Veterinary-focused assessment with sonography for trauma-airway, breathing, circulation, disability and exposure: a prospective observational study in 64 canine trauma patients

被引:29
作者
Armenise, A. [1 ]
Boysen, R. S. [2 ]
Rudloff, E. [3 ]
Neri, L. [4 ]
Spattini, G. [5 ]
Storti, E. [6 ]
机构
[1] Osped Vet Santa Fara, I-70124 Bari, Italy
[2] Univ Calgary, Fac Vet Med, Calgary, AB T2N 1N4, Canada
[3] Lakeshore Vet Specialists, Glendale, WI 53209 USA
[4] Osped Niguarda Ca Granda, AREU, AAT118 Milano, I-20162 Milan, Italy
[5] Castellarano Vet Clin, I-42014 Castellarano, RE, Italy
[6] ASST Lodi, I-26900 Lodi, Italy
关键词
LUNG ULTRASOUND EXAMINATION; B-LINES; CHEST ULTRASONOGRAPHY; ABDOMINAL FLUID; VENA-CAVA; DOGS; DIAGNOSIS; FREQUENCY; AGREEMENT; EMERGENCY;
D O I
10.1111/jsap.12968
中图分类号
S85 [动物医学(兽医学)];
学科分类号
0906 ;
摘要
ObjectiveTo describe the technique and findings of the veterinary focused assessment with sonography for trauma-airway, breathing, circulation, disability and exposure' protocol in dogs suffering from trauma. Materials and MethodsProspective observational study on a new point-of-care ultrasound protocol on 64 dogs suffering from trauma and comparison of findings with radiology. ResultsComparison of the results of this new ultrasound protocol for trauma patients with radiography findings for pneumothorax, pleural effusion, alveolar-interstitial syndrome and abdominal effusion revealed positive agreement of 89, 83, 100 and 87% and negative agreement of 76, 83, 76 and 92%, respectively. Novel findings of the veterinary focused assessment with sonography for trauma-airway, breathing, circulation, disability and exposure' exam, which were not previously reported for dogs undergoing focused assessment with sonography for trauma, included alveolar-interstitial syndrome (suggestive of pulmonary contusions), diaphragmatic hernia, retroperitoneal effusion and tracheal injury. Our new technique may also help identify increased intracranial pressure via changes in optic nerve sheath diameter and haemodynamic instability through the evaluation of the caudal vena cava and cardiac function. Clinical SignificanceThe described ultrasound examination protocol can be rapidly performed on dogs suffering from trauma during resuscitation and it may detect injuries previously undetectable using other veterinary point-of-care ultrasound protocols.
引用
收藏
页码:173 / 182
页数:10
相关论文
共 45 条
[1]  
Armenise A., 2012, J VET EMERG CRIT CAR, V22, pS20
[2]  
Armenise A., 2011, CRITICAL ULTRASOUND, V3, P184
[3]   Evaluation of a focused assessment with sonography for trauma protocol to detect free abdominal fluid in dogs involved in motor vehicle accidents [J].
Boysen, SR ;
Rozanski, EA ;
Tidwell, AS ;
Holm, JL ;
Shaw, SR ;
Rush, JE .
JAVMA-JOURNAL OF THE AMERICAN VETERINARY MEDICAL ASSOCIATION, 2004, 225 (08) :1198-1204
[4]   Emergency ultrasound in the acute assessment of haemothorax [J].
Brooks, A ;
Davies, B ;
Smethhurst, M ;
Connolly, J .
EMERGENCY MEDICINE JOURNAL, 2004, 21 (01) :44-46
[5]   Sonographic assessment of volaemia: development and validation of a new method in dogs [J].
Cambournac, M. ;
Goy-Thollot, I. ;
Viole, A. ;
Boisvineau, C. ;
Pouzot-Nevoret, C. ;
Barthelemy, A. .
JOURNAL OF SMALL ANIMAL PRACTICE, 2018, 59 (03) :174-182
[6]   A COEFFICIENT OF AGREEMENT FOR NOMINAL SCALES [J].
COHEN, J .
EDUCATIONAL AND PSYCHOLOGICAL MEASUREMENT, 1960, 20 (01) :37-46
[7]  
Crowe D.T., 1998, Current techniques in small animal surgery, V4th, P403
[8]   Establishment of reference values of the caudal vena cava by fast-ultrasonography through different views in healthy dogs [J].
Darnis, Elodie ;
Boysen, Soren ;
Merveille, Anne-Christine ;
Desquilbet, Loic ;
Chalhoub, Serge ;
Gommeren, Kris .
JOURNAL OF VETERINARY INTERNAL MEDICINE, 2018, 32 (04) :1308-1318
[9]  
Dirweesh A, 2017, RESPIR MED CASE REP, V20, P129, DOI 10.1016/j.rmcr.2017.01.014
[10]  
Durkan S. D., 2005, J VET EMERG CRIT CAR, V15, pS4