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Related Experiment Videos

Neonates do not need to be handled for radiographs.

Dawn Slade1, Sara Harrison, Susan Morris

  • 1Department of Child Health, Llandough Hospital, Penarth, Cardiff CF64 4XX, UK. dawnslade@doctors.org.uk

Pediatric Radiology
|February 24, 2005
PubMed
Summary

The under-tray radiography technique for neonates offers comparable image quality to the standard method. This approach minimizes handling, reducing risks like hypoxia and bradycardia in sick infants.

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Area of Science:

  • Neonatal care
  • Pediatric radiology
  • Medical imaging techniques

Background:

  • Handling sick neonates during procedures like radiography can cause adverse events such as hypoxia and bradycardia.
  • Minimizing infant handling is crucial for improving outcomes in neonatal care.
  • Modern incubators offer an under-tray option for radiographic cassette placement, potentially reducing the need for direct infant handling.

Purpose of the Study:

  • To compare the quality of neonatal chest radiographs obtained via the standard direct contact method versus the under-tray technique.
  • To evaluate if the under-tray method compromises diagnostic image quality.

Main Methods:

  • A retrospective analysis of 70 neonatal chest radiographs (25 standard, 45 under-tray) was conducted.
  • Two consultant pediatric radiologists independently assessed image quality based on exposure, blurring, rotation, cut-off, and side markers.

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  • A subjective quality score was also assigned by each radiologist.

    • Main Results:

    • The under-tray method showed a statistically significant advantage in exposure quality for one radiologist and in cut-off for the other.
    • No significant differences in image quality were found for blurring, rotation, or side markers between the two methods.
    • Infant weight and radiation exposure levels were comparable between both techniques.

    Conclusions:

    • The under-tray radiography technique yields neonatal chest films of at least equivalent quality to the standard direct contact method.
    • Given the risks associated with handling neonates, the under-tray method is recommended to cease the standard technique.
    • Implementing the under-tray method can enhance patient safety by reducing handling-related complications.