Quantitative sensitivity of ultrasound in detecting free intraperitoneal fluid
| Autor: | Marsha Heinig, Richard E. Wolfe, Scott W. Branney, Ernest E. Moore, John Eule, Michael Mestek, Nils P. Albert |
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| Rok vydání: | 1995 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Hemorrhage Abdominal Injuries Wounds Nonpenetrating Sensitivity and Specificity Diagnostic peritoneal lavage Intraperitoneal hemorrhage Ascites medicine Ascitic Fluid Humans Peritoneal Lavage Prospective Studies Prospective cohort study Child Aged Ultrasonography medicine.diagnostic_test business.industry Ultrasound Liter Middle Aged Effusion Medicine Regression Analysis Female Radiology medicine.symptom Pouch business Nuclear medicine Algorithms Specialization |
| Zdroj: | The Journal of trauma. 39(2) |
| ISSN: | 0022-5282 |
| Popis: | The minimum volume of intraperitoneal fluid that is detectable in Morison's pouch with ultrasound in the trauma setting is not well defined. To evaluate this question, we used diagnostic peritoneal lavage (DPL) as a model for intraperitoneal hemorrhage and undertook a blinded prospective study of the sensitivity of ultrasound in detecting intraperitoneal fluid. Participants included attending physicians and residents in emergency medicine, radiology, and surgery. During the infusion of the DPL fluid, participants continuously scanned Morison's pouch until they detected fluid. All participants were blinded to the rate of infusion and the volume infused. One hundred patients were entered into the study. The mean volume of fluid detected was 619 mL. Only 10% of participants detected fluid volumes less than 400 mL and the overall sensitivity at one liter was 97%. We conclude that reliable detection of intraperitoneal fluid in Morison's pouch requires a greater volume than has been previously described. |
| Databáze: | OpenAIRE |
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