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Serial AFAST Examinations Increase Sensitivity
ОглавлениеDon’t sweat questionable small pockets of free fluid. Serially repeat AFAST at least one more time four hours later (and sooner if the patient is questionable or unstable). The serial AFAST examination provides another opportunity to screen for free fluid that was absent or questionable that may now be easily seen as present (Lisciandro et al. 2009; Lisciandro 2012; Blackbourne et al. 2004), and to rescore (AFS) for worsening (increasing AFS), static (same AFS), or improving (decreasing AFS) (Lisciandro et al. 2009, 2019). Free fluid also may become safely accessible for sampling in previously lower‐scoring patients, which can be hugely helpful in decision making between medical and surgical cases. Knowing whether a patient is fluid positive helps maximize fluid resuscitation (Ollerton et al. 2006).