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A Prospective Study of Surgeon-Performed Ultrasound as the Primary Adjuvant Modality for Injured Patient Assessment

Rozycki, Grace S. MD, FACS; Ochsner, M. Gage MD, FACS; Schmidt, Judy A. RN, DNSc; Frankel, Heidi L. MD; Davis, Thomas P. MC, USNR; Wang, Dennis MD; Champion, Howard R. FRCS (Edin)

Journal of Trauma and Acute Care Surgery: September 1995 - Volume 39 - Issue 3 - p 492-500

Ultrasound diagnostic imaging, having been used in Germany in the trauma setting for more than 15 years, has unique qualities that give it distinct advantages over other tests (DPL, CT), and is gradually gaining acceptance by surgeons in the United States. In this prospective study, experienced surgeon sonographers successfully used ultrasound as the primary adjuvant modality to detect hemoperitoneum and pericardial effusion in injured patients. The ultrasound evaluations of 371 patients demonstrated that in 65 patients with significant injuries, ultrasound detected 53, that is, had an 81.5% sensitivity and 99.7% specificity. They conclude that ultrasound should be the primary adjuvant instrument for the evaluation of injured patients because it is rapid, accurate, and is potentially cost-effective.

From the Department of Surgery, Emory University School of Medicine, Atlanta, Georgia (G.S.R., J.A.S.), Memorial Medical Center, Savannah, Georgia (M.G.O.), the Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania (H.L.F.), National Naval Medical Center, Bethesda, Maryland (T.P.D.), University of Maryland Hospital, Baltimore, Maryland (D.W.), and the Department of Surgery, Uniformed Services University of Health Sciences, Bethesda, Maryland (G.S.R., M.G.O., H.R.C.).

Presented at the 54th Annual Meeting of the American Association for the Surgery of Trauma, September 29-October 1, 1994, San Diego, California.

Address for reprints: Grace S. Rozycki, MD, FACS, Director, Trauma/Surgical Critical Care, Emory University School of Medicine, 69 Butler Street SE, Suite 302, Atlanta GA 30303.

© Williams & Wilkins 1995. All Rights Reserved.