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Guidelines for Elective Pediatric Fiberoptic Intubation
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Fluoroscopy-guided placement of nasoenteral tubes in children using intermittent digital pulse fluoroscopy and last

A G Rao1, C E Simmons1, H Collins1

  • 1Department of Radiology and Radiological Science, Medical University of South Carolina, 96 Jonathan Lucas St, MSC 323, Charleston, SC 29425-3230, USA.

Clinical Radiology
|May 5, 2016
PubMed

Insights

Fluoroscopic placement of nasoenteral tubes in children uses minimal radiation exposure, with a median fluoroscopy time of 1.25 minutes and dose-area product of 0.245 Gy·cm(2). This technique ensures successful tube placement without immediate complications.

Area of Science:

  • Pediatric Radiology
  • Medical Imaging
  • Radiation Safety

Background:

  • Nasoenteral tube placement is common in pediatric patients.
  • Fluoroscopic guidance is frequently used for this procedure.
  • Minimizing radiation exposure in children is a critical concern.

Purpose of the Study:

  • To quantify radiation exposure metrics during fluoroscopically guided nasoenteral tube placement in pediatric patients.
  • To assess the effectiveness of dose-reduction techniques in this population.

Main Methods:

  • Retrospective review of 74 pediatric patients (<18 years) undergoing nasoenteral tube placement.
  • Data collected included fluoroscopy time and radiation dose-area product.
  • Procedures were performed using digital fluoroscopic machines with radiation-minimizing techniques.

Main Results:

  • Median fluoroscopy time was 1.25 minutes.
  • Median radiation dose-area product was 0.245 Gy·cm(2).
  • All procedures were successful with no immediate complications.

Conclusions:

  • Fluoroscopy-guided nasoenteral tube placement in children can be achieved with low radiation exposure.
  • Maximal dose-reduction techniques are effective in minimizing radiation dose.
  • The procedure is safe and successful in pediatric patients.
Abstract

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