Evidence map›Paper›PMID 35314643›Full record

ArticleTomography (Ann Arbor, Mich.)2022

The "Black Pattern", a Simplified Ultrasound Approach to Non-Traumatic Abdominal Emergencies.

Stefania Tamburrini, Letizia Consoli, Marco Garrone, Giuseppe Sfuncia, Marina Lugarà, Maria Gabriella Coppola, Miryam Piccirillo, Roberta Toto, Salvatore Massimo Stella, Soccorsa Sofia and 2 more

Open access · goldAbstract read
In one paragraph

Article in Tomography (Ann Arbor, Mich.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. CTA Imaging of Peripheral Arterial Injuries.Diagnostics (Basel, Switzerland) · 2024
    Review
  6. Article
  7. Imaging in Non-Traumatic Emergencies.Tomography (Ann Arbor, Mich.) · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 1 country.

Stefania TamburriniDepartment of Radiology, Ospedale del Mare-Asl NA1 Centro, Via Enrico Russo, 11, 80147 Napoli, Italy.ORCID 0000-0003-0455-0256
Letizia ConsoliDepartment of Emergency Medicine, Fondazione Poliambulanza, Via Bissolati 57, 25124 Brescia, Italy.
Marco GarroneDepartment of Emergency Medicine, A.O. Mauriziano, Largo Filippo Turati, 62, 10128 Torino, Italy.ORCID 0000-0002-4476-1421
Giuseppe SfunciaDepartment of Emergency Medicine, Ospedale santi Giovanni e Paolo, Sestriere Castello, 6777, 30122 Venezia, Italy.
Marina LugaràAdvanced Emergency Ultrasound SIUMB School, 80147 Naples, Italy.
Maria Gabriella CoppolaAdvanced Emergency Ultrasound SIUMB School, 80147 Naples, Italy.
Miryam PiccirilloAdvanced Emergency Ultrasound SIUMB School, 80147 Naples, Italy.
Roberta TotoAdvanced Emergency Ultrasound SIUMB School, 80147 Naples, Italy.
Salvatore Massimo StellaDepartment of Clinical and Experimental Medicine, University of Pisa, Santa Chiara University Hospital, Via Roma, 67, 56100 Pisa, Italy.
Soccorsa SofiaDepartment of Emergency Medicine, Ospedale Maggiore-C. A. Pizzardi, Largo Nigrisoli, 2, 40133 Bologna, Italy.
Mario ScuderiPoliclinico Morgagni, Via del Bosco, 105, 95125 Catania, Italy.
Orlando CatalanoAdvanced Emergency Ultrasound SIUMB School, 80147 Naples, Italy.
Fondazione Poliambulanza Istituto Ospedaliero · ITOspedale Maggiore Carlo Alberto Pizzardi · ITPoliclinico Universitario di Catania · ITSDN Istituto di Ricerca Diagnostica e Nucleare · ITTorino e-district · ITUniversity of Pisa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA key issue in abdominal US is the assessment of fluid, which is usually anechoic, thus appearing "black". Our approach focuses on searching for fluid in non-traumatic patients, providing a new, simplified method for point-of-care US (POCUS).

objectiveFluid assessment is based on a three-step analysis that we can thus summarize. 1. Look for black where it should not be. This means searching for effusions or collections. 2. Check if black is too much. This means evaluating anatomical landmarks where fluid should normally be present but may be abnormally abundant. 3. Look for black that is not clearly black. This means evaluating fluid aspects, whether wholly anechoic or not (suggesting heterogeneous or corpusculated fluid). DISCUSSION: Using this simple method focused on US fluid presence and appearance should help clinicians to make a timely diagnosis. Although our simplified, systematic algorithm of POCUS may identify abnormalities; this usually entails a second-level imaging. An accurate knowledge of the physio-pathological and anatomical ultrasound bases remains essential in applying this algorithm.

conclusionThe black pattern approach in non -traumatic emergencies may be applied to a broad spectrum of abnormalities. It may represent a valuable aid for emergency physicians, especially if inexperienced, involved in a variety of non-traumatic scenarios. It may also be a simple and effective teaching aid for US beginners.

Indexed as

AbdomenEmergenciesAlgorithmsHumansPoint-of-Care SystemsUltrasonographyabdomenabdominal ultrasoundemergencyemergency ultrasoundultrasound

Identifiers

PMID35314643
PMCPMC8938823
OpenAlexW4220814126

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.