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Bedside chest radiography: diagnostic efficacy.

C I Henschke, G S Pasternack, S Schroeder

    Radiology
    |October 1, 1983
    PubMed
    Summary
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    Bedside chest radiography is effective for monitoring intensive care unit patients. This study found that 65% of radiographs revealed new findings or changes impacting patient management, confirming its appropriate use.

    Area of Science:

    • Radiography
    • Intensive Care Medicine
    • Medical Imaging

    Background:

    • Bedside chest radiography is frequently used in intensive care units (ICUs).
    • Evaluating the diagnostic yield and appropriateness of these radiographs is crucial for patient care.

    Purpose of the Study:

    • To assess the efficacy of bedside chest radiography in surgical and medical ICUs.
    • To determine the frequency of malpositioned tubes/lines and interval cardiopulmonary changes.

    Main Methods:

    • A prospective study analyzed 1132 consecutive bedside radiographs from 140 ICU patients over two months.
    • Radiographs were reviewed for malpositioned endotracheal tubes, tracheostomy tubes, and central venous catheters, as well as interval cardiopulmonary changes.

    Main Results:

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    • Malposition rates were 12% for endotracheal/tracheostomy tubes and 9% for central venous catheters.
    • 44% of radiographs showed interval cardiopulmonary changes (e.g., pneumothorax, infiltrate, effusion).
    • 65% of all radiographs revealed new findings or changes affecting patient management.

    Conclusions:

    • Bedside chest radiography provides valuable information in the ICU setting.
    • The findings support the appropriate and effective use of bedside radiography for monitoring critically ill patients.