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

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.

Routine chest X-ray is unnecessary after ultrasound-guided central venous line placement in the operating room

2018 ◽  
Vol 46 ◽  
pp. 13-16 ◽  
Author(s):  
David C. Woodland ◽  
C. Randall Cooper ◽  
M. Farzan Rashid ◽  
Vilma L. Rosario ◽  
Paul David Weyker ◽  
...  
Keyword(s):  
Operating Room ◽  
Central Venous Line ◽  
Ultrasound Guided ◽  
Central Venous ◽  
X Ray ◽  
Line Placement ◽  
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

scholarly journals Pediatric liver transplantation and COVID-19: a case report

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Hamed Nikoupour ◽  
Kourosh Kazemi ◽  
Peyman Arasteh ◽  
Saba Ghazimoghadam ◽  
Hesameddin Eghlimi ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Pediatric Patients ◽  
Distress Syndrome ◽  
Clinical Course ◽  
Antibiotic Regimen ◽  
Case Presentation ◽  
Extreme Caution ◽  
X Ray ◽  
Immunosuppressed Patients ◽  
Chest X Ray

Abstract Background Immunosuppressed patients, including individuals with organ transplantation, have been among susceptible groups with regard to COVID-19, on the other hand pediatric patients more commonly undergo a mild clinical course after acquiring COVID-19. To the best of the authors knowledge, to this date very little data exists on COVID-19 in a pediatric patient with liver transplantation. Case presentation We report a three year-old boy who had liver transplantation at 18 months old. He was admitted due to dyspnea with impression of acute respiratory distress syndrome and was then transferred to the intensive care unit. Chest X-ray at admission showed bilateral infiltration. Vancomycin, meropenem, azithromycin, voriconazole and co-trimoxazole were started from the first day of admission. On day 4 of admission, with suspicion of COVID-19, hydroxychloroquine, lopinavir/ritonavir and oseltamivir were added to the antibiotic regimen. PCR was positive for COVID-19. The patient developed multi-organ failure and died on day 6 of admission. Conclusions For pediatric patients with organ transplantations, extreme caution should be taken, to limit and prevent their contact with COVID-19 during the outbreak, as these patients are highly susceptible to severe forms of the disease.

scholarly journals Clinical Course and Disease`s Outcome Aspects of COVID-19 Pediatric Patients in Ibn Al-Khateeb Isolation Hospital

2021 ◽  
Vol 17 (2) ◽  
pp. 84-90
Author(s):  
Abbas Oweid Oleiw ◽  
Kholod Dhaher Habib ◽  
Kadhim Abed Mohammed ◽  
Oday Yassen Abbas ◽  
Zainab Ali Jaber
Keyword(s):  
Medical Records ◽  
Pediatric Patients ◽  
Virus Disease ◽  
Communicable Disease ◽  
Imaging Techniques ◽  
Demographic Data ◽  
White Blood Cells ◽  
Age Group ◽  
X Ray ◽  
Chest X Ray

Background: Corona virus disease 2019 (COVID-19) is a communicable disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It was first identified in December 2019 in Wuhan, China, and has since spread globally, leading to an ongoing pandemic. Aim of study: to review the clinical, lab investigation and imaging techniques, in pediatric age group affected COVID-19 to help medical experts better understand and supply timely diagnosis and treatment. Subjects and methods: this study is a retrospective descriptive clinical study. The medical records of patients were analyzed. Information’s recorded include demographic data, exposure history, symptoms, signs, laboratory findings, chest x- ray, and chest computed tomographic (CT) scans. Data were obtained with data collection forms from paper medical records. Results:  there were 76 COVID-19 pediatric patients, 46.1% of those patients were within the age group 6 -10 years. The female to male ratio was 1:1, and 92.1% of them were living within the urbane area. About 60.5% of patients were pupils. Seventy-one (93.4%) patients of them had no comorbidity. Twenty (26.3%) patients were asymptomatic.  Regarding the duration of hospital stay, 39(51.31) patients had <7 days. All of the patients were nonsmokers. All patients had recovered and discharged from hospital after 2 negative real technique-polymerase chain reaction (RT-PCR) tests, no death was reported. Only 16(21.1%) patients had severe symptoms. Conclusions: the most common symptoms were fever, Cough, Loss of appetite, Shortness of breath & Fatigue. There was a statistically significant association between white blood cells counts, neutrophil number, Chest X-Ray results, with case severity and a statistically significant association between form of treatment in patients who received Oxygen, Oseltamivir, Azithromycin, Paracetamol, Dexamethasone, and case severity.

scholarly journals Radiological Diagnosis of Pediatric Pulmonary Infections and Follow up Protocols

2021 ◽  
pp. 45-55
Author(s):  
Naglaa Elsayed ◽  
Haya Albibi ◽  
Shatha Msawah ◽  
Omnia Asiri
Keyword(s):  
Respiratory Infection ◽  
Pediatric Patients ◽  
Respiratory Infections ◽  
Common Disease ◽  
Pulmonary Infections ◽  
Radiological Findings ◽  
X Ray ◽  
Chest X Ray ◽  
Program Version

Background and objectives: Respiratory infection is the second most common disease in pediatrics presented to the emergency department. Imaging modalities used for diagnosis, and follow up duration of each type of infection should be studied for best outcome for those patients. We aimed to find the optimum imaging follow up protocol for pediatrics with respiratory infections. Methods and Results: Retrospective study included 500 pediatric patients ranging in age from one month to 15 years, presented with respiratory infection. Radiological findings, numbers and results of follow up were collected and statistically analyzed using SPSS program version 23. Bronchitis represented the commonest finding (43%), followed by pneumonia (35%). All patients had initial chest X-ray. CT was done for 79 patients. 218 patients had radiological follow up. The number of follow up ranged from 1 to 51 with the average number was 26. Interpretation and Conclusions: Bronchitis is a clinical diagnosis that does not usually need imaging. Pneumonia is diagnosed clinically aided with X ray in severe cases and follow up may be needed after 4 weeks. X ray and CT are mandatory for the initial diagnosis of TB and follow up should be done after 6 months. Cystic fibrosis needs clinical follow up and annual imaging unless complications arise. Pulmonary abscess needs follow up after treatment.

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