The compatibility of Focused Assessment with Sonography in Trauma (FAST) in the supine position vs FAST in the Trendelenburg position in determining free fluid in blunt abdominopelvic trauma patients

Anvary, Motahare; Esmaeili, Alireza; Mohammad Karimi, Naser; Jafari, Mohamadali; Zeinali, Faeze; Fallah, Hassan

دوره 12، شماره 1 - ( 3-1403 ) جلد 12 شماره 1 صفحات 17-11 | برگشت به فهرست نسخه ها

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Anvary M, Esmaeili A, Mohammad Karimi N, Jafari M, Zeinali F, Fallah H. The compatibility of Focused Assessment with Sonography in Trauma (FAST) in the supine position vs FAST in the Trendelenburg position in determining free fluid in blunt abdominopelvic trauma patients. J Surg Trauma 2024; 12 (1) :11-17
URL: http://jsurgery.bums.ac.ir/article-1-412-fa.html

The compatibility of Focused Assessment with Sonography in Trauma (FAST) in the supine position vs FAST in the Trendelenburg position in determining free fluid in blunt abdominopelvic trauma patients. نشریه جراحی و تروما. 1403; 12 (1) :11-17

URL: http://jsurgery.bums.ac.ir/article-1-412-fa.html

The compatibility of Focused Assessment with Sonography in Trauma (FAST) in the supine position vs FAST in the Trendelenburg position in determining free fluid in blunt abdominopelvic trauma patients

چکیده: (258 مشاهده)

Introduction: Focused Assessment with Sonography for Trauma (FAST) is found to be a diagnostic tool initially to detect intra-abdominal fluid in abdominal trauma. This study examined the compatibility of FAST in the supine position vs FAST in the Trendelenburg position in determining of free fluid in blunt abdominopelvic trauma patients.
Materials and Methods: This descriptive cross-sectional study was conducted prospectively on all patients with blunt abdominal trauma during 2019-2021 in Shahid Rahnemoon Yazd Teaching Hospital. sampling method was convenient. An emergency medicine specialist did FAST, on the abdominal and pelvic trauma patients, in the supine position. The patients were placed in the Trendelenburg position for 3 minutes and FAST was performed again. Demographic information and the results obtained from both FAST ultrasounds of the patients were recorded. The sensitivity and Specificity of the supine test, Positive predictive value (PPV), and negative predictive value of the supine (NPV) test were assessed.
Results: In this study, in the FAST performed in the supine position free fluid was seen in 13.4%(n=16) of the patients while in the Trendelenburg position, 29.4% (n=35) of the patients clearly showed free fluid in the abdomen and pelvis. The overall Sensitivity, Specificity, PPV, and NPV of the supine test were 30.55%, 93.97%, 68.75%, and 75.72% respectively.
Conclusion: using the Trendelenburg position, for the detection of free fluid in patients with blunt abdominal trauma and stable hemodynamics with or without abdominal pain, which first-time FAST exam is not reliable or is suspected of free fluid presence, is recommended.

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