Reliability of abdominal focused assessment with sonography of abdominal free fluid in canine trauma patients Kumar Manoj1,†, Mohindroo J.2, Devi N. Umeshwori3, Anand Arun2, Pathak Devendra4 1MVSc scholar, Department of Veterinary Surgery and Radiology, College of Veterinary Sciences, Guru Angad Dev Veterinary and Animal Sciences University, Ludhiana -141 001 (Punjab) 2Professor, Department of Veterinary Surgery and Radiology, College of Veterinary Sciences, Guru Angad Dev Veterinary and Animal Sciences University, Ludhiana -141 001 (Punjab) 3Assistant Professor, Department of Veterinary Surgery and Radiology, College of Veterinary Sciences, Guru Angad Dev Veterinary and Animal Sciences University, Ludhiana -141 001 (Punjab) 4Assistant Scientist, Department of Veterinary Anatomy, College of Veterinary Sciences, Guru Angad Dev Veterinary and Animal Sciences University, Ludhiana -141 001 (Punjab) †Corresponding author; E-mail: manojksh25@gmail.com
Online Published on 20 May, 2023. Abstract The present study was conducted on 100 canine trauma patients with the objective to assess the reliability of Abdominal Focused Assessment with Sonography for Trauma (AFAST). The AFAST examination was performed in right lateral recumbency and then detailed ultrasound examination was performed in dorsal recumbency as per standard protocol. The fluid scores of cystocolic (CC ) and spleno-renal (SR) window were significantly higher than Diaphragmatico-hepatic (DH)) as well as hepato-renal (HR) window; however, the difference between CC and SR window was not significant. There were 6 animals which were AFAST negative but upon detailed ultrasound free fluid was detected in mid abdomen. These six animals were found negative on AFAST scan and were considered as false negative. Sixty three animals in which the free fluid was found were true positive on AFAST scan. Thirty one animals were true negative as during detailed sonography, free fluid was not present in 31 out of 37 AFAST negative dogs. No false positive case was found on AFAST. It was concluded that AFAST had sensitivity of 91.30 %, specificity of 100%, positive predictive value of 100% and negative predictive value of 83.47%. AFAST was found to be reliable for primary diagnostic protocol for assessment of free abdominal fluid in canine trauma patients. Top Keywords Abdominal focused assessment, Abdominal trauma, AFAST, Dog, Ultrasound. Top |