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.

Point‐of‐care lung ultrasound is more reliable than chest X‐ray for ruling out acute chest syndrome in sickle cell pediatric patients: A prospective study

2021 ◽  
Author(s):  
Marcela Preto‐Zamperlini ◽  
Eliana P.C. Giorno ◽  
Danielle S.N. Bou Ghosn ◽  
Fernanda V.M. Sá ◽  
Adriana S. Suzuki ◽  
...  
Keyword(s):  
Prospective Study ◽  
Sickle Cell ◽  
Pediatric Patients ◽  
Lung Ultrasound ◽  
Point Of Care ◽  
Acute Chest Syndrome ◽  
X Ray ◽  
Chest X Ray ◽  
A Prospective Study

Can We Screen Febrile Children for Pneumonia and/or Bacteremia Without Chest X-ray Films and Blood Cultures?

PEDIATRICS ◽  
1978 ◽  
Vol 61 (2) ◽  
pp. 332-333
Author(s):  
Henry M. Feder
Keyword(s):  
Young Children ◽  
Prospective Study ◽  
False Negative ◽  
Blood Cultures ◽  
Chest Roentgenogram ◽  
Negative Group ◽  
X Ray ◽  
Chest X Ray ◽  
Wbc Count ◽  
A Prospective Study

McCarthy et al. in their article "Temperature Greater Than or Equal to 40 C in Children Less Than 24 Months of Age: A Prospective Study" (Pediatrics 59:663, May 1977) recommend using both WBC count (≥ 15,000/cu mm) and ESR (≥ 30 mm/hr) for screening febrile young children for pneumonia or bacteremia. If either is elevated they suggest doing blood cultures and taking a chest roentgenogram. However, in 25% of their patients with bacteremia and 42% of their patients with pneumonia neither WBC count nor ESR was elevated, leaving a sizable false-negative group.

Value of the Chest X-Ray as a Screening Test for Elective Surgery in Children

PEDIATRICS ◽  
1981 ◽  
Vol 67 (4) ◽  
pp. 447-452
Author(s):  
Robert A. Wood ◽  
Robert A. Hoekelman
Keyword(s):  
Postoperative Complications ◽  
Pediatric Patients ◽  
Elective Surgery ◽  
Healthy Children ◽  
X Rays ◽  
X Ray ◽  
Chest X Ray ◽  
Clinically Significant ◽  
Apparently Healthy ◽  
Preoperative Chest

A retrospective study was conducted to assess the value of the chest x-ray as a preoperative screening procedure in pediatric patients. Admissions for elective surgery were compared at two hospitals, one that required routine preoperative chest x-rays and one that did not. Our purpose was to determine the yield of the screening chest x-ray in detecting unknown abnormalities and to determine whether patients who had a preoperative chest x-ray taken experienced fewer anesthetic or postoperative complications than did those who did not. In all, 1,924 cases were studied; in 749 a preoperative chest film was taken. Of those 749 cases, a previously unsuspected abnormality was discovered in 35 (4.7%) patients. Nine (1.2%) of these abnormalities were considered to be clinically significant and three (0.4%) resulted in cancellation of surgery. No differences in anesthetic or postoperative complications were noted between the two groups of patients. It is recommended that the performance of routine preoperative chest x-rays on apparently healthy children be discontinued.

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