Ultrasound Middle Aged medicine.disease United States Surgery Clinical trial Heart Injuries Predictive value of tests Acute Disease Female Radiology Emergencies business Algorithms |
| Zdroj: | The Journal of Trauma: Injury, Infection, and Critical Care. 46:543-552 |
| ISSN: | 1079-6061 |
| Popis: | Background: Ultrasound is quickly becoming part of the trauma surgeon's practice, but its role in the patient with a penetrating truncal injury is not well defined. The purpose of this study was to evaluate the accuracy of emergency ultrasound as it was introduced into five Level I trauma centers for the diagnosis of acute hemopericardium. Methods: Surgeons or cardiologists (four centers) and technicians (one center) performed pericardial ultrasound examinations on patients with penetrating truncal wounds. By protocol, patients with positive examinations underwent immediate operation. Vital signs, base deficit, time from examination to operation, operative findings, treatment, and outcome were recorded. Results: Pericardial ultrasound examinations were performed in 261 patients. There were 225 (86.2%) true-negative, 29 (11.1%) true-positive, 0 false-negative, and 7 (2.7%) false-positive examinations, resulting in sensitivity of 100%, specificity of 96.9%, and accuracy of 97.3%. The mean time from ultrasound to operation was 12.1 ± 5 minutes. Conclusion: Ultrasound should be the initial modality for the evaluation of patients with penetrating precordial wounds because it is accurate and rapid. |
| Databáze: | OpenAIRE |
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