Splenic Doppler Resistive Index for Early Detection of Occult Hemorrhagic Shock After Polytrauma in Adult Patients

• DOI: 10.1097/shk.0b013e31826d1eaf
• Publication Date: 2012-10-05T08:00:16Z
• Authors: Francesco Corradi; Claudia Brusasco; Alessandro Garlaschi; Gregorio Santori; Antonella Vezzani; Paolo Moscatelli; Paolo Pelosi
• Keywords: Polytrauma; Occult

The objective of this study was to evaluate whether direct assessment splenic circulation by Doppler resistive index (Doppler RI) is a clinically useful noninvasive method for an early detection occult hemorrhagic shock after polytrauma in adult patients. Splenic RI measured 49 hemodynamically stable patients admitted the emergency department because polytrauma. Renal also determined 20 Spleen size, Injury Severity Score, systolic blood pressure, heart rate, lactate, standard base excess, pH, hemoglobin, and inferior vena cava diameter values were recorded at admission 24 h. Patients grouped according signs did (n = 22) or not 27) occur within first h from admission. who developed had significantly higher renal RI, lower excess By multivariate logistic regression, resulted be predictor development may represent persistent hypoperfusion