![ECOGRAFIA EN EL TRAUMA OBSTETRICO FAST obstétrico ,[object Object],[object Object]](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
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FAST obstétrico
- 27. 2. CANTIDAD DE LIQUIDO AMNIOTICO
- 44. Donde mirar Trauma Ventanas Marcadores de superficie para posicionar el transductor Cuatro ventanas primarias son las más útiles
- 45. Donde mirar Epigastrio Trauma Ventanas
- 46. Donde mirar HD Trauma Ventanas
- 47. Donde mirar Trauma Ventanas HI
- 48. Donde mirar Pelvis Trauma Ventanas
- 49. Examen FAST / Epigastrio Corte axial basculando a cefálico 4 cámaras para evaluar derrame pericárdico
- 50. Corte coronal en hipocondrio derecho para evaluar hemotorax y hemoperitoneo Morrison ’ Examen FAST / HD Hígado Liver Riñon
- 51. Morrison Corte coronal en hipocondrio derecho para evaluar hemotorax y hemoperitoneo Examen FAST / HD
- 52. Corte coronal en hipocondrio izquierdo para evaluar hemotorax y hemoperitoneo Examen FAST / HI Bazo Riñon
- 53. Corte coronal en hipocondrio izquierdo para evaluar hemotorax y hemoperitoneo Examen FAST / HI
- 54. Buscar líquido libre Longitudinal Examen FAST / Pelvis no gestante Vejiga Cervix Útero
- 55. Buscar líquido libre Examen FAST / Pelvis no gestante Longitudinal
- 56. Posicionar el transductor 1 cm por encima del pubis Transverso Examen FAST / Pelvis Utero Vejiga
- 57. Posicionar el transductor 1 cm por encima del pubis Transverso Examen FAST / Pelvis
- 58. Buscar líquido libre Examen FAST/Pelvis 1er trimestre Longitudinal
- 59. Examen FAST/Pelvis 2do y 3er trim Mejor si la vejiga está llena. Evaluar con cortes longitudinal y transversal
- 60. Examen FAST/Pelvis 2do y 3er trim
- 61. Examen FAST/Pelvis 2do y 3er trim
- 68. www.antonioterrones.com antonioterrones.com tony www.saisfem.org
Notas do Editor
- y
- FAST is an acronym which stands for “Focused Assessment for Sonography in Trauma. It has gone through some name changes over the years to include the Focused Abdominal Exam….etc however, the word “Assessment” was deemed more appropriate with the Cardiac window included.
- Multiple windows were performed originally however, there are four (4) primary windows to consider in addition to the Right and Left hemothorax views.
- While there is no specific order of performing the exam, the clinical data obtained may suggest when to begin. Often times however, the cardiac window is initially performed.
- RUQ is #2
- LUQ is #3
- Pelvic window is #4 Let us examine each individual window
- The subcostal view ideally contains four chambers. Pericardial effusion may appear as a large fluid collection or a thin stripe around the pericardium. Ideally a phased array or microconvex transducer facilitates the view.
- Morrison pouch is the “potential space” bordered by glissons capsule and gerota’s facia
- Often referred to as the “money shot” as the RUQ or Morrison’s pouch view is one of the more likely areas of fluid collection. Free fluid will appear as anechoic and generally has sharp borders. Scan superiorly from this coronal view to evaluate for right sided hemoperitoneum. Look for fluid collections at the diaphragm and inferior to and around the kidney
- Often the most difficult view to obtain. Look for fluid collections at the diaphragm and inferior to and around the kidney. Scan superiorly from this view to evaluate for Left sided hemoperitoneum.
- Often the most difficult view to obtain. Look for fluid collections at the diaphragm and inferior to and around the kidney. Postero-axillary line transducer placement As on the right side, scan superiorly from this plane to evaluate for left sided hemoperitoneum.
- Rare that the paracolic gutters have isolated fluid collections.
- Rare that the paracolic gutters have isolated fluid collections.
- Rare that the paracolic gutters have isolated fluid collections.
- Rare that the paracolic gutters have isolated fluid collections.
- Rare that the paracolic gutters have isolated fluid collections.
- Rare that the paracolic gutters have isolated fluid collections. Examine in both transverse and longitudinal planes. Does not matter which one is first.
- Rare that the paracolic gutters have isolated fluid collections. Examine in both transverse and longitudinal planes. Does not matter which one is first.
- Rare that the paracolic gutters have isolated fluid collections. Examine in both transverse and longitudinal planes. Does not matter which one is first.