Document Detail

Suspected leaking abdominal aortic aneurysm: use of sonography in the emergency room.
MedLine Citation:
PMID:  3289085     Owner:  NLM     Status:  MEDLINE    
To determine the value of sonography in the emergent evaluation of suspected leaking abdominal aortic aneurysms, the authors examined 60 patients in the emergency department using sonography and a protocol involving advance radio notification from the ambulance; arrival of sonographic personnel and equipment in the triage room before patient arrival; and, during other triage activities, rapid sonographic evaluation of the aorta for aneurysm and of the paraaortic region for extraluminal blood. Sonographic findings were correlated with surgical results and clinical outcome. When performed under these circumstances, sonography was accurate in demonstrating presence or absence of aneurysm (98%), but its sensitivity for extraluminal blood was poor (4%). A combination of sonographic confirmation of aneurysm, abdominal pain, and unstable hemodynamic condition resulted in the correct decision to perform emergent surgery in 21 of 22 patients (95%). An abbreviated sonographic examination done in the emergency room can provide accurate, useful information about the presence of aneurysm; this procedure does not significantly delay triage of these patients.
W P Shuman; W Hastrup; T R Kohler; D A Nyberg; K Y Wang; L M Vincent; L A Mack
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiology     Volume:  168     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1988 Jul 
Date Detail:
Created Date:  1988-07-21     Completed Date:  1988-07-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  117-9     Citation Subset:  AIM; IM    
Department of Radiology, University of Hospital, Seattle, WA.
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MeSH Terms
Aorta, Abdominal
Aortic Rupture / diagnosis*,  surgery
Emergency Service, Hospital*

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