A clinical study of focused abdominal sonography for trauma (FAST) in blunt abdominal trauma

Prakash, K (2015) A clinical study of focused abdominal sonography for trauma (FAST) in blunt abdominal trauma. Masters thesis, Tirunelveli Medical College, Tirunelveli.

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Abstract

AIMS OF THE STUDY: The aims of study to evaluate the ability of FAST in BAT and correlation with laparotomy findings as in India BAT is leading cause of Mortality and morbidity hence to improve surgeon’s precision to arrive early Intervention. METHODS: The present clinical study is a prospective study conducted on 100 patients with history of blunt abdominal trauma. Inclusion criteria: 1. All patients with blunt abdominal trauma irrespective of age and sex. Exclusion criteria: 1. Penetrating abdominal injuries. 2. Dead on arrival. USG with 3.5 -12 MHz transducer used this study. RESULTS: In this study a total number of 100 patients of BAT were evaluated by FAST. Road traffic accident was the major cause for BAT. FAST was able to identify free fluid or Haemoperitoneum, and solid organ injuries (lacerations, contusions, hematomas and rupture). The overall sensitivity of FAST in evaluation of BAT was 90.9% and specificity was 75%. The sensitivity of in detecting free fluid in our study was 90%. Amongst the solid organs; spleen, liver, and kidney were the most commonly injured with incidence of 17%, 10% and 3% respectively. INTERPRETATION AND CONCLUSION: Thus the ability of FAST to accurately detect the presence of free fluid and to locate the injured organ, helps the surgeon to deside early intervention in BAT.

Item Type: Thesis (Masters)
Additional Information: (Reg. No. 221211357)
Uncontrolled Keywords: Blunt abdominal trauma ; Focused abdominal sonography for trauma.
Subjects: MEDICAL > General Surgery
Depositing User: Devi S
Date Deposited: 06 Oct 2018 01:22
Last Modified: 06 Oct 2018 01:22
URI: http://repository-tnmgrmu.ac.in/id/eprint/9660

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