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ULTRAZVUČNA PROCJENA TUPE TRAUME ABDOMENA: "FAST-PROTOKOL"
Medicina, 39 (2003), 1; 8-13. urn:nbn:hr:184:302329
Markić, Dean; Mozetič, Vladimir; Hauser, Goran; Jakljević, Tomislav; Tomulić, Vjekoslav; Zeidler, Fred

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Markić, D., Mozetič, V., Hauser, G., Jakljević, T., Tomulić, V. & Zeidler, F. (2003). ULTRAZVUČNA PROCJENA TUPE TRAUME ABDOMENA: "FAST-PROTOKOL". Medicina, 39. (1), 8-13. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:302329

Markić, Dean, et al. "ULTRAZVUČNA PROCJENA TUPE TRAUME ABDOMENA: "FAST-PROTOKOL"." Medicina, vol. 39, no. 1, 2003, pp. 8-13. https://urn.nsk.hr/urn:nbn:hr:184:302329

Markić, Dean, Vladimir Mozetič, Goran Hauser, Tomislav Jakljević, Vjekoslav Tomulić and Fred Zeidler. "ULTRAZVUČNA PROCJENA TUPE TRAUME ABDOMENA: "FAST-PROTOKOL"." Medicina 39, no. 1 (2003): 8-13. https://urn.nsk.hr/urn:nbn:hr:184:302329

Markić, D., et al. (2003) 'ULTRAZVUČNA PROCJENA TUPE TRAUME ABDOMENA: "FAST-PROTOKOL"', Medicina, 39(1), pp. 8-13. Available at: https://urn.nsk.hr/urn:nbn:hr:184:302329 (Accessed 21 November 2024)

Markić D, Mozetič V, Hauser G, Jakljević T, Tomulić V, Zeidler F. ULTRAZVUČNA PROCJENA TUPE TRAUME ABDOMENA: "FAST-PROTOKOL". Medicina [Internet]. 2003 [cited 2024 November 21];39(1):8-13. Available at: https://urn.nsk.hr/urn:nbn:hr:184:302329

D. Markić, V. Mozetič, G. Hauser, T. Jakljević, V. Tomulić and F. Zeidler, "ULTRAZVUČNA PROCJENA TUPE TRAUME ABDOMENA: "FAST-PROTOKOL"", Medicina, vol. 39, no. 1, pp. 8-13, 2003. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:302329. [Accessed: 21 November 2024]

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Metadata
Title (croatian)ULTRAZVUČNA PROCJENA TUPE TRAUME ABDOMENA: "FAST-PROTOKOL"
Title (english)ULTRASOUND EVALUATION OF BLUNT ABDOMINAL TRAUMA: "FAST-PROTOCOL"
AuthorDean Markić
AuthorVladimir Mozetič
AuthorGoran Hauser
AuthorTomislav Jakljević
AuthorVjekoslav Tomulić
AuthorFred Zeidler
Author's institutionUniversity of Rijeka
Faculty of Medicine
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Emergency Medicine
Abstract (croatian)
Tupa trauma abdomena još je uvijek dijagnostički izazov. Standardne dijagnostičke metode jesu dijagnostička peritonealna lava ža (DPL), kompjutorizirana tomografija (CT) i ultrazvuk (UZ). "FAST protokol" ciljani je ultrazvučni pregled abdomena i osrèja u traumatiziranih bolesnika. Cilj je protokola utvrditi postojanje slobodne tekućine (krvi) u abdomenu ili perikardu. Pretražuju se četiri prostora: hepatorenalni (Morisonov), splenorenalni, zdjelič ni te perikardijalni prostor. Pozitivan nalaz najčešći je u Morisonovu prostoru. Sljedeće prednosti ove metode jesu: nije potrebna priprema bolesnika, nema kontraindikacija, neinvazivna je, dovoljan je samo ležæći položaj, kratko traje (2·10 minuta), može se ponoviti neograničeni broj puta, nije štetna za pacijenta niti za osoblje, izvodi se na krevetu bolesnika, razmjerno je jeftina. Osnovni je nedostatak neprikazivanje same lezije intraabdominalnih organa. Potkožni emfizem i značajna debljina mogu otežati adekvatan pregled. Trajanje i sadržaj edukacije liječnika koji provode FAST (liječnici u hitnim medicinskim službama, kirurzi, radiolozi) jo¹ su uvijek nejedinstveni, no edukacija bi ipak trebala sadržavati barem 8·10 didaktièčih sati te 50 pregleda pod nadzorom mentora. Ultrazvuk abdomena ("FAST-protokol") danas se može koristiti kao inicijalna dijagnostička metoda u procjeni većine pacijenata s tupom traumom abdomena, uz CT i DPL kao njegovu nadopunu. Uporabom ovog protokola, prije svega u hitnoj medicinskoj službi, skraćuje se vrijeme obrade traumatiziranih bolesnika, pogotovo onih koji zahtijevaju hitno operacijsko lijeèenje. U èlanku su prikazana i prva iskustva autora u provoðenju "FASTprotokola ".
Abstract (english)
Blunt abdominal trauma still remains a diagnostic challenge. Standard diagnostic techniques are diagnostic peritoneal lavage (DPL), computed tomography (CT) and ultrasound (US). FAST protocol means focused abdominal sonography examination in traumatized patients. The primary finding in the FAST examination is anechoic fluid collection (blood) within the peritoneal cavity or pericard. The four standard vizualized areas are: hepatorenal space (Morison pouch), splenorenal, pelvic and pericardial space. Intraperitoneal fluid is most often found in the Morison`s pouch. Adavantages of this method are: no need for patients preparation, no contraindications, noninvasive, only one position (supine), rapid (2-10 minutes), repeatebly as often as necessary, not harmful neither for patients or stuff, performed on patients bed, relatively inexpensive. Major limitation is detection of intrabdominal fluid without visualization of injured abdominal organ. Subcutaneos emphysema and marked obesity can impair the ability of ultrasound to image the abdomen. Education of physicians who perform FAST (emergency physicians, surgeons and radiologist) is still controversial but in most studies it is recommended 8- 10 hours of didactic training and 50 supervised examinations. Ultrasound is highly reliable and may replace CT scan and DPL as the initial diagnostic modality in the evaluation of most patients with blunt abdominal trauma. Using this protocol, primary in emergency department, evaluation time of traumatized patients decline, especially in those who needs urgent operative treatment. In the article authors represented their first experiences with FAST protocol.
Keywords (croatian)
Keywords (english)
Languagecroatian
Publication typeProfessional paper - Review paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleMedicina
Numberingvol. 39, no. 1, pp. 8-13
p-ISSN0025-7729
URN:NBNurn:nbn:hr:184:302329
Publication2003
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2017-06-05 13:07:55