medigraphic.com
ISSN 1561-2945 (Print)

2022, Number 3

<< Back Next >>

Revista Cubana de Cirugía 2022; 61 (3)

Challenges of the general surgeon in the performance of trauma assessment ultrasound

Díaz PO, Berty GH, Medina LAD

Language: Spanish
References: 30
Page: 1-15
PDF size: 523.11 Kb.


ABSTRACT

Introduction: Trauma is the pandemic that every year claims many lives; technological advances have not been able to stop it, but have contributed with the more effective assessment of patients. Ultrasound performed by non-radiologists physicians has become a necessary tool in the assessment of the trauma patient.
Objective: To describe the knowledge that the general surgeon should acquire to perform ultrasound for assessing trauma.
Methods: A bibliographic review of the subject was carried out in the PubMed, BVS-BIREME and Cochrane databases. The elements that the general surgeon must know in order to perform ultrasound in the assessment of trauma were described. The search considered all types of studies published from January 1971 to December 2019 and that could be accessed; the internal validity of the evidence was assessed, together with its overall quality. The languages used in the search were English and Spanish.
Development: Most studies accept ultrasound as an assessment tool in trauma and its systematic use by non-radiologist physicians.
Conclusions: The basic principles of ultrasound in trauma have to be part of the tools of a general surgeon of the twenty-first century. The most frequent errors are due to lack of systematic use and lack of training. Contraindications of ultrasound in trauma are progressively less frequent, but there is a marked dependence on the person who operates.


REFERENCES

  1. Pi OD, Gutiérrez HB. Ultrasonido de urgencia a cargo de cirujanos generales ¿dependencia tecnológica o necesidad práctica? Rev. Cubana de Cir. 2018 [acceso 02/09/2019];57(2):1-2. Disponible en: http://www.revcirugia.sld.cu/index.php/cir/article/view/654/3201.

  2. Berwick DM, Downey AS, Cornett EA. A national trauma care system to achieve zero preventable deaths after injury: recommendations from a national academies of sciences, engineering, and medicine report. Jama. 2016;316(9):927-8.

  3. Gondek S, Schroeder ME, Sarani B. Assessment and resuscitation in trauma management. Surgical Clinics. 2017 [acceso 10/09/2019];97(5):985-98. Disponible en: https://pubmed.ncbi.nlm.nih.gov/289583683.

  4. Kristensen J, Buemann B, Kuehl E. Ultrasonic scanning in the diagnosis of splenic haematomas. Acta Chirurgica Scandinavica. 1971;137(7):653.

  5. Rozycki GS, Ballard RB, Feliciano DV, Schmidt JA, Pennington SD. Surgeon-performed ultrasound for the assessment of truncal injuries: lessons learned from 1540 patients. Annals of surgery. 1998;228(4):557.

  6. Kirkpatrick AW, Sirois M, Laupland KB, Liu D, Rowan K, Ball CG, et al. Hand-held thoracic sonography for detecting post-traumatic pneumothoraces: the Extended Focused Assessment with Sonography for Trauma (EFAST). Journal of Trauma and Acute Care Surgery. 2004;57(2):288-95.

  7. Díaz P, Gutiérrez H, Álvarez Arias A, Bezerra Ferreira da Silva I, Medina Lago A. Ultrasonido realizado por cirujanos en pacientes con trauma en un hospital general. Rev. Esp. Inv. Quir. 2018 [acceso 22/09/2019];21(1):8-10. Disponible en: https://pesquisa.bvsalud.org/portal/resource/pt/ibc-1733557.

  8. Kim PK. Radiology for trauma and the general surgeon. Surgical Clinics. 2017 [acceso 20/09/2019];97(5):1175-83. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28958364/8.

  9. Feliciano D. Abdominal trauma revisited. Am Surg. 2017 [acceso 22/09/2019];83:1193-202. Disponible en: https://pubmed.ncbi.nlm.nih.gov/291835199.

  10. Patrawalla P. Competencia, acreditación y certificación. En: Soni NJ, Arntfield R, Korry P, editores. Ecografia a pie de cama. 1ra ed. Barcelona: Elsevier; 2016. p. 369-73.

  11. Trauma ACoSCo. Advanced Trauma Life Suport ATLS. Student Course Manual: American College of Surgeons. 2018 [acceso 23/09/2019]. Disponible en: https://www.academia.edu/39781997/Student_Course_Manual_ATLS_Advanced_Trauma_Life_Support11.

  12. Tharwat EZ, Mazen EZ. Prehospital Ultrasound in Trauma: A Review of Current and Potential Future Clinical Applications. J Emerg Trauma Shock. 2018 [acceso 24/09/2019];11(1):4-9. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC585291512.

  13. Ketelaars R, Reijnders G, van Geffen GJ, Scheffer GJ, Hoogerwerf N. ABCDE of prehospital ultrasonography: a narrative review. Critical ultrasound journal. 2018 [acceso 26/09/2019];10(1):17. Disponible en: https://pubmed.ncbi.nlm.nih.gov/3008816013.

  14. Rozycki G, Strauch G. Ultrasound for the general surgeon: an ACS initiative. Bulletin of the American College of Surgeons. 1998;83(10):25.

  15. Patel NY, Riherd JM. Focused assessment with sonography for trauma: methods, accuracy, and indications. Surgical Clinics. 2011;91(1):195-207.

  16. Montoya J, Stawicki S, Evans DC, Bahner D, Sparks S, Sharpe R, et al. From FAST to E-FAST: an overview of the evolution of ultrasound-based traumatic injury assessment. European journal of trauma and emergency surgery. 2016;42(2):119-26.

  17. Pace J, Arntfield R. Focused assessment with sonography in trauma: a review of concepts and considerations for anesthesiology. J Can Anesth. 2018;65:360-70. DOI: https://doi.org/10.1007/s12630-017-1030-x17.

  18. Richards JR, McGahan JP. Focused assessment with sonography in trauma (FAST) in 2017: what radiologists can learn. Radiology. 2017 [acceso 28/09/2019];283(1):30-48. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28318439/18.

  19. Tabassum HM, Akhtar N, Mehmood A, Sultan A. Diagnostic accuracy of Surgeon-performed Focused Assessment Sonography in Trauma patients with blunt abdominal injury. JSZMC. 2016;7:1020-3.

  20. Zanobetti M, Coppa A, Nazerian P, Grifoni S, Scorpiniti M, Innocenti F, et al. Chest abdominal-focused assessment sonography for trauma during the primary survey in the emergency department: the CA-FAST protocol. European Journal of Trauma and Emergency Surgery. 2018 [acceso 01/10/2019];44(6):805-10. Disponible en: https://www.semanticscholar.org/paper/Chest-Abdominal-Focused-Assessment-Sonography-for-Zanobetti-Coppa/b7b75a250e85888cdb027805ad4dae977856317620.

  21. Gómez Montes CV, Trillo Fernandez C. Ecografía en urgencias. E-FASTMed fam Andal. 2019 [acceso 04/10/2019];1:71-8. Disponible en: https://www.samfyc.es/wp-content/uploads/2019/08/v20n1_AE_eFast.pdf21.

  22. Desai N, Harris T. Extended focused assessment with sonography in Trauma. BJA Education. 2018 [acceso 06/10/2019];18(2): 57e62. Disponible en: https://pubmed.ncbi.nlm.nih.gov/3345681122.

  23. Platz JJ, Fabricant L, Norotsky M. Thoracic trauma: injuries, evaluation, and treatment. Surgical Clinics. 2017 [acceso 08/10/2019];97(4):783-99. Disponible en: https://pubmed.ncbi.nlm.nih.gov/2872871623.

  24. Teichgräber UK-M, Hackbarth J. Sonographic bedside quantification of pleural effusion compared to computed tomography volumetry in ICU patients. Ultrasound international open. 2018 [acceso 10/10/2019];4(4):E131. Disponible en: https://pubmed.ncbi.nlm.nih.gov/3037447124.

  25. Quick JA, Uhlich RM, Ahmad S, Barnes SL, Coughenour JP. In-flight ultrasound identification of pneumothorax. Emergency radiology. 2016;23(1):3-7.

  26. Volpicelli G. Sonographic diagnosis of pneumothorax. Intensive care medicine. 2011;37(2):224-32.

  27. Volpicelli G, Elbarbary M, Blaivas M, Lichtenstein DA, Mathis G, Kirkpatrick AW, et al. International evidence-based recommendations for point-of-care lung ultrasound. Intensive care medicine. 2012;38(4):577-91.

  28. Sierzenski PR, Schofer JM, Bauman MJ, Nomura JT. The double-line sign: a false positive finding on the Focused Assessment with Sonography for Trauma (FAST) examination. The Journal of emergency medicine. 2011;40(2):188-9.

  29. Shaukat NM, Copeli N, Desai P. The Focused Assessment with Sonography for Trauma (FAST) Examination and Pelvic Trauma: Indications and Limitations. Emergency medicine practice. 2016;18(3):1-20.

  30. Baer Ellington A, Kuhn W, Lyon M. A Potential Pitfall of Using Focused Assessment with Sonography for Trauma in Pediatric Trauma. Journal of Ultrasound in Medicine. 2019 [acceso 12/10/2019];38(6):1637-42. Disponible en: https://pubmed.ncbi.nlm.nih.gov/3029479530.




2020     |     www.medigraphic.com