AJR ARRS Membership
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Sivit, C.
Right arrow Articles by Fearon, T
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Sivit, C.
Right arrow Articles by Fearon, T
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
American Journal of Roentgenology, Vol 152, Issue 3, 575-577
Copyright © 1989 by American Roentgen Ray Society

Articles

Efficacy of chest radiography in pediatric intensive care

CJ Sivit, GA Taylor, GJ Hauser, MM Pollack, DI Bulas, CJ Guion, and T Fearon

Department of Radiology, Children's Hospital National Medical Center, Washington, D.C. 20010.

We prospectively evaluated the efficacy and clinical usefulness of bedside chest radiography in a pediatric intensive-care unit. Seven hundred ninety-five radiographs were evaluated in 126 patients over a 10-week period. Eighty-one percent of all radiographs showed one or more cardiopulmonary abnormalities, and 25% of routine radiographs had findings that altered management of patients. Nineteen percent of radiographs, including 17% of routine radiographs, showed a malpositioned tube or catheter. Thirty-five percent of endotracheal tubes shown on postintubation radiographs and 41% of central venous catheters shown on post-catheter placement radiographs were malpositioned. Forty-five percent of radiographs with a previous reading showed a significant interval change. Radiographs in patients 1 year old or younger showed more cardiopulmonary abnormalities (p less than .04), tube or catheter malpositions (p less than .03), and significant interval changes (p less than .03), and they elicited more changes in clinical management (p less than .01) than did radiographs in patients over 1 year old. The frequency of management changes dictated by radiographs increased with increasing amounts of respiratory support (p less than .01). Our data indicate that bedside radiography in the pediatric intensive-care setting has a high efficacy and clinical utility.
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 J Intensive Care MedHome page
M. E. Graat, J. Stoker, M. B. Vroom, and M. J. Schultz
Can We Abandon Daily Routine Chest Radiography in Intensive Care Patients?
J Intensive Care Med, July 1, 2005; 20(4): 238 - 246.
[Abstract] [PDF]

Home page
 Am. J. Roentgenol.Home page
D. P. Frush, L. F. Donnelly, and H. G. Chotas
Contemporary Pediatric Thoracic Imaging
Am. J. Roentgenol., September 1, 2000; 175(3): 841 - 851.
[Full Text] [PDF]

Home page
 ChestHome page
K. E. Thomas, C. M. Owens, J. Britto, S. Nadel, P. Habibi, and R. Nicholson
Efficacy of Chest CT in a Pediatric ICU : A Prospective Study
Chest, June 1, 2000; 117(6): 1697 - 1705.
[Abstract] [Full Text] [PDF]

Home page
 CLIN PEDIATRHome page
A. R. Spitzer, J. G. Greer, M. Antunes, K. F. Szema, and G. W. Gross
The Clinical Value of Screening Chest Radiography in the Neonate With Lung Disease
Clinical Pediatrics, September 1, 1993; 32(9): 514 - 519.
[Abstract] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1989 by the American Roentgen Ray Society.