Accuracy of a Chest X-Ray–Based Method for Predicting the Depth of Insertion of Endotracheal Tubes in Pediatric Patients Undergoing Cardiac Surgery

2016 ◽  
Vol 30 (4) ◽  
pp. 947-953 ◽  
Author(s):  
Thomas Koshy ◽  
Satyajeet Misra ◽  
Nilay Chatterjee ◽  
Baiju S. Dharan
Keyword(s):  
Cardiac Surgery ◽  
Pediatric Patients ◽  
Endotracheal Tubes ◽  
X Ray ◽  
Chest X Ray

Is a routine chest X-ray indicated before discharge following paediatric cardiac surgery?

2009 ◽  
Vol 19 (4) ◽  
pp. 370-371 ◽  
Author(s):  
Kerstin Bosse ◽  
Thomas Krasemann
Keyword(s):  
Cardiac Surgery ◽  
Heart Surgery ◽  
Clinical Impact ◽  
Chest Radiographs ◽  
X Ray ◽  
Paediatric Cardiac Surgery ◽  
Routine Basis ◽  
Chest X Ray ◽  
Routine Chest

AbstractIn many paediatric cardiosurgical units, a chest X-ray is routinely performed before discharge. We sought to evaluate the clinical impact of such routine radiographs in the management of children after cardiac surgery.Of 100 consecutive children, a chest X-ray was performed in 71 prior to discharge. Of these, 38 were clinically indicated, while 33 were performed as a routine. Therapeutic changes were instituted on the basis of the X-ray in 4 patients, in all of whom the imaging had been clinically indicated. No therapeutic changes followed those radiographs performed on a routine basis.Conclusion: Routine chest radiographs can be omitted prior to discharging patients after paediatric heart surgery.

Value of Preoperative Chest X-ray Examinations in Children

PEDIATRICS ◽  
1977 ◽  
Vol 60 (5) ◽  
pp. 669-672
Author(s):  
Shashikant M. Sane ◽  
Robert A. Worsing ◽  
Cornelius W. Wiens ◽  
Rajiv K. Sharma
Keyword(s):  
Prospective Study ◽  
Pediatric Patients ◽  
Anesthetic Technique ◽  
Chest Film ◽  
X Ray ◽  
Patients Âgés ◽  
Chest X Ray ◽  
A Prospective Study ◽  
Preoperative Chest

To assess the value of routine preoperative chest x-ray films in pediatric patients, a prospective study of 1,500 patients, ages newborn to 19 years, was undertaken. Of all the patients, 7.5% demonstrated at least one roentgenographic abnormality, with 4.7% of the patients demonstrating a totally unsuspected significant roentgenographic anomaly. In 3.8% of the patients, surgery was either postponed or cancelled or the anesthetic technique was altered as a result of the roentgenographic finding. It is believed that the routine preoperative chest film is justified if the film is evaluated before surgery and the results clinically followed up.

Suggests More Tests for Chest Pain Diagnosis

PEDIATRICS ◽  
1978 ◽  
Vol 61 (1) ◽  
pp. 143-144
Author(s):  
Michael F. Elmore ◽  
Glen A. Lehman
Keyword(s):  
Chest Pain ◽  
Physical Examination ◽  
Pediatric Patients ◽  
Laboratory Studies ◽  
Psychiatric Interview ◽  
X Ray ◽  
Pain Diagnosis ◽  
Chest X Ray ◽  
Pain Characteristics ◽  
Diagnostic Work

Driscoll et al. (Pediatrics 57:648, May 1976) reported a series of 43 patients with chest pain evaluated by history and physical examination, psychiatric interview, screening laboratory studies, ECG, and chest x-ray film. No organic cause was identified in 45% of patients, and various psychiatric aspects of the pain were discussed. The history obtained from pediatric patients is often suboptimal, and specific pain characteristics and associations cannot be defined. We therefore propose that more vigorous diagnostic work-ups are necessary before chest pain can be classed as "idiopathic."

scholarly journals Influenza B Virus-associated Pneumonia in Pediatric Patients: Clinical Features, Laboratory Data, and Chest X-ray Findings

2014 ◽  
Vol 55 (1) ◽  
pp. 58-64 ◽  
Author(s):  
Chi-Yu Liu ◽  
Jiaan-Der Wang ◽  
Jen-Ta Yu ◽  
Li-Ching Wang ◽  
Ming-Chih Lin ◽  
...  
Keyword(s):  
Clinical Features ◽  
Pediatric Patients ◽  
Laboratory Data ◽  
Influenza B Virus ◽  
Influenza B ◽  
X Ray ◽  
B Virus ◽  
Chest X Ray

scholarly journals Imaging of COVID-19 pneumonia in children

2020 ◽  
Vol 93 (1113) ◽  
pp. 20200647 ◽  
Author(s):  
Figen Palabiyik ◽  
Suna Ors Kokurcan ◽  
Nevin Hatipoglu ◽  
Sinem Oral Cebeci ◽  
Ercan Inci
Keyword(s):  
Pediatric Patients ◽  
Pediatric Population ◽  
Chest Ct ◽  
Ground Glass ◽  
Pathologic Finding ◽  
Radiological Findings ◽  
X Ray ◽  
Ct Findings ◽  
Chest X Ray ◽  
Single Lesion

Objective: Literature related to the imaging of COVID-19 pneumonia, its findings and contribution to diagnosis and its differences from adults are limited in pediatric patients. The aim of this study was to evaluate chest X-ray and chest CT findings in children with COVID-19 pneumonia. Methods: Chest X-ray findings of 59 pediatric patients and chest CT findings of 22 patients with a confirmed diagnosis of COVID-19 pneumonia were evaluated retrospectively. Results: COVID-19 pneumonia was most commonly observed unilaterally and in lower zones of lungs in chest X-ray examinations. Bilateral and multifocal involvement (55%) was the most observed involvement in the CT examinations, as well as, single lesion and single lobe (27%) involvement were also detected. Pure ground-glass appearance was observed in 41%, ground-glass appearance and consolidation together was in 36%. While peripheral and central co-distribution of the lesions (55%) were frequently observed, the involvement of the lower lobes (69%) was significant. In four cases,the coexistence of multiple rounded multifocal ground-glass appearance and rounded consolidation were observed. Conclusion: COVID-19 pneumonia imaging findings may differ in the pediatric population from adults. In diagnosis, chest X-ray should be preferred, CT should be requested if there is a pathologic finding on radiography that merits further evaluation and if clinically indicated. Advances in knowledge: Radiological findings of COVID-19 observed in children may differ from adults. Chest X-ray should often be sufficient in children avoiding additional irradiation, chest CT needs only be done in cases of clinical necessity.

Chest X-Ray after Line Placement in Pediatric Patients: Is it Always Necessary?

2017 ◽  
Vol 83 (9) ◽  
pp. 381-383 ◽  
Author(s):  
Jenny M. Held ◽  
Robert L. Ricca
Keyword(s):  
Pediatric Patients ◽  
X Ray ◽  
Line Placement ◽  
Chest X Ray

scholarly journals Diagnostic value of chest ultrasound after cardiac surgery: a comparison with chest X-ray and auscultation

Critical Care ◽  
2014 ◽  
Vol 18 (Suppl 1) ◽  
pp. P130 ◽  
Author(s):  
A Vezzani ◽  
T Manca ◽  
F Benassi ◽  
A Gallingani ◽  
I Spaggiari ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Diagnostic Value ◽  
X Ray ◽  
Chest Ultrasound ◽  
Chest X Ray

scholarly journals Is routine chest X-ray following mediastinal drain removal after cardiac surgery useful?

2008 ◽  
Vol 34 (3) ◽  
pp. 542-544 ◽  
Author(s):  
Tanveer Khan ◽  
Girish Chawla ◽  
Romany Daniel ◽  
Mallikarjuna Swamy ◽  
Wade R. Dimitri
Keyword(s):  
Cardiac Surgery ◽  
X Ray ◽  
Drain Removal ◽  
Chest X Ray ◽  
Routine Chest

scholarly journals Assessment of radiation dose to pediatric patients during routine digital chest X-ray procedure in a government medical centre in Asaba, Nigeria

2021 ◽  
Vol 8 (3) ◽  
pp. 155-160
Author(s):  
Asogwa Chijioke Obiora ◽  
Hyacienth Uche Chiegwu ◽  
Akintayo Daniel Omojola ◽  
Ebube Mmeli Onwughalu
Keyword(s):  
Radiation Dose ◽  
Effective Dose ◽  
Pediatric Patients ◽  
Age Groups ◽  
Absorbed Dose ◽  
Field Size ◽  
X Ray ◽  
Chest X Ray ◽  
The Mean ◽  
Risk Of Cancer

Objective: Radiation dose to pediatric patients have been widely reported, it is however necessary that imaging expert keep doses as low as possible to forestall stall long term cancer risk. This study is aimed at determining pediatric entrance surface dose (ESD), 75th percentile ESD, absorbed dose (D) and effective dose (E) for 0-15 years. Material and Methods: The study used a digital radiography (DR) unit with a grid system for each chest X-ray. The thermoluminescent dosimeter (TLD) used was encapsulated in transparent nylon, it was then attached to the patient skin (chest wall) and the second was placed directly at the posterior end of it. Results: The mean ESDs for the 4 age groups were as follows: 0- < 1 (1.54±0.74mGy), 1- < 5 (1.53±0.83mGy), 5- < 10 (0.55±0.39mGy) and 10- ≤15 (1.30±0.57mGy), with an overall mean of 1.23mGy. The 75th percentile ESD for each age group above 10 patients (excluding 5- < 10yrs) was 2.18, 2.19 and 1.75mGy respectively. The absorbed dose (D) ranged from 0.03-2.39mGy. The mean effective dose (E) for the 4 age groups was 0.18±0.03mSv. There was a good correlation between ESD and D (P = 0.001). A One-Way ANOVA shows that the field size and focus to film distance (FFD) affected the ESD and D (P < 0.001) respectively. The risk of childhood cancer from a single radiograph was of the order of (1.54-23.4) ×10-6. Conclusion: The 75th percentile ESD, E and childhood risk of cancer was higher than most studies it was compared with. The study reveals that machine parameters such as the field size and FFD played a major role in dose increase. Protocol optimization is currently needed for pediatric patients in the studied facility.

Initiative to Reduce Chest X-ray Use for Pediatric Patients with Acute Asthma Exacerbations

2018 ◽  
Author(s):  
Caroline Watnick ◽  
Donald H. Arnold ◽  
Richard Latuska ◽  
Michael O'Connor ◽  
David P. Johnson
Keyword(s):  
Pediatric Patients ◽  
Acute Asthma ◽  
X Ray ◽  
Asthma Exacerbations ◽  
Chest X Ray ◽  
Acute Asthma Exacerbations
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