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Experience of use of bedside ultrasonography for detection of Abdominal aortic aneurysm in a tertiary medical center in Taiwan, ROC

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Rupture of abdominal aortic aneurysm is one of the life-threatening diseases in Emergency Department (ED) and it can be misdiagnosed... It happens mostly in the people who are in average of age 75 to 84 years.Use of bedside ultrasonography has been became more common in daily practice of emergency physician (EP) for approaching patient in ED, which has chief complaint of acute abdomen.Especially in the life-threatening rupture abdominal aortic aneurysm, bedside sonography can be more safe and adequate time-saving tool for EP for detection, diagnosis and next crucial management... To acknowledge the utility of bedside ultrasonography for detection of AAA in ED... SKH hospital is a tertiary medical center in Taipei... There have average 5000 to 6000 people visit to ED in each month... We searched the patient who visited to Emergency Department with diagnosis of abdominal aortic aneurysm (AAA) from 2010 year through April of 2014via patient medical information database of our hospital... Total 77 patients were included, 18 patients was excluded due to history of AAA,23 patients was excluded due to no diagnosis of AAAbut with alternative diagnosis such as thoracic aneurysm, aortic dissection and so on... Total 31 patients were first diagnosed of AAA in ED within these 4 years and 4 months... Almost the emergent cases were diagnosed of ruptured AAA within 10 to 20 minutes by bedside ultrasonography.Utility of bedside ultrasonography shortened the time of Computed topography (CT) imaging study and decision making to crucial management (Surgical repair)especially in overcrowded ED... These cases should be diagnosed rapidly and treated aggressivelyotherwise they were dead... Detection of rupture of AAA by bedside ultrasonography was amazingly noted in our experience ( 6 of 8 ruptured cases)... In rare condition like mycotic aneurysm, utility of bedside ultrasonography sometimes plays a role, we have one case of mycotic aneurysm first detected by ultrasonography... Bedside ultrasonography became a convenient and diagnostic tool for detection of AAA in Emergency Department even its dangerous complication like rupture or getting infected.

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Related in: MedlinePlus

Data of patients which were diagnosed as Abdominal Aortic Aneurysm in our Emergent Department within 2010/1/1 to 2014/4/30
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Figure 1: Data of patients which were diagnosed as Abdominal Aortic Aneurysm in our Emergent Department within 2010/1/1 to 2014/4/30


Experience of use of bedside ultrasonography for detection of Abdominal aortic aneurysm in a tertiary medical center in Taiwan, ROC
Data of patients which were diagnosed as Abdominal Aortic Aneurysm in our Emergent Department within 2010/1/1 to 2014/4/30
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4401488&req=5

Figure 1: Data of patients which were diagnosed as Abdominal Aortic Aneurysm in our Emergent Department within 2010/1/1 to 2014/4/30

View Article: PubMed Central - HTML

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Rupture of abdominal aortic aneurysm is one of the life-threatening diseases in Emergency Department (ED) and it can be misdiagnosed... It happens mostly in the people who are in average of age 75 to 84 years.Use of bedside ultrasonography has been became more common in daily practice of emergency physician (EP) for approaching patient in ED, which has chief complaint of acute abdomen.Especially in the life-threatening rupture abdominal aortic aneurysm, bedside sonography can be more safe and adequate time-saving tool for EP for detection, diagnosis and next crucial management... To acknowledge the utility of bedside ultrasonography for detection of AAA in ED... SKH hospital is a tertiary medical center in Taipei... There have average 5000 to 6000 people visit to ED in each month... We searched the patient who visited to Emergency Department with diagnosis of abdominal aortic aneurysm (AAA) from 2010 year through April of 2014via patient medical information database of our hospital... Total 77 patients were included, 18 patients was excluded due to history of AAA,23 patients was excluded due to no diagnosis of AAAbut with alternative diagnosis such as thoracic aneurysm, aortic dissection and so on... Total 31 patients were first diagnosed of AAA in ED within these 4 years and 4 months... Almost the emergent cases were diagnosed of ruptured AAA within 10 to 20 minutes by bedside ultrasonography.Utility of bedside ultrasonography shortened the time of Computed topography (CT) imaging study and decision making to crucial management (Surgical repair)especially in overcrowded ED... These cases should be diagnosed rapidly and treated aggressivelyotherwise they were dead... Detection of rupture of AAA by bedside ultrasonography was amazingly noted in our experience ( 6 of 8 ruptured cases)... In rare condition like mycotic aneurysm, utility of bedside ultrasonography sometimes plays a role, we have one case of mycotic aneurysm first detected by ultrasonography... Bedside ultrasonography became a convenient and diagnostic tool for detection of AAA in Emergency Department even its dangerous complication like rupture or getting infected.

No MeSH data available.


Related in: MedlinePlus