ULTRASOUND INSTRUMENTATION IN THE DIAGNOSIS OF HEMORRHAGIC COMPLICATIONS OF CHEST INJURIES

Authors

  • V. V. BOIKO State Institution “V.T. Zaitsev Institute of General and Emergency Surgery of the National Academy of Medical Sciences of Ukraine”, Kharkiv, Ukraine Kharkiv National Medical University, Kharkiv, Ukraine https://orcid.org/0000-0002-9274-2153
  • K. A. VYSHNYAKOV State Institution “V.T. Zaitsev Institute of General and Emergency Surgery of the National Academy of Medical Sciences of Ukraine”, Kharkiv, Ukraine https://orcid.org/0009-0009-3791-9313
  • V. V. KRITSAK State Institution “V.T. Zaitsev Institute of General and Emergency Surgery of the National Academy of Medical Sciences of Ukraine”, Kharkiv, Ukraine National Technical University “Kharkiv Polytechnic Institute”, Kharkiv, Ukraine https://orcid.org/0000-0002-3712-6235
  • P. M. ZAMYATIN State Institution “V.T. Zaitsev Institute of General and Emergency Surgery of the National Academy of Medical Sciences of Ukraine”, Kharkiv, Ukraine Kharkiv National Medical University, Kharkiv, Ukraine https://orcid.org/0000-0002-9465-2557
  • K. G. MYKHNEVYCH State Institution “V.T. Zaitsev Institute of General and Emergency Surgery of the National Academy of Medical Sciences of Ukraine”, Kharkiv, Ukraine Kharkiv National Medical University, Kharkiv, Ukraine https://orcid.org/0000-0002-6135-7121
  • L. V. PROVAR State Institution “V.T. Zaitsev Institute of General and Emergency Surgery of the National Academy of Medical Sciences of Ukraine”, Kharkiv, Ukraine Kharkiv National Medical University, Kharkiv, Ukraine https://orcid.org/0009-0005-7241-3124

DOI:

https://doi.org/10.11603/2414-4533.2025.4.15741

Keywords:

chest injury, bleeding, ultrasound diagnostics

Abstract

The aim of the work: to study the feasibility of using ultrasound diagnostics (US) according to the FAST protocol for chest injuries.

Materials and Methods. The paper presents the results of the examination of 859 patients with isolated and combined chest injuries. Ultrasound examination has been confirmed as a highly informative and safe imaging method that does not cause additional stress on the body. The examination was performed without the need for special patient preparation. If necessary, additional ultrasound modes were used: color doppler mapping, pulsed doppler, panoramic scanning. Diagnostics was performed according to the FAST protocol for prompt detection of free fluid (blood) in the pleural cavity and signs of pneumothorax, which allowed for quick decisions on surgical intervention.

Results. The method demonstrated a special diagnostic value in those 14 cases ((15.6±4.2) %) when the volume of hemothorax was relatively small (less than 450–500 ml), and with the traditional approach, surgical intervention was not considered appropriate. However, it was the ultrasound signs of ongoing bleeding that became a reasonable indication for emergency surgical care. No false-positive results were recorded when using this method, the specificity was 100 %.

Conclusions. The proposed method of ultrasound imaging of ongoing bleeding in chest trauma is clinically appropriate, as it allows for prompt, non-invasive and highly specific confirmation of the presence of post-traumatic hemorrhage.

Author Biographies

V. V. BOIKO, State Institution “V.T. Zaitsev Institute of General and Emergency Surgery of the National Academy of Medical Sciences of Ukraine”, Kharkiv, Ukraine Kharkiv National Medical University, Kharkiv, Ukraine

MD, DSc (Medicine), Professor, Head of the Department of Complex Programming and Development of Emergency Surgery and Intellectual Property Protection of the State Institution

K. A. VYSHNYAKOV, State Institution “V.T. Zaitsev Institute of General and Emergency Surgery of the National Academy of Medical Sciences of Ukraine”, Kharkiv, Ukraine

Acting Head of the Department of Ultrasound and Clinical and Instrumental Diagnostics, Ultrasound Doctor, Junior Research Fellow

V. V. KRITSAK, State Institution “V.T. Zaitsev Institute of General and Emergency Surgery of the National Academy of Medical Sciences of Ukraine”, Kharkiv, Ukraine National Technical University “Kharkiv Polytechnic Institute”, Kharkiv, Ukraine

Candidate of Medical Sciences, Head of the Department of General Surgery and Topographic Anatomy

P. M. ZAMYATIN, State Institution “V.T. Zaitsev Institute of General and Emergency Surgery of the National Academy of Medical Sciences of Ukraine”, Kharkiv, Ukraine Kharkiv National Medical University, Kharkiv, Ukraine

MD, DSc (Medicine), Professor, Head of the Department of Complex Programming and Development of Emergency Surgery and Intellectual Property Protection

K. G. MYKHNEVYCH, State Institution “V.T. Zaitsev Institute of General and Emergency Surgery of the National Academy of Medical Sciences of Ukraine”, Kharkiv, Ukraine Kharkiv National Medical University, Kharkiv, Ukraine

, DSc (Medicine), Chief Scientist Researcher of the Department of Complex Programming and Development of Emergency Surgery and Intellectual Property Protection

L. V. PROVAR, State Institution “V.T. Zaitsev Institute of General and Emergency Surgery of the National Academy of Medical Sciences of Ukraine”, Kharkiv, Ukraine Kharkiv National Medical University, Kharkiv, Ukraine

Junior Research Associate of the Department of Complex Programming and Development of Emergency Surgery and Protection

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Published

2025-12-30

How to Cite

BOIKO, V. V., VYSHNYAKOV, K. A., KRITSAK, V. V., ZAMYATIN, P. M., MYKHNEVYCH, K. G., & PROVAR, L. V. (2025). ULTRASOUND INSTRUMENTATION IN THE DIAGNOSIS OF HEMORRHAGIC COMPLICATIONS OF CHEST INJURIES. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (4), 49–53. https://doi.org/10.11603/2414-4533.2025.4.15741

Issue

No. 4 (2025)

Section

EXPERIENCE OF WORK

License

Copyright (c) 2025 В. В. БОЙКО, К. А. ВИШНЯКОВ, В. В. КРІЦАК, П. М. ЗАМЯТІН, К. Г. МИХНЕВИЧ, Л. В. ПРОВАР

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