• J Vet Emerg Crit Care (San Antonio) · Sep 2018

    Evaluation of the agreement between focused assessment with sonography for trauma (AFAST/TFAST) and computed tomography in dogs and cats with recent trauma.

    • Andrea M Walters, Mauria A O'Brien, Laura E Selmic, Sue Hartman, Maureen McMichael, and Robert T O'Brien.
    • J Vet Emerg Crit Care (San Antonio). 2018 Sep 1; 28 (5): 429-435.

    ObjectiveTo determine the agreement between focused assessment with sonography for trauma (FAST) exams and computed tomography (CT) for the detection of pleural and peritoneal fluid and pneumothorax in animals that have sustained recent trauma.DesignProspective study.SettingUniversity Teaching Hospital.AnimalsThirteen dogs and 2 cats were enrolled into the study, with 10 having sustained blunt force trauma and 5 penetrating trauma.InterventionsAbdominal FAST (AFAST) and thoracic FAST (TFAST) exams were performed by emergency room (ER) clinician or house officers and radiology house officers (radiology). TFAST evaluated for the presence of pneumothorax and pleural effusion, and AFAST evaluated for the presence of peritoneal effusion. A minimally sedated, full-body CT exam was performed on each patient and interpreted by a board-certified radiologist. The exams were performed in the same order for all patients: ER FAST, followed by radiology FAST, followed by CT, and operators were blinded to the results of the other exams. A kappa statistic was calculated to assess for agreement between the FAST exams and CT.Measurements And Main ResultsThe median time to perform all 3 exams was 55 minutes (range 30-150 min). There was moderate to excellent agreement between AFAST and CT for detection of free peritoneal fluid (ER K = 0.82; radiology K = 0.53), fair to moderate agreement between TFAST and CT for detection of pleural free fluid (ER K = 0.53; radiology K = 0.36), and poor agreement between TFAST and CT for detection of pneumothorax (ER K = -0.06; radiology K = -0.12).ConclusionsFAST exams reliably identify the presence of free fluid in the peritoneal and pleural cavities; however, TFAST is not a reliable method to diagnose pneumothorax in dogs and cats following trauma.© Veterinary Emergency and Critical Care Society 2018.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…