Evaluation of diagnostic peritoneal lavage in the FAST-Negative intubated traumatic patient in the emergency ward of imam reza hospital in 1397(HS)

Abstract

The most important issue in treating blunt-traumatic injuries is a quick and accurate examination of those who require urgent surgery. Clinical experience has shown that most cases of traumatic intubation patients who are FAST negative also have a negative DPL result. In a traumatic patient based on the ATLS Guideline, a FAST Primary Survey is required. In patients with blunt trauma who are FAST negative, they prefer to perform DPL if there is a decreased level of consciousness and uncertainty about the clinical examination of the abdomen. Given that DPL is costly and has high complications and is an aggressive procedure, FAST studies with high specificity, sensitivity and accuracy ,This study was designed to evaluate the efficacy of FAST versus DPL if FAST is negative and the clinical suspicion is high and the patient can be monitored and serial examinations and other measures performed to avoid additional DPL Materials and Methods: A descriptive cross-sectional study in which all trauma patients referred to Emam Reza Emergency Hospital for one year were intubated and included in the DPL. The data were entered into SPSS16 statistical software for demographic data by descriptive statistical method and for comparing quantitative data from T-student test and for qualitative data (chi-squared test X ^ 2) was used. P-value below 0.05 was considered significant. Results: The mean age of the subjects was 29.37± 2.2 with minimum age of 4 and maximum of 93 patients. The most common trauma was a motorcycle accident. Only 1 patient had DPL-positive laparotomy and all had positive laparotomy