Document Type : Letter to Editor

Authors

1 Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, Ansari Nagar, New Delhli, India

2 Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, Ansari Nagar, New Dehli, India

3 Division of Trauma Surgery and Critical Care,JPN Apex Trauma Center, All India Institute of Medical Sciences,Ansari Nagar,New Dehli ,India

4 1 Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, Ansari Nagar, New Dehli - 110029, India

5 1 Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, Ansari Nagar, New Dehhi , India

Abstract

Colonic injuries after blunt trauma abdomen are a rare
entity which may sometimes have a delayed presentation
(1). In the intensive care unit (ICU), various interventions
like sedation, analgesia and paralysis may confound
clinical examination findings pertaining to abdominal
pathology. Computed tomography (CT) provides an
excellent diagnostic modality in blunt trauma abdomen
(2) but requirement of high ventilatory support and/or
vasopressors may preclude safe transfer of patients from
ICU to radiology suites. Point of care ultrasound (POCUS)
provides an excellent adjunct in diagnosis of hollow viscus
perforation and is considered as a reliable alternative to
plain radiograph for the diagnosis of pneumoperitoneum