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Abstract

RIASSUNTO

La metodica FAST è considerata il gold standard delle valutazione point-of-care del paziente con trauma addominale chiuso tanto da aumentarne l'uso anche da parte di professionisti non solo radiologi, ma anche del personale che opera in emergenza come l'infermiere. Lo scopo di questa revisione sistematica è quello di valutare l'efficacia dell'ecografia FAST eseguita dagli infermieri di emergenza. Sono state consultate 7 banche dati di letteratura primaria e secondaria. Inoltre sono state visionate 3 riviste nazionali attinenti al settore. La revisione è stata condotta fra marzo e agosto 2011 costruendo 9 stringhe di ricerca. Gli articoli visualizzati sono stati valutati criticamente da due autori in modo indipendente. Non sono state applicate restrizioni di lingua né di tempo di pubblicazione. Complessivamente sono stati visualizzati 4767 documenti ma solo 4 pertinenti alla revisione. In totale sono state incluse 1035 ecografie FAST svolte da personale infermieristico. I risultati mostrano che l'impiego dell'ecografia FAST eseguita dagli infermieri formati è molto efficace con una sensibilití  del 84% (95% CI 72.1-92.2) ed una specificití  del 97,37% (95% CI 92.55-99.10). Il tempo di esecuzione pratica aveva una media di 156 secondi (2.6 minuti), tempo mediano di 138 secondi (range=76 a 357). Solo in uno studio veniva specificato in modo dettagliato il tipo di corso formativo che dovevano frequentare gli infermieri. In conclusione l'ecografia FAST eseguita dal personale infermieristico può avere un ruolo determinante nell'ambito delle emergenze e nei processi specifici di triage in quanto vero e proprio strumento di screening.

Parole chiave: FAST, infermieristica di emergenza, lesione addominale, servizio di emergenza, ultrasonografia.

 

 

Nurse-performed FAST ultrasound in the Emergency Department: a systematic review

ABSTRACT

Focused Assessment with Sonography for Trauma (commonly abbreviated as FAST) is considered for patients with blunt abdominal trauma as the gold standard for accident assessment in site. This method is increasingly used even by not radiologists professionals, as well as by nurses who works in emergency settings. This systematic review is aimed at evaluating the effectiveness of ultrasound FAST performed by nurses in emergencies department. Seven databases of primary and secondary literature as well as three national journals relevant to the field were consulted. The review was conducted between March and August 2011 developing 9 search strings. Articles have been critically reviewed by two authors independently. No restriction on language or time of publication have been used. A total of 4767 documents were displayed, of those only 4 were considered to be reviewed. A total of 1035 FAST ultrasound performed by nurses were included. The results show that the use of ultrasound FAST performed by trained nurses is very effective, with a sensitivity of 84% (95% CI 72.1-92.2) and a specificity of 97.37% (95% CI 92.55-99.10) . Practice execution time was an average of 156 seconds (2.6 minutes), median time of 138 seconds (range = 76 to 357). Just one study specified the training course that nurses were required to attend. To sum up, FAST ultrasound performed by nurses have an important role in emergencies management as well as in triage setting as valid screening tool.

Key words: abdominal injuries, emergency nursing, emergency service, FAST, ultrasonography.

Dettagli dell'articolo

Come citare
Storti, M., Musella, L., & Cianci, V. (2013). L’utilizzo della tecnica ad ultrasuoni FAST eseguita dagli infermieri del Dipartimento di Emergenza: una revisione sistematica. PROFESSIONI INFERMIERISTICHE, 66(1). Recuperato da https://www.profinf.net/pro3/index.php/IN/article/view/20
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