[Home ] [Archive]    
:: Main About journal Editorial Board Current Issue Archive Submit an article Site Map Contact ::
:: Volume 10, Issue 3 (9-2021) ::
Int J Med Invest 2021, 10(3): 16-22 Back to browse issues page
Focused Assessment with Sonography in Trauma (FAST) In Blunt Abdominal Trauma
Fatemeh Emamverdian, Fatemeh Soati, Hooman Esfahani *
Prehospital and Hospital Emergency Research Center, Tehran University of Medical Sciences, Tehran, Iran
Abstract:   (963 Views)
Ultrasound-based clinical diagnosis tools speed up the initial diagnosis of injury, reduce ionizing radiation in Computed tomography (CT) scans, and reduce medical costs. However, the role of Focused assessment with sonography in trauma (FAST) in the diagnosis of intra-abdominal injuries has not been well established. FAST is a rapid procedure and rapid information can be easily obtained in a hemodynamically unstable patient. FAST competes with CT scans in the diagnosis of intra-abdominal injuries; while it is not yet known whether FAST can be used as a tool to identify intra-abdominal injuries and eliminate the need for CT scan before laparotomy, as CT scans would not always be safe in unstable trauma patients.  In this narrative we evaluate literature of FAST in different medical situations following the blunt abdominal trauma. ‎ Advantages and disadvantages ‎of FAST was discoused for free fluid detection in abdomen and any solid organ injury.  Since clinical examination is not reliable to properly assess trauma patients and accepted gold standard methods such as CT scan and Diagnostic Peritoneal Lavage (DPL) are time consuming and invasive, FAST could provide reliable precision for treating hemodynamic patients unstable or more stable. be considered patient.
Keywords: FAST, Focused Assessment With Sonography In Trauma, Blunt Trauma, Abdominal Trauma
Full-Text [PDF 139 kb]   (232 Downloads)    
Type of Study: Review | Subject: General
References
1. 1. Jansen JO, Yule SR, Loudon MA. Investigation of blunt abdominal trauma. Bmj. 2008 Apr 24;336(7650):938-42. 2. Davis JJ, Cohn Jr IS, Nance FC. Diagnosis and management of blunt abdominal trauma. Annals of surgery. 1976 Jun;183(6):672. 3. Brown MA, Casola G, Sirlin CB, Patel NY, Hoyt DB. Blunt abdominal trauma: screening us in 2,693 patients. Radiology. 2001 Feb;218(2):352-8. 4. DiVINCENTI FC, RIVES JD, LABORDE EJ, FLIMEING ID, COHN JR IS. Blunt abdominal trauma. Journal of Trauma and Acute Care Surgery. 1968 Nov 1;8(6):1004-13. 5. Peitzman AB, Makaroun MS, Slasky BS, Ritter PA. Prospective study of computed tomography in initial management of blunt abdominal trauma. The Journal of trauma. 1986 Jul 1;26(7):585-92. 6. Hoffmann RE, Nerlich MI, Muggia-Sullam MI, Pohlemann T, Wippermann BU, Regel GE, Tscherne HA. Blunt abdominal trauma in cases of multiple trauma evaluated by ultrasonography: a prospective analysis of 291 patients. The Journal of trauma. 1992 Apr 1;32(4):452-8. 7. Stengel D, Rademacher G, Ekkernkamp A, Güthoff C, Mutze S. Emergency ultrasound‐based algorithms for diagnosing blunt abdominal trauma. Cochrane Database of Systematic Reviews. 2015(9). 8. Coley BD, Mutabagani KH, Martin LC, Zumberge N, Cooney DR, Caniano DA, Besner GE, Groner JI, Shiels WE. Focused abdominal sonography for trauma (FAST) in children with blunt abdominal trauma. Journal of Trauma and Acute Care Surgery. 2000 May 1;48(5):902-6. 9. Miele V, Piccolo CL, Trinci M, Galluzzo M, Ianniello S, Brunese L. Diagnostic imaging of blunt abdominal trauma in pediatric patients. La radiologia medica. 2016 May 1;121(5):409-30. 10. Goletti O, Ghiselli G, Lippolis PV, Chiarugi M, Braccini G, Macaluso C, Cavina E. The role of ultrasonography in blunt abdominal trauma: results in 250 consecutive cases. The Journal of trauma. 1994 Feb 1;36(2):178-81. 11. Radwan MM, Abu-Zidan FM. Focussed Assessment Sonograph Trauma (FAST) and CT scan in blunt abdominal trauma: surgeon's perspective. African health sciences. 2006 Nov 21;6(3):187-90. 12. Stengel D, Bauwens K, Sehouli J, Porzsolt F, Rademacher G, Mutze S, Ekkernkamp A. Systematic review and meta-analysis of emergency ultrasonography for blunt abdominal trauma. Journal of British Surgery. 2001 Jul;88(7):901-12. 13. Poletti PA, Mirvis SE, Shanmuganathan K, Takada T, Killeen KL, Perlmutter D, Hahn J, Mermillod B. Blunt abdominal trauma patients: can organ injury be excluded without performing computed tomography?. Journal of Trauma and Acute Care Surgery. 2004 Nov 1;57(5):1072-81. 14. Shinkawa H, Yasuhara H, Naka S, Morikane K, Furuya Y, Niwa H, Kikuchi T. Characteristic features of abdominal organ injuries associated with gastric rupture in blunt abdominal trauma. The American journal of surgery. 2004 Mar 1;187(3):394-7. 15. Boulanger BR, McLellan BA. Blunt abdominal trauma. Emergency Medicine Clinics. 1996 Feb 1;14(1):151-69. 16. Abri B, Vahdati SS, Paknezhad S, Alizadeh S. Blunt abdominal trauma and organ damage and its prognosis. Journal of Research in Clinical Medicine. 2016 Dec 24;4(4):228-32. 17. Ciftci AO, Tanyel FC, Salman AB, Büyükpamukcu N, Hiçsönmez A. Gastrointestinal tract perforation due to blunt abdominal trauma. Pediatric surgery international. 1998 Apr;13(4):259-64. 18. TROLLOPE ML, STALNAKER RL, McELHANEY JH, FREY CF. The mechanism of injury in blunt abdominal trauma. Journal of Trauma and Acute Care Surgery. 1973 Nov 1;13(11):962-70. 19. Mehta N, Babu S, Venugopal K. An experience with blunt abdominal trauma: evaluation, management and outcome. Clinics and practice. 2014 Jun;4(2):34-7. 20. Slotta JE, Justinger C, Kollmar O, Kollmar C, Schäfer T, Schilling MK. Liver injury following blunt abdominal trauma: a new mechanism-driven classification. Surgery today. 2014 Feb;44(2):241-6. 21. Quinn AC, Sinert R. What is the utility of the Focused Assessment with Sonography in Trauma (FAST) exam in penetrating torso trauma?. Injury. 2011 May 1;42(5):482-7. 22. Williams SR, Perera P, Gharahbaghian L. The FAST and E-FAST in 2013: trauma ultrasonography: overview, practical techniques, controversies, and new frontiers. Critical care clinics. 2014 Jan 1;30(1):119-50. 23. Osterwalder J, Mathis G, Hoffmann B. New perspectives for modern trauma management–lessons learned from 25 years FAST and 15 years E-FAST. Ultraschall in der Medizin-European Journal of Ultrasound. 2019 Oct;40(05):560-83. 24. Buzzas, G.R., et al., A comparison of sonographic examinations for trauma performed by surgeons and radiologists. Journal of Trauma and Acute Care Surgery, 1998. 44(4): p. 604-608. 25. Fox JC, Boysen M, Gharahbaghian L, Cusick S, Ahmed SS, Anderson CL, Lekawa M, Langdorf MI. Test characteristics of focused assessment of sonography for trauma for clinically significant abdominal free fluid in pediatric blunt abdominal trauma. Academic emergency medicine. 2011 May;18(5):477-82. 26. Hsu JM, Joseph AP, Tarlinton LJ, Macken L, Blome S. The accuracy of focused assessment with sonography in trauma (FAST) in blunt trauma patients: experience of an Australian major trauma service. Injury. 2007 Jan 1;38(1):71-5. 27. Soundappan SV, Holland AJ, Cass DT, Lam A. Diagnostic accuracy of surgeon-performed focused abdominal sonography (FAST) in blunt paediatric trauma. Injury. 2005 Aug 1;36(8):970-5. 28. Katz S, Lazar L, Rathaus V, Erez I. Can ultrasonography replace computed tomography in the initial assessment of children with blunt abdominal trauma?. Journal of pediatric surgery. 1996 May 1;31(5):649-51. 29. Kretschmer, K.-H. and H. Häuser, Radiologische Diagnostik des abdominellen Traumas. Der Radiologe, 1998. 38(8): p. 693-701. 30. Walcher, F., et al., Optimierung des Traumamanagements durch präklinische Sonographie. Der Unfallchirurg, 2002. 105(11): p. 986-994. 31. Bühne, K.-H., et al., Routineeinsatz von Abdomensonographie und Oberbauch-CT beim Polytrauma Analyse der Therapierelevanz bei 105 Patienten. Der Chirurg, 2001. 72(1): p. 43-48. 32. McGahan JP, Rose J, Coates TL, Wisner DH, Newberry P. Use of ultrasonography in the patient with acute abdominal trauma. J Ultrasound Med. 1997;16(10):653–662; quiz 663–664. 33. Carter JW, Falco MH, Chopko MS, Flynn Jr WJ, Wiles III CE, Guo WA. Do we really rely on fast for decision-making in the management of blunt abdominal trauma?. Injury. 2015 May 1;46(5):817-21. 34. Farthmann, E., et al., Apparative Diagnostik zur Therapieentscheidung bei Abdominalverletzungen, in Klinik und Forschung in der Chirurgie unter dem Aspekt von Effizienz und Ökonomie. 1997, Springer. p. 406-409.
Add your comments about this article
Your username or Email:

CAPTCHA


XML     Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Emamverdian F, Soati F, Esfahani H. Focused Assessment with Sonography in Trauma (FAST) In Blunt Abdominal Trauma. Int J Med Invest. 2021; 10 (3) :16-22
URL: http://intjmi.com/article-1-673-en.html


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 10, Issue 3 (9-2021) Back to browse issues page
International Journal of Medical Investigation
Persian site map - English site map - Created in 0.04 seconds with 29 queries by YEKTAWEB 4410