Value of preoperative chest X-ray examinations in children

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 un...

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Bibliographic Details
Published in:Pediatrics (Evanston) 1977-11, Vol.60 (5), p.669-672
Main Authors: Sane, S M, Worsing, Jr, R A, Wiens, C W, Sharma, R K
Format: Article
Language:English
Subjects:
Adolescent
Adult
Anesthesia
Bone Diseases - diagnostic imaging
Cardiovascular Diseases - diagnostic imaging
Child
Child, Preschool
Humans
Infant
Infant, Newborn
Lung Diseases - diagnostic imaging
Mediastinal Diseases - diagnostic imaging
Pleural Diseases - diagnostic imaging
Prospective Studies
Radiography, Thoracic
Surgical Procedures, Operative
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Summary: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 eihter 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.
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.60.5.669