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Updated: Jul 19, 2025
07:18
Focused Assessment with Sonography for Trauma FAST Exam: Image Acquisition
Published on: September 22, 2023
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Ultrasound Rounds: Anesthesiologist-Performed Intraoperative Point-of-Care Focused Assessment With Sonography in
Caitlin A Bradley1,2, McKenzie M Hollon1
1From the Department of Anesthesiology, Emory University School of Medicine, Atlanta, Georgia.
A&A Practice
|August 10, 2023
Summary
Intraoperative Focused Assessment with Sonography in Trauma (FAST) exams by anesthesiologists can significantly alter patient care. This skill, though not widely practiced, is crucial for perioperative management.
Area of Science:
- Emergency Medicine
- Anesthesiology
- Diagnostic Imaging
Background:
- Focused Assessment with Sonography in Trauma (FAST) is a standard diagnostic tool in trauma care.
- Traditionally performed by surgeons for initial assessment and surgical planning.
- Its perioperative application by anesthesiologists is less common but impactful.
Purpose of the Study:
- To highlight the significant impact of intraoperative FAST examinations performed by anesthesiologists.
- To underscore the value of anesthesiologist-performed FAST in changing patient management.
- To advocate for broader adoption of perioperative FAST by anesthesiologists.
Main Methods:
- Case report detailing the use of intraoperative FAST by an anesthesiologist.
- Description of how the FAST examination findings influenced clinical decisions.
- Perioperative management context provided.
Main Results:
- Intraoperative FAST performed by anesthesiologists dramatically altered patient management.
- Demonstrated the utility of real-time ultrasound in the operating room setting.
- Showcased a critical intervention enabled by anesthesiologist-led FAST.
Conclusions:
- Anesthesiologist-performed perioperative FAST is a valuable skill.
- This technique can lead to critical changes in patient management.
- Wider training and practice of perioperative FAST by anesthesiologists are recommended.
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