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Assessment of Traumatic Acute Abdomen

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Basic Ultrasound Skills “Head to Toe” for General Intensivists

Part of the book series: Lessons from the ICU ((LEICU))

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Abstract

Significant abdominal pathology is common in the intensive care unit. This chapter will summarize how to use point-of-care ultrasound to diagnose some common pathology. Importantly, we will start with which probes to use and how to perform the studies needed to identify this pathology. This chapter will also review how to perform a FAST exam and how to look for other key pathology in the abdomen. It will also review the difference between the simple and complex fluid in the abdomen and how to safely access that fluid for diagnostic and therapeutic purposes. We will review the characteristics of pneumoperitoneum, vascular injury, pelvic trauma, and abdominal compartment syndrome.

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References

  1. Vázquez Martínez JL, Quiñones Coneo KL, Villegas TV, Sánchez Porras M, Macarrón CP, Pérez AC, et al. Applicability of a modified EFAST protocol (r-EFAST) to evaluate hemodynamically unstable patients after percutaneous cardiac intervention. Crit Ultrasound J. 2017;9(1):12.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Kumar S, Bansal VK, Muduly DK, Sharma P, Misra MC, Chumber S, et al. Accuracy of focused assessment with sonography for trauma (FAST) in blunt trauma abdomen-a prospective study. Indian J Surg. 2015;77(Suppl 2):393–7.

    Article  PubMed  Google Scholar 

  3. Levitov A, Slonim AD, Mayo PH. Critical care ultrasonography. 2nd ed. New York: McGraw-Hill Education Medical; 2014.

    Google Scholar 

  4. Lichtenstein D. General ultrasound in the critically ill. Berlin: Springer; 2005. ix, 199 p

    Google Scholar 

  5. Lichtenstein DA. Whole-body ultrasound in the ICU. A visual approach to the critically ill. Bull Acad Natl Med. 2007;191(3):495–516; discussion –7.

    PubMed  Google Scholar 

  6. Von Kuenssberg JD, Stiller G, Wagner D. Sensitivity in detecting free intraperitoneal fluid with the pelvic views of the FAST exam. Am J Emerg Med. 2003;21(6):476–8.

    Article  Google Scholar 

  7. Lobo V, Hunter-Behrend M, Cullnan E, Higbee R, Phillips C, Williams S, et al. Caudal edge of the liver in the right upper quadrant (RUQ) view is the most sensitive area for free fluid on the FAST exam. West J Emerg Med. 2017;18(2):270–80.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Abrams BJ, Sukumvanich P, Seibel R, Moscati R, Jehle D. Ultrasound for the detection of intraperitoneal fluid: the role of Trendelenburg positioning. Am J Emerg Med. 1999;17(2):117–20.

    Article  CAS  PubMed  Google Scholar 

  9. Asrani A. Sonographic diagnosis of pneumoperitoneum using the ‘enhancement of the peritoneal stripe sign’. A prospective study. Emerg Radiol. 2007;14(1):29–39.

    Article  PubMed  Google Scholar 

  10. Nazerian P, Tozzetti C, Vanni S, Bartolucci M, Gualtieri S, Trausi F, et al. Accuracy of abdominal ultrasound for the diagnosis of pneumoperitoneum in patients with acute abdominal pain: a pilot study. Crit Ultrasound J. 2015;7(1):15.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Romero JA, Castaño N. Ultrasonography is superior to plain radiography in the diagnosis of pneumoperitoneum (Br J Surg 2002; 89: 351–4). Br J Surg. 2002;89(9):1194–5; author reply 5.

    Article  CAS  PubMed  Google Scholar 

  12. Boniface KS, Calabrese KY. Intensive care ultrasound: IV. Abdominal ultrasound in critical care. Ann Am Thorac Soc. 2013;10(6):713–24.

    Article  PubMed  Google Scholar 

  13. Genovese EA, Fonio P, Floridi C, Macchi M, Maccaferri A, Ianora AA, et al. Abdominal vascular emergencies: US and CT assessment. Crit Ultrasound J. 2013;5(Suppl 1):S10.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Naude GP, Back M, Perry MO, Bongard FS. Blunt disruption of the abdominal aorta: report of a case and review of the literature. J Vasc Surg. 1997;25(5):931–5.

    Article  CAS  PubMed  Google Scholar 

  15. Kirkpatrick AW, Sugrue M, McKee JL, Pereira BM, Roberts DJ, De Waele JJ, et al. Update from the Abdominal Compartment Society (WSACS) on intra-abdominal hypertension and abdominal compartment syndrome: past, present, and future beyond Banff 2017. Anaesthesiol Intensive Ther. 2017;49(2):83–7.

    Article  PubMed  Google Scholar 

  16. Smereczyński A, Kołaczyk K, Bernatowicz E. Ultrasonography in the diagnosis and monitoring of intra-abdominal hypertension and abdominal compartment syndrome: Ultrasonografia a nadciśnienie wewnątrzbrzuszne i zespół przedziału brzusznego. J Ultrason. 2020;20(82):e201–4.

    Article  PubMed  PubMed Central  Google Scholar 

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Author information

Authors and Affiliations

  1. Pulmonary and Critical Care Medicine, Northwell Health, New Hyde Park, NY, USA

    Kelvin Wong & Dae Hyeon Kim

  2. Critical Care, Northwell Health, New Hyde Park, NY, USA

    Mangala Narasimhan

Authors
  1. Kelvin Wong
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  2. Dae Hyeon Kim
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  3. Mangala Narasimhan
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Corresponding author

Correspondence to Mangala Narasimhan .

Editor information

Editors and Affiliations

  1. Anesthesia and Intensive Care, Ospedale Policlinico San Martino, Genova, Italy

    Chiara Robba

  2. Department of Biomedical Sciences, IRCCS Humanitas Research Hospital, Rozzano, Milano, Italy

    Antonio Messina

  3. Department of Critical Care, King’s College Hospital, London, UK

    Adrian Wong

  4. Intensive Care Medicine Unit, Hôpital Ambroise-Paré, Boulogne-Billancourt, France

    Antoine Vieillard-Baron

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Wong, K., Kim, D.H., Narasimhan, M. (2023). Assessment of Traumatic Acute Abdomen. In: Robba, C., Messina, A., Wong, A., Vieillard-Baron, A. (eds) Basic Ultrasound Skills “Head to Toe” for General Intensivists. Lessons from the ICU. Springer, Cham. https://doi.org/10.1007/978-3-031-32462-8_14

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  • DOI: https://doi.org/10.1007/978-3-031-32462-8_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-32461-1

  • Online ISBN: 978-3-031-32462-8

  • eBook Packages: MedicineMedicine (R0)

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