Poster électronique

Evaluation du « VScan »® de General Electric pour l'exploration des urgences abdominales
B. Dallaudiere, M. Canella, F. Cornelis, R. Hubrecht, Y. Lebras, M. Bouzgarrou, N. Grenier - Bordeaux - France
Congrès 2010
Poster
2,8
9 votes.
Vu 503 fois.
Résumé
Objectifs
Le bilan de l'ensemble des lésions abdominales aiguës post-traumatiques ou non représente une urgence diagnostique et thérapeutique. Nous avons comparé, dans le cadre de l'urgence, deux méthodes d'évaluation diagnostique concernant les pathologies abdominales en utilisant un échographe « standard » et avec le nouvel échographe portatif « VScan »® de General Electric.
Matériels et méthodes
Trente patients présentant une symptomatologie abdominale aiguë ont étéévalués sur différents critères (foie : contours et parenchyme ; rate ; reins : dilatation et lithiases ; aorte ; épanchement péritonéal ; épanchement péricardique) par échographie « standard » (Siemens, Acuson) et par échographe portatif « VScan »®. Nous avons noté sur 5 les performances des deux méthodes et nous avons chronométré le temps d'examen afin d'obtenir une concordance intra-observateur et inter-méthodes (coefficient de corrélation intra classe R avec intervalle de confiance à 95 % et graphique de Bland et Altman avec logiciel Statview).
Résultats
Les résultats montrent des résultats non statistiquement différents entre les deux méthodes, avec un taux de concordance inter-machine intra-observateur excellent R de 0,91.
Conclusion
Le nouvel échographe portatif « VScan »® permet une évaluation fiable des différents postes d'évaluation sus cités pour l'exploration des urgences abdominales.
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2017-08-31 18.06 :
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Je suis médecin généraliste dans un services urgences et je débute en échographie. J'utilise le GE Vscan depuis un an. Il a une définition limité mais est polyvalent, facile à utiliser et surtout bon marché. Je monte des vidéos de mes cas cliniques que je mets sur Youtube:"Vscan Echographie et Urgences". http://www.youtube.com/user/girardphilippe1/videos Cas récent oule Vscan a permis le diagnostic qu'abcés amibiens hépatiques. http://www.youtube.com/watch?v=gf8PbZNrJIg&feature=plcp
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