Читать книгу Point-of-Care Ultrasound Techniques for the Small Animal Practitioner - Группа авторов - Страница 215

 In general, the “small‐volume bleeder” (AFS 1 and 2; modified AFS system <3) is not immediately surgical and serial AFAST with an assigned AFS is an important monitoring tool for detecting increasing AFS often before overt decompensation, referred to as the “crump” (Bilello et al. 2011).

 In stable AFS 1 and 2 (modified AFS system <3) patients, the author routinely repeats AFAST with an assigned AFS ~1 hour post admission and then again four hours post admission, and then as clinical course dictates.

 AFAST with an assigned AFS should continue during patient rounds every 12–24 hours or during recheck examination until ascites resolution, that is, AFS returns to 0, negative.

 In questionable or unstable patients, serial AFAST with an assigned AFS are performed as often as necessary. The Global FAST approach is important to rule in and rule out other internal sites of bleeding and comorbidities in the thorax, including heart and lung.