Point-of-care ultrasound in pediatric small bowel obstruction: an ED case series

A recent meta-analysis of imaging tests for SBO found ultrasonography performed by emergency medicine residents to be more accurate than plain radiography, CT, and magnetic resonance imaging, with a positive likelihood ratio of 9.55 and a negative likelihood ratio of 0.04 [2]. Integrating POCUS into...

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Bibliographic Details
Published in:The American journal of emergency medicine 2016-12, Vol.34 (12), p.2464.e1-2464.e2
Main Authors: James, Vigil, MD, Alsani, Faisal S., MD, Fregonas, Claudio, MD, Seguin, Jade, MD, Tessaro, Mark O., MD
Format: Article
Language:English
Subjects:
Abdomen
Adolescent
Child
Child, Preschool
Emergency
Emergency medical care
Emergency Service, Hospital
Emergency services
Female
Humans
Intestinal Obstruction - diagnostic imaging
Intestine, Small - diagnostic imaging
Male
Medical imaging
Physicians
Point-of-Care Systems
Radiography
Trauma centers
Ultrasonic imaging
Ultrasonography
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Summary:A recent meta-analysis of imaging tests for SBO found ultrasonography performed by emergency medicine residents to be more accurate than plain radiography, CT, and magnetic resonance imaging, with a positive likelihood ratio of 9.55 and a negative likelihood ratio of 0.04 [2]. Integrating POCUS into the examination of children with abdominal pain and vomiting allowed the emergency physicians in these cases to detect features of SBO that might otherwise have been missed given the nonspecific nature of the symptoms and signs of these patients and led these providers to the diagnosis more rapidly than subsequent traditional imaging tests.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2016.06.021