Rapid detection of traumatic effusion using surgeon-performed ultrasonography

Amy C. Sisley, Grace S. Rozycki, Robert B. Ballard, Nicholas Namias, Jeffrey P. Salomone, David V. Feliciano

Research output: Contribution to journalArticle

115 Citations (Scopus)

Abstract

Background: In the injured patient, rapid assessment of the thorax can yield critical information for patient management and triage. Objectives: The objectives of this prospective study were (1) to determine if experienced surgeon sonographers could successfully use a focused thoracic ultrasonographic examination to detect traumatic effusion, and (2) to compare the accuracy and efficiency of ultrasonography with supine portable chest radiography. Methods: Surgeon-sonographers performed thoracic ultrasonographic examinations on patients with blunt and penetrating torso injuries during the Advanced Trauma Life Support secondary survey. All patients also underwent portable chest radiography. Performance times for ultrasonography and chest radiography were recorded. Comparisons were made of the performance times and accuracy of both tests in detecting traumatic effusion. Results: In 360 patients, there were 40 effusions, 39 of which were detected by ultrasonography and 37 of which were detected by chest radiography. The 97.5% sensitivity and 99.7% specificity observed for thoracic ultrasonography were similar to the 92.5% sensitivity and 99.7% specificity for portable chest radiography. Performance time for ultrasonography was significantly faster than that for chest radiography (130 ± 0.08 vs. 14.18 ± 0.91 minutes, p < 0.0001). Conclusion: Surgeons can accurately perform and interpret a focused thoracic ultrasonographic examination to detect traumatic effusion. Surgeon-performed thoracic ultrasonography is as accurate but is significantly faster than supine portable chest radiography for the detection of traumatic effusion.

Original languageEnglish
Pages (from-to)291-297
Number of pages7
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume44
Issue number2
DOIs
StatePublished - Feb 1 1998
Externally publishedYes

Fingerprint

Ultrasonography
Thorax
Radiography
Surgeons
Advanced Trauma Life Support Care
Sensitivity and Specificity
Torso
Information Management
Triage
Prospective Studies
Wounds and Injuries

Keywords

  • Chest radiograph
  • Surgeon-sonographer
  • Traumatic effusion
  • Ultrasonography

ASJC Scopus subject areas

  • Surgery

Cite this

Rapid detection of traumatic effusion using surgeon-performed ultrasonography. / Sisley, Amy C.; Rozycki, Grace S.; Ballard, Robert B.; Namias, Nicholas; Salomone, Jeffrey P.; Feliciano, David V.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 44, No. 2, 01.02.1998, p. 291-297.

Research output: Contribution to journalArticle

Sisley, Amy C. ; Rozycki, Grace S. ; Ballard, Robert B. ; Namias, Nicholas ; Salomone, Jeffrey P. ; Feliciano, David V. / Rapid detection of traumatic effusion using surgeon-performed ultrasonography. In: Journal of Trauma - Injury, Infection and Critical Care. 1998 ; Vol. 44, No. 2. pp. 291-297.
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