title: ["Routine" versus "on demand" ultrasonography in the surgical intensive care patient. A prospective randomized study].
abstract: Between May 1988 und March 1989 all patients who underwent elective or emergency surgery followed by intensive care were randomly assigned to group A (n = 149): routine sonography at the postoperative day 1, 3, 7 and 9, group B (n = 151): sonography on demand. In these two groups, the following parameters were compared: number of relaparotomies, lethality of relaparotomies, total lethality, moment of relaparotomy, period of hospitalisation, time spent with sonography. In the analyzed parameters, our examination showed no difference between the two groups. For this we state that the routine sonographical control of the surgical patient with intensive care being opposed to the sonography on demand shows no significant advantage. The demand for a routine sonography as a postoperative control can not be generally supported.
authors.affiliation: Klinik für Allgemein- und Abdominalchirurgie, Johann-Wolfgang-Goethe-Universität Frankfurt/Main.
authors.forename: V
authors.initials: V
authors.lastname: Paolucci
authors.forename: J
authors.initials: J
authors.lastname: Kirchner
authors.forename: C
authors.initials: C
authors.lastname: Müller
authors.forename: G
authors.initials: G
authors.lastname: Morawe
authors.forename: A
authors.initials: A
authors.lastname: Encke
mesh_terms: D000328:Adult; D000368:Aged; D003422:Critical Care; D004066:Digestive System Diseases / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery; D004630:Emergencies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000401:mortality / Q000601:surgery; D011446:Prospective Studies; D015996:Survival Rate; D014463:Ultrasonography
vernacular_title: "Routine"-versus "On-demand"-Sonographie des chirurgischen Intensivpatienten. Eine prospektive randomisierte Untersuchung.